Tratamiento endovascular del síndrome de Budd-Chiari, a propósito de un caso

  • César Jiménez Jiménez Hospital Universitario Clínica de San Rafael, Bogotá, D.C., Colombia
  • Leonardo Randial Hospital Universitario Clínica de San Rafael, Bogotá, D.C., Colombia
  • Iván Silva Hospital Universitario Clínica de San Rafael, Bogotá, D.C., Colombia
  • Fabián Alférez Universidad Militar Nueva Granada, Hospital Universitario Clínica de San Rafael, Bogotá, D.C., Colombia
Palabras clave: síndrome de Budd-Chiari, hígado, vena cava superior, ascitis, procedimientos endovasculares, angioplastia

Resumen

El síndrome de Budd-Chiari consiste en la oclusión de la circulación de salida venosa del hígado, desde las sinusoides hepáticas hasta la unión de la vena cava inferior con la aurícula derecha. Esta entidad es muy rara. Las causas son primarias, obstrucción congénita de la vena cava o trombosis espontánea, o secundarias, compresión extrínseca. Si no se trata la obstrucción esta enfermedad, lleva a cirrosis hepática.

Se presenta un caso del síndrome de Budd-Chiari de causa primaria por obstrucción membranosa, tratado por vía endovascular de manera exitosa y con resolución de todos los síntomas. Es el primer reporte en Colombia de este tipo de tratamiento.

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Biografía del autor/a

César Jiménez Jiménez, Hospital Universitario Clínica de San Rafael, Bogotá, D.C., Colombia

Médico, cirujano vascular periférico; jefe, Servicio de Cirugía Vascular, Hospital Universitario Clínica de San Rafael, Bogotá, D.C., Colombia

Leonardo Randial, Hospital Universitario Clínica de San Rafael, Bogotá, D.C., Colombia

2 Médico, cirujano vascular periférico, Hospital Universitario Clínica de San Rafael, Bogotá, D.C., Colombia

Iván Silva, Hospital Universitario Clínica de San Rafael, Bogotá, D.C., Colombia

Médico, cirujano vascular periférico, Hospital Universitario Clínica de San Rafael, Bogotá, D.C., Colombia

Fabián Alférez, Universidad Militar Nueva Granada, Hospital Universitario Clínica de San Rafael, Bogotá, D.C., Colombia

Médico, residente de Cirugía General, Universidad Militar Nueva Granada, Hospital Universitario Clínica de San Rafael, Bogotá, D.C., Colombia

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Publicado
2019-12-13
Cómo citar
1.
Jiménez Jiménez C, Randial Tagliapetra L, Silva I, Alférez F. Tratamiento endovascular del síndrome de Budd-Chiari, a propósito de un caso. Rev Colomb Cir [Internet]. 13 de diciembre de 2019 [citado 29 de enero de 2020];34(4):386-93. Disponible en: https://www.revistacirugia.org/index.php/cirugia/article/view/518
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