Budd–Chiari syndrome: illustrated review of current management


  • The views expressed in this document are those of the author(s) and do not reflect the official policy of William Beaumont Army Medical Center, the Department of the Army, the Department of Defense, or the United States Government.

John D. Horton, MD, William Beaumont Army Medical Center, Department of Surgery, 5005 North Piedras St., El Paso, TX 79920-5001, USA
Tel: +210 286 9292
Fax: +915 569 2602
e-mail: John.Horton2@amedd.army.mil


Budd–Chiari syndrome (BCS) is characterized by hepatic venous outflow obstruction at any level from the small hepatic veins to the atriocaval junction. BCS is a complex disease with a wide spectrum of aetiologies and presentations. This article reviews the current literature with respect to presentation, management and prognosis of the disease. Medical, interventional and surgical management of BCS is discussed. Particular attention is paid to interventional and surgical aspects of management. The review is augmented by images, which provide a clinical corollary to the text.