Direct intrahepatic portocaval shunt as a salvage strategy in Budd–Chiari syndrome

Authors

DOI:

https://doi.org/10.36303/SAJGH.4365

Keywords:

direct intrahepatic portocaval shunt, Budd–Chiari syndrome, salvage strategy

Abstract

Budd–Chiari syndrome (BCS) remains a rare disease with varied presentations. It follows hepatic venous outflow obstruction and can be considered primary or secondary, depending on the obstruction’s aetiology. The median age at diagnosis is approximately 35 years, and diagnoses are often delayed. Proper diagnosis is crucial to enable a full spectrum of treatment options, including interventional radiology, to improve outcomes.1-3

Author Biographies

E Gatley, University of Cape Town

Division of Hepatology, Department of Medicine, Faculty of Health Sciences, University of Cape Town and Groote Schuur Hospital, South Africa

D Creamer, University of Cape Town

Department of Radiology, Faculty of Health Sciences, University of Cape Town and Groote Schuur Hospital, South Africa

N Gogela, University of Cape Town

Division of Hepatology, Department of Medicine, Faculty of Health Sciences, University of Cape Town and Groote Schuur Hospital, South Africa

J Kassim, University of Cape Town

Department of Radiology, Faculty of Health Sciences, University of Cape Town and Groote Schuur Hospital, South Africa

S Veenstra, University of Cape Town

Division of Gastroenterology, Department of Medicine, Faculty of Health Sciences, University of Cape Town and Groote Schuur Hospital, South Africa

M Sonderup, University of Cape Town

Division of Hepatology, Department of Medicine, Faculty of Health Sciences, University of Cape Town and Groote Schuur Hospital, South Africa

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Published

2026-04-22

Issue

Section

Case Report