| Japanese |
|---|
| Title | RI-Venographyが診断ならびに治療経過の観察に有用であったBudd-Chiari症候群の一例 |
|---|
| Subtitle | 症例報告 |
|---|
| Authors | 浜田俊彦*, 安井淳朗*, 楢林勇**, 河野通雄*** |
|---|
| Authors(kana) | |
|---|
| Organization | *小野市民病院放射線科・中央放射線室, **兵庫成人病センター放射線科 (現 大阪医大放射線医学教室), ***神戸大学医学部放射線医学教室 |
|---|
| Journal | 核医学 |
|---|
| Volume | 28 |
|---|
| Number | 6 |
|---|
| Page | 653-658 |
|---|
| Year/Month | 1991/6 |
|---|
| Article | 報告 |
|---|
| Publisher | 日本核医学会 |
|---|
| Abstract | 「要旨」集団検診における肝機能異常の発見が診断の契機となり, 経皮的血管拡張術によって治療された, 肝部下大静脈膜様閉塞によるBudd-Chiari症候群 (BCS) の一例について, RI-Venographyの臨床的意義を中心に報告する. 本症の診断過程において, RI-Venographyは下大静脈閉塞を検出したが, 閉塞の原因や部位の評価には下大静脈造影が必要であった. 一方, 治療後2年間の経過観察にRI-Venographyを用いたところ, 術後の再閉塞は否定され, 下大静脈造影は不要となった. RI-Venographyは, BCSにおける下大静脈閉塞のスクリーニング検査として, 診断のみならず治療後の経過観察にも有用である. 「I. はじめに」Budd-Chiari症候群 (BCS) は, 肝静脈血の流出障害によっておこる病態の総称であり, 本邦では肝部下大静脈閉塞によるものが多い. |
|---|
| Practice | 臨床医学：一般 |
|---|
| Keywords | Budd-Chiari syndrome, Radionuclide cavography, Transluminal angioplasty. |
|---|
| English |
|---|
| Title | Radionuclide Cavography before and after Percutaneous Transluminal Angioplasty for the Budd-Chiari Web : Case Report |
|---|
| Subtitle | Case Reports |
|---|
| Authors | Toshihiko HAMADA*, Atsuro YASUI*, Isamu NARABAYASHI**, Michio KONO*** |
|---|
| Authors(kana) | |
|---|
| Organization | *Department of Radiology, Ono Municipal Hospital, **Department of Radiology, Osaka Medical College, ***Department of Radiology, Kobe University School of Medicine |
|---|
| Journal | The Japanese Journal of nuclear medicine |
|---|
| Volume | 28 |
|---|
| Number | 6 |
|---|
| Page | 653-658 |
|---|
| Year/Month | 1991/6 |
|---|
| Article | Report |
|---|
| Publisher | THE JAPANESE SOCIETY OF NUCLEAR MEDICINE |
|---|
| Abstract | [Summary] A case of the Budd-Chiari syndrome due to a web of the hepatic inferior vena cava (IVC) is reported. A 54-year-old male with mild liver dysfunction was suspected with IVC obstruction from the screening CT which revealed liver cirrhosis with marked caudate lobe enlargement and dilatation of azygous and hemiazygous vein. Subsequent radionuclide cavography with 99mTc-HSA clearly demonstrated IVC obstruction, but failed to clarify the site or type of the obstruction. Finally contrast cavography diagnosed a web of the hepatic IVC, which was treated by percutaneous transluminal angioplasty (PTA). During two-year follow-up after PTA none of the radionuclide cavographies showed reocclusion of the IVC and as a result contrast cavography was avoided. Radionuclide cavography, therefore, was a useful method for evaluating IVC obstruction before and after PTA for the Budd-Chiari web. |
|---|
| Practice | Clinical medicine |
|---|
| Keywords | Budd-Chiari syndrome, Radionuclide cavography, Transluminal angioplasty. |
|---|