Summary
Two cases of Budd-Chiari syndrome secondary to renal and suprarenal neoplasm have been presented. The clinical picture in both patients is representative of the syndrome. The difficulty in establishing a primary diagnosis with laboratory means and exploratory laparotomy is emphasized.
Direct percutaneous evaluation of the altered hemodynamics coupled with total clinical appraisal of the patient should be sufficient to make the diagnosis.
We believe the case of Patient M.G. to be the first reported of Budd-Chiari syndrome due to primary cancer of the adrenal gland.
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The authors are indebted to William J. Grace. M.D., Director of Medicine, and Richard Kennedy, M.D., Assistant Director of Medicine, St. Vincent's Hospital, for advice and assistance in the preparation of this manuscript.
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Soscia, J.L., Bonanno, C.A. The Budd-Chiari syndrome. Digest Dis Sci 8, 929–936 (1963). https://doi.org/10.1007/BF02232089
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DOI: https://doi.org/10.1007/BF02232089