Budd-Chiari syndrome due to segmental obstruction of the inferior vena cava successfully managed with endovascular stenting

LEARNING POINTS: • BCS, a very rare and life-threatening disease, is curable if early diagnosis and appropriate treatment are performed. • BCS with hypoproteinemia and low ascitic protein level arc easily misdiagnosed with chronic liver diseases. • Early diagnosis should be based on a high clinical suspicion in combination with special imaging studies (dopplcr sonography, MRI and hepatic venography). • Endovascular stenting is currently accepted as an effective treatment in case of unavailable liver transplantation. ACKNOWLEDGEMENT General: We are grateful to our staffs at the Department of Gastroenterology and Interventional Radiology Unit at Gia-Dinh People’s Hospital, Ho Chi Minh City for their great assistance. Author contributions: Uycn Pham-Phuong Vo, Due Trong Quach, Luan Minh Dang, Thao Hieu Luu and Luan Dinh Nguyen involved in the patient management and collected clinical and imaging information. Uycn Pham- Phuong Vo and Due Trong Quach wrote the paper. All authors approved the final version of the manuscript. Funding: No Competing interests: All authors have no conflicts of interest to declare. Patient perspective: 1 year ago, my legs and abdomen were gradually edema. I had difficulty in walking and working. Moreover, my abdominal distension caused loss of appetite. Many ineffective methods of management I had received made me depressed. Nothing was enjoyable. However, I am very pleased with all the attention and care in my local hospital. My symptoms have improved greatly after recanalization by endovascular stenting. It gets better now. I come to clinic for check-up every three months. I hope that all doctors have learnt something from reading my case.