A rare case of Gynura-segetum-related hepatic sinus obstruction syndrome complicated with alcoholic liver disease | [Journal of Pakistan Medical Association • 2024]

Author(s):

1. Yidan Gao: The affiliated Hospital of Hangzhou Normal University, China.

2. Xiangbo Zhang: The affiliated Hospital of Hangzhou Normal University, China.

3. Xiang Zhou: The affiliated Hospital of Hangzhou Normal University, China.

4. Jie Wang: The affiliated Hospital of Hangzhou Normal University, China.

5. Ling Gong: The affiliated Hospital of Hangzhou Normal University, China.

6. Gongying Chen: The affiliated Hospital of Hangzhou Normal University, China.

Abstract:

Hepatic sinus obstruction syndrome (HSOS) is easy to be misdiagnosed or missed, and there is no unified and effective treatment for it. A patient was considered to have Budd-Chiari syndrome. He underwent a transjugular liver biopsy, and pathological examination revealed HSOS without liver cirrhosis. After the failure of anticoagulation therapy, he successfully received a transjugular intrahepatic portosystemic shunt (TIPS). After discharge, he was followed-up for four years with a good prognosis. G. segetum-induced HSOS can be easily overlooked, especially in patients with underlying liver diseases. When medical therapy fails, TIPS can control ascites and portal hypertension, and the long-term prognosis is optimistic.

Page(s): 1355-1357

DOI: 10.47391/JPMA.9296

Published: Journal: Journal of Pakistan Medical Association, Volume: 74, Issue: 7, Year: 2024

Keywords:

Hepatic sinusoidal obstruction syndrome , Gynura segetum , Transjugular intrahepatic portosystemic shunt

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