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Liver Scans in the Budd-Chiari Syndrome

Nicola Carulli, MD; Francesco Boraldi, MD; Renato Roncaia, MD; Wilma Piaggi, MD
JAMA. 1973;223(10):1161. doi:10.1001/jama.1973.03220100055027.
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To the Editor.—  We have read with interest the letter to The Journal by Chaudhuri et al on liver scan in the Budd-Chiari syndrome (BCS) (221:506, 1972). The authors stated that the liver scan in BCS appears as that in advanced cirrhosis. It is well known that the end stage of a chronic BCS is a nonportal cirrhosis and the liver scan performed at this stage would be hardly distinguishable from that of any other type of cirrhosis.We would like to present liver scans performed in three patients in the early stage of a block of the hepatic venous outflow. In case 1 a BCS of unknown etiology was presented (Fig 1); case 2, veno-occlusive disease (Fig 2); and case 3, a constrictive pericarditis (Fig 3).Cases 1 and 2 were proven at autopsy; patient 3 underwent pericardiotomy. In all cases the scan revealed a splenic uptake of the


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