Budd-Chiari syndrome echocardiography or ultrasound

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Mazia Fatima, MBBS [2]

Overview

Ultrasound may be helpful in the diagnosis of Budd-Chiari. Ultrasound is the first line imaging method preferred for its high sensitivity and specificity of up to 85%. Color-flow doppler ultrasonography is used to confirm the diagnosis of Budd-Chiari syndrome.

Ultrasound

• Ultrasound may be helpful in the diagnosis of Budd-Chiari. Ultrasound is the first line imaging method preferred for its high sensitivity and specificity of up to 85%.
• Color-flow Doppler ultrasonography is used to confirm the diagnosis of Budd-Chiari syndrome.
• Findings on an ultrasound suggestive of acute Budd-Chiari include :
  • Hepatomegaly
  • Splenomegaly
  • Heterogeneous echo texture
• Findings on an ultrasound suggestive of chronic Budd-Chiari include :
  • Hypertrophied caudate lobe
  • Peripheral atrophy of affected regions
  • Regenerative nodules
  • Gallbladder wall thickening
  • Ascites