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Sonography of the Caudate Vein: Value in Diagnosing Budd-Chiari Syndrome

Xavier Bargalló1, Rosa Gilabert1, Carlos Nicolau1, Juan Carlos García-Pagán2, Jaume Bosch2 and Concepció Brú1

1 Department of Radiology, Hospital Clinic, C/Villarroel, 170, Barcelona 08036, Spain.
2 Laboratori d'Hemodinàmica Hepàtica, Institute of Digestive Diseases, Hospital Clinic of Barcelona, Barcelona 08036, Spain.



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  		Fig. 1A. —71-year-old healthy woman. Gray-scale sonogram obtained in sagittal epigastric line shows our method of measuring diameter of caudate lobe. Arrows indicate calipers.

 


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  		Fig. 2. —36-year-old man with Budd-Chiari syndrome. Gray-scale sonogram obtained in sagittal epigastric line shows large (21-mm) caudate vein (arrows).

 


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  		Fig. 3A. —29-year-old woman with polycythemia vera that caused chronic Budd-Chiari syndrome. Gray-scale sonogram obtained in sagittal epigastric line shows slightly dilated caudate vein (arrows) measuring 3.7 mm.

 


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  		Fig. 3B. —29-year-old woman with polycythemia vera that caused chronic Budd-Chiari syndrome. Sonogram shows Doppler waveform of caudate vein. Note biphasic Doppler pattern identical to that of remainder of hepatic veins.

 


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  		Fig. 4. —60-year-old man with polycythemia vera that caused chronic Budd-Chiari syndrome. Gray-scale sonogram obtained in sagittal epigastric line shows mildly dilated caudate vein (arrows).

 


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  		Fig. 1B. —71-year-old healthy woman. Sonogram obtained in sagittal epigastric line shows subtle thin caudate vein (arrows). IVC = inferior vena cava.

 


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  		Fig. 5. —53-year-old healthy man. Doppler sonogram obtained in sagittal epigastric line shows spectral waveform of caudate vein, which, in this patient, resembles waveform of inferior vena cava (IVC). LHV = left hepatic vein.

 

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