The diagnostic procedure to be followed in cases of Budd-Chiari syndrome and cardiac
cirrhosis cannot be schematized. Although laparoscopy and histology can point the
diagnostician in the right direction, they are not decisive for the localization of
the occlusions. In the presence of lumen-constricting processes, the representation
of the hepatic veins has reached its limits. In this situation, laparoscopic transhepatic
segmental venography or portography may help. Here, a report is presented on 5 cases
with a variety of problems.
Budd-Chiari syndrome - Cardiac cirrhosis - Aetiology - Angiography - Laparoscopy