Neuroendocrine Tumor Mimicking Budd-Chiari Syndrome: A Case Report

Gautam N Mankaney, Parmjeet Randhawa, KV Narayanan Menon and Achuthan Sourianarayanane

Department of Internal Medicine, University of Pittsburgh Medical Center, USA
Department of Pathology, University of Pittsburgh Medical Center, USA
Department of Gastroenterology, Cleveland Clinic, USA
Department of Gastroenterology, Hepatology and Nutrition, University of Pittsburgh Medical Center, USA
Department of Gastroenterology and hepatology, Medical College of Wisconsin, USA

^*Correspondance to: Achuthan Sourianarayanane 

 PDF  Full Text Case Report | Open Access

Abstract:

Diffuse involvement of the liver with neoplastic processes can present a diagnostic dilemma. We present the case of a diffusely infiltrative neuroendocrine tumor (NET) that mimicked Budd-Chiari syndrome (BCS), not previously described in the literature. Histological evaluation can be limited without well-defined margins. Only one of two biopsies revealed a NET. A diagnosis of BCS was first considered after CT and MRI images revealed decreased hepatic and portal venous flow along with liver biopsy suggestive of venous obstruction. However, hepatic venography demonstrated patent veins and another diagnosis was sought. This case illustrates the importance of hepatic venography, the standard imaging technique for diagnosing BCS, and that a NET can mimic BCS.

Keywords:

Neuroendocrine tumor; Liver mass; Budd-Chiari

Cite the Article:

Mankaney GN, Randhawa P, Narayanan Menon KV, Sourianarayanane A. Neuroendocrine Tumor Mimicking Budd-Chiari Syndrome: A Case Report. Ann Clin Case Rep. 2016; 1: 1217.