PMC8353463_01
Chest CT image on initial presentation (10 years before the onset of Budd-Chiari syndrome) showing an anterior mediastinal tumor mass with a low-density area. The pathological diagnosis was invasive thymoma (type B2). She underwent systemic chemotherapy (CAMP therapy) followed by total thymectomy at that time. CT, computed tomography.
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Ten years previously, she was diagnosed with invasive thymoma type B2 (Fig. 1), for which she underwent CAMP therapy (cisplatin, doxorubicin, and methylprednisolone) followed by total thymectomy.
Abdominal CT image on the first visit to our hospital showing a large right hepatic mass of irregular density with indistinct borders. Abundant ascites was also detected.
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An abdominal ultrasound and a non-enhanced computed tomography scan of the chest and abdomen showed a large amount of ascites and massive lesions with irregular borders in the S2 segment of the liver, peritoneum, and right pleural cavity (Fig. 2).
Abdominal ultrasonography findings. (A) A large mass is compressing the inferior vena cava (white arrow). * inferior vena cava, abdominal aorta. (B) A color doppler image showed congestion of blood flow in the inferior vena cava. . (For interpretation of the references to color in this figure legend, the reader is referred to the Web version of this article.)
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An abdominal ultrasound clearly showed marked compression of the IVC and blood flow limitation by a large tumor (Fig. 3).