Review Article

Familial Budd-Chiari Syndrome in China: A Systematic Review of the Literature

Table 1

Familial Budd-Chiari syndrome in China—an overview of published literatures.

Authors Journal (year)Affiliation (province)Number familyBCS patientsAge (years)Clinical presentationType of BCS

Wang et al. Curr Probl Surg (1996) ENBeijing Post and Telecommunication Hospital (Beijing) 1st familyTwo brothersNANAIVC webs
2nd familyTwin sistersNANAMOVC

Sun et al. Gan Dan Wai Ke Za Zhi (1997) CN No. 89 Hospital of Chinese PLA (Shandong) 3rd family Two brothers (farmers)24Abdominal distension, swelling of lower limbs (4 yrs), ascites, hepatomegaly, varicosity of abdominal wall and lower limbsIVC stenosis with MHV obstruction
26Abdominal distension and swelling of lower limbs (6 yrs), ascites, hepatomegaly, splenomegaly, varicosity of abdominal wall and lower limbsIVC stenosis with MHV obstruction

Liu et al.;
Wang et al.
Zhonghua Xiao Hua Za Zhi (1999); The 7th Chinese National Congress of Gastroenterology (2007); Wei Chang Bing Xue (2007) CN Departments of Digestive Diseases and Interventional Radiology, General Hospital of Chinese PLA (Beijing) 4th family An elder brother and a younger sister29Abdominal distension (20 days), oliguria and swelling of lower limbs (4 days), gross ascites, hepatomegaly, varicosity of chest and abdominal wall Three HVs obstruction
25Abdominal distension (2 months); hepatomegaly, ascitesThree HVs obstruction with IVC stenosis
5th familyTwo brothersNAHepatomegalyHV obstruction

Liu et al. Lin Chuang Xiao Hua Bing Za Zhi (2000) CN Second People's Hospital of Anyang City (Henan) 6th familyFather and an elder sonNANANA
7th familyAn elder brother and a younger sisterNANANA

Feng et al. Zhonghua Yi Xue Za Zhi (2000); Zhonghua Xue Ye Xue Za Zhi (2000); Zhonghua Fang She Za Zhi (2001) CN Department of Radiology, First Affiliated Hospital of China Medical University (Liaoning) 8th family Four sisters40*Brachypnea (15 yrs), abdominal distension and swelling of lower limbs (10 yrs), varicosity of abdominal wall and lower limbsSOVC
28*Swelling of lower limbs (5 yrs), varicosity of chest and abdominal wall and lower limbs, hepatomegalyMOVC
35*AsymptomaticIVC stenosis
23AsymptomaticIVC stenosis with two HVs stenosis
9th family Two sisters43Swelling of lower limbs (4 yrs), ascites, varicosity of abdominal wall and lower limbsSOVC with IVC thrombosis
33*Abdominal distension and swelling of lower limbs (5 yrs), varicosity of chest and abdominal wall, hepatomegalyMOVC

Wang et al. Guang Dong Yi Xue Za Zhi (2000); Shi Yong Yi Xue Za Zhi (2001); Zhongguo Xian Dai Yi Xue Za Zhi (2001); Lin Chuang Gan Dan Bing Za Zhi (2005) CN Department of Digestive Diseases, Second Affiliated Hospital of Ji'nan University (Guangdong)10th familyAn elder brother and a younger sister50Recurrent variceal bleeding (30 yrs), abdominal distension, hepatomegaly, no ascitesSOVC
43Abdominal distension (1 yr); normal liver and spleen, no ascitesMOVC

Yuan et al.;
Qin et al.
Hua Bei Mei Tan Yi Xue Yuan Xue Bao (2002); Zhongguo Pu Tong Wai Ke Za Zhi (2002) CNDepartment of General Surgery, First Affiliated Hospital of Xinxiang Medical College (Henan)11th familyAn elder sister and a younger sisterNAAsymptomatic, esophageal varicesMOVC

Zhao et al. Zhonghua Xiao Hua Za Zhi (2003) CN Hospital of Chenggu County (Shaanxi) 12th family An elder sister
and a younger brother
36Abdominal distension and swelling of lower limbs (8 yrs), varicosity of chest and abdominal wall, splenomegaly, normal liver, no ascitesIVC obstruction
31Abdominal distension (0.5 yr), massive variceal bleeding (4 days), edema of both lower limbs, varicosity of chest and abdominal wall and lower limbs, splenomegaly, normal liver, moderate ascitesIVC stenosis

Zheng et al.;
Lin et al.
Zhengzhou Da Xue Xue Bao (2005); Zhonghua Pu Tong Wai Ke Za Zhi (2006) CN Department of General Surgery, First Affiliated Hospital, Zhengzhou University (Henan)13th familyAn elder sister and a younger brotherNANANA
14th familyTwin sistersNANANA

Notes: represents that the patient had factor V Leiden mutation.
AD: abdominal distension; BCS: Budd-Chiari syndrome; CN: Chinese journal; EN: English journal; F: female; HV: hepatic vein; IVC: inferior vena cava; M: male; MHV: middle hepatic vein; MOVC: membranous obstruction of inferior vena cava; NA: not available; SLL: swelling of lower limbs; SOVC: segmental obstruction of inferior vena cava; VAWLL: varicosity of abdominal wall and lower limbs; VB: variceal bleeding.