Résumé
Budd-Chiari syndrome is a rare complication of hepatic sarcoidosis. Today, there is no consensual argument that could explain the mechanism of this association. From 1978 to 2009, five cases have been published. Here we report a new observation
The patient of 33 years admitted for icteric cholestasis whose imaging tests showed a normal aspect' rate with marked hypertrophy of the left lobe and of segment I of the liver, thrombosis supra-hepatic vein with a highly developed collateral network, and multiple and profound abdominal and mediastinal adenopathies; the anatomopathological examination showed characteristic images of sarcoidosis. The treatment with corticosteroids associated with antis vitamin K allowed a regression of the symptoms. To conclude we can affirm that although rare, sarcoidosis can be considered as one of the etiologies of Budd-Chiari syndrome as illustrated by our observation.