case_images: PMC8353463_01
case_images: 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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case_images: 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.
case_images: 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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case_images: 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).
case_images: 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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case_images: An abdominal ultrasound clearly showed marked compression of the IVC and blood flow limitation by a large tumor (Fig. 3).