Budd-Chiar综合征(简称BCS)是由于肝静脉或/和下腔静脉阻塞所引起的一组症候群,故又称肝静脉阻塞综合征。本病临床诊断困难,但随着B超的广泛应用及现代影像学的发展,报告逐年增加。现将我院一例曾诊断为肝硬化腹水、后经尸检证实为胰腺癌合并门静脉内栓塞的病例报告如下。患者男,60岁。上腹不适,食欲减退,恶心、呕吐、黑便、体重明显下降三月余。查体:巩膜轻度黄染,皮肤无蜘蛛痣及肝掌。心肺正常。腹壁静脉曲张,血流方向为下行性。腹水明显且 Budd-Chiar syndrome (BCS) is a syndrome caused by obstruction of the hepatic veins and / or inferior vena cava and is also called hepatic vein occlusion syndrome. The clinical diagnosis of this disease is difficult, but with the extensive application of B ultrasound and the development of modern imaging, the report increased year by year. Now a case of our hospital has been diagnosed as cirrhosis and ascites, confirmed by autopsy pancreatic cancer combined with portal vein embolization cases are as follows. Male patient, 60 years old. Abdominal discomfort, loss of appetite, nausea, vomiting, melena, weight decreased significantly more than three months. Physical examination: scleral mild yellow dye, no spider nevus and liver palms. Cardiopulmonary normal. Abdominal wall varicose veins, blood flow direction is descending. Ascites obvious and