Remnant torsion causing Budd-Chiari syndrome after right hepatectomy.

Introduction: Torsion or rotation of the remnant left liver after right hepatectomy is a potential cause of venous outflow obstruction. This can occur by external compression on the inferior vena cava or kinking of the left hepatic vein.

Discussion: We report a case of a young female who underwent right hepatectomy for stage IV colorectal metastases and suffered remnant left liver torsion causing acute Budd-Chiari syndrome. She was managed by placement of a metal stent across the area of stenosis which resolved her ascites and hyperbilirubinemia.