Recently, Ms. Zhou, who had been tortured by the disease for nearly ten years, was finally diagnosed with Bugatti’s Syndrome after careful examination and analysis by doctors of the General Intervention Department of the hospital and was discharged from the hospital last week after minimally invasive interventional surgery. This has given hope to more patients with Bugatti’s Syndrome. Not long ago, Ms. Zhou came to our hospital due to obvious abdominal distension and edema of both lower limbs. Doctors learned from Ms. Zhou that in the past ten years, she had unexplained leg and foot swelling and abdominal swelling from time to time, and in severe cases, her feet were so swollen that she couldn’t even walk. In order to treat, she has repeatedly run to a number of hospitals, the diagnosis from cirrhosis to hyperthyroidism, and then to varicose veins, but no matter which disease to treat, can not achieve the desired results, which makes her very distressed. At the end of October this year, Ms. Zhou again appeared severe abdominal distension and double lower extremity edema. “When the patient first came, the abdomen was distended with a large amount of ascites, and both lower limbs had turned purple-black due to long-term repeated edema.” Ms. Zhou’s attending physician said. At first, CT and ultrasound examination suggests cirrhosis and hypersplenism, esophagogastric fundus vein moderate – severe varices, everyone thought it was caused by cirrhosis, but the general interventional department Yu Lei, director of the analysis pointed out that: the patient’s cirrhosis is how to come? To find out the cause, could there be a vascular problem? You can’t make a diagnosis so easily. After that, Director Yu personally took the patient to the ultrasound room to check the blood vessels of the liver, and discussed the patient’s imaging results with the MRI doctor, but none of them could make a clear diagnosis. “Even if the symptoms improve now, it’s irresponsible to go back and relapse without finding the underlying problem!” Finally, Director Yu decided to do venous angiography for the patient, and intraoperatively found that the hepatic segment of the vena cava and the intrahepatic vein were completely occluded, which is a typical manifestation of complex Bugart’s syndrome. A balloon catheter was then used to dilate the occluded veins to restore their patency, and the vena cava and hepatic vein occlusion was found to have completely disappeared on re-imaging. During the whole operation, the patient had only a few millimeter wounds, and the bleeding was less than a few milliliters. On the second day after the operation, the patient was able to get out of bed for normal activities and was discharged from the hospital three days later. Ms. Zhou exclaimed, “The intervention method is really amazing! Not only did it find the cause of the disease that had been bothering me for ten years, but it also solved the problem in such a minimally invasive and effective way!” At the same time, he also expressed his heartfelt gratitude to Director Yu Lei for his sense of responsibility. According to Director Yu Lei, Bugart’s syndrome (BCS) is a rare and complex vascular disease, with an incidence rate of only a few ten thousandths of a percent in the population. The disease often manifests itself clinically as unexplained leg and foot enlargement, bruising or persistent ascites, and is easily missed and misdiagnosed as ordinary cirrhosis of the liver, varicose veins, and so on, and the mortality rate of the disease is extremely high. As this disease prevents the blood in the hepatic vein and inferior vena cava from returning to the atrium, resulting in a large amount of fluid in the abdomen and damage to many organs, surgery is required to remove the obstruction of venous blood flow in order to obtain effective treatment. However, the operation site of this disease is crisscrossed with large and small blood vessels, and the vital organs are densely packed, so the surgery needs to open the chest and abdominal cavity, which is very risky and has a high mortality rate. Currently, interventional therapy is the preferred method for Bugatti’s syndrome, which is minimally invasive, simple, safe, effective, with fewer complications and faster recovery than surgery. Interventional surgery requires no incision, only a few millimeters of skin incision to complete the treatment, beautiful appearance, little impact on the normal organs of the body, fast recovery after surgery, and the results are often satisfactory. China’s interventional technology is booming, now our hospital’s interventional level is also improving, has successfully cured many patients with Bugatti’s syndrome. Director Yu Lei reminds us that Bugart’s syndrome is very easy to miss the diagnosis, misdiagnosis, the patient will often be long-term repeated suffering from the disease, once an unexplained swelling of the lower limbs, abdominal distension, abdominal wall varicose veins, etc., or the emergence of unexplained cirrhosis of the liver should be thought of Bugart’s syndrome, it is recommended that as soon as possible to the larger hospitals to the regular hospitals for medical treatment.