Budd-Chiari syndrome: Difference between revisions
| Line 13: | Line 13: | ||
*[[Cirrhosis]] | *[[Cirrhosis]] | ||
==Evaluation== | ==Evaluation== | ||
[[File:Buddchiari2.png|thumb|Budd–Chiari syndrome secondary to cancer, note clot in the inferior vena cava and the metastasis in the liver.]] | |||
*[[LFTs]], BMP, LDH | *[[LFTs]], BMP, LDH | ||
*[[RUQ ultrasound|Ultrasound]], retrograde angiography | *[[RUQ ultrasound|Ultrasound]], retrograde angiography | ||
Revision as of 14:50, 21 May 2020
Background
- Rare
- Caused by occlusion of hepatic veins, 75% primary (thrombosis), 25% secondary (compression by mass)
- Fulminant, acute, chronic, or asymptomatic.
Clinical Features
- Classic triad:
Differential Diagnosis
Evaluation
- LFTs, BMP, LDH
- Ultrasound, retrograde angiography
- CT and MRI less sensitive
Management
- Sodium restriction, diuretics, anticoagulants
- Venous shunts or TIPS
- Liver transplant
Disposition
See Also
Portal vein thrombosis (PVT)