Budd-Chiari syndrome: Difference between revisions

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==Background==
<languages/>
<translate>
 
 
==Background== <!--T:1-->
 
<!--T:2-->
[[File:Gray1121.png|thumb|Posterior abdominal wall, after removal of the peritoneum, showing kidneys, suprarenal capsules, and great vessels. (Hepatic veins labeled at center top.)]]
*Rare
*Rare
*Caused by occlusion of hepatic veins, 75% primary (thrombosis), 25% secondary (compression by mass)
*Caused by occlusion of hepatic veins, 75% primary (thrombosis), 25% secondary (compression by mass)
*Fulminant, acute, chronic, or asymptomatic.
*Fulminant, acute, chronic, or asymptomatic.
==Clinical Features==
 
*Classic triad: [[abdominal pain]], [[ascites]], and [[hepatomegaly]]  
 
==Differential Diagnosis==
 
*[[Hepatitis]]
==Clinical Features== <!--T:3-->
*[[Cirrhosis]]
 
==Evaluation==
<!--T:4-->
*[[LFTs]], BMP, LDH
Classic triad:  
*Ultrasound, retrograde angiography
#[[Special:MyLanguage/Abdominal pain|Abdominal pain]]
#[[Special:MyLanguage/Ascites|Ascites]]
#[[Special:MyLanguage/Hepatomegaly|Hepatomegaly]]
 
 
 
==Differential Diagnosis== <!--T:5-->
 
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{{DDX RUQ}}
<translate>
 
 
 
==Evaluation== <!--T:6-->
 
<!--T:7-->
[[File:Buddchiari2.png|thumb|Budd–Chiari syndrome secondary to cancer, note clot in the inferior vena cava and the metastasis in the liver.]]
*[[Special:MyLanguage/LFTs|LFTs]], BMP, LDH
*[[Special:MyLanguage/RUQ ultrasound|Ultrasound]], retrograde angiography
*CT and MRI less sensitive
*CT and MRI less sensitive
==Management==
*Sodium restriction, [[diuretics]], [[anticoagulants]]
*venous shunts or TIPS
*liver transplant
==Disposition==


==See Also==


==External Links==


==References==
==Management== <!--T:8-->
 
<!--T:9-->
*Sodium restriction, [[Special:MyLanguage/diuretics|diuretics]], [[Special:MyLanguage/anticoagulants|anticoagulants]]
*Venous shunts or [[Special:MyLanguage/TIPS|TIPS]]
*Liver transplant
 
 
 
==Disposition== <!--T:10-->
 
 
==See Also== <!--T:11-->
 
<!--T:12-->
*[[Special:MyLanguage/Portal vein thrombosis|Portal vein thrombosis]]
 
 
 
==External Links== <!--T:13-->
 
 
==References== <!--T:14-->
 
<!--T:15-->
<references/>
<references/>


<!--T:16-->
[[Category:GI]]
[[Category:GI]]
</translate>

Latest revision as of 12:25, 7 January 2026

Other languages:


Background

Posterior abdominal wall, after removal of the peritoneum, showing kidneys, suprarenal capsules, and great vessels. (Hepatic veins labeled at center top.)
  • Rare
  • Caused by occlusion of hepatic veins, 75% primary (thrombosis), 25% secondary (compression by mass)
  • Fulminant, acute, chronic, or asymptomatic.


Clinical Features

Classic triad:

  1. Abdominal pain
  2. Ascites
  3. Hepatomegaly


Differential Diagnosis

RUQ Pain


Evaluation

Budd–Chiari syndrome secondary to cancer, note clot in the inferior vena cava and the metastasis in the liver.
  • LFTs, BMP, LDH
  • Ultrasound, retrograde angiography
  • CT and MRI less sensitive


Management


Disposition

See Also


External Links

References


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