Budd-Chiari syndrome
Revision as of 01:17, 24 April 2020 by Cooleyc (talk | contribs) (→See Also: equivalent clot in pre-hepatic vasculature)
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: abdominal pain, ascites, and hepatomegaly
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)