Budd-Chiari syndrome

Case contributed by Dr Ahmed Abd Rabou

Presentation

Weakness, easy fatigability and abdominal distension

Patient Data

Age: 19 years old
Gender: Female
X-ray

CT scout image show global abdominal distension with centrally located bowels suggesting marked ascites.

Ultrasound

Ultrasonography revealed enlarged liver with hteregenous parenchyma and no definite focal lesion. The IVC and hepatic veins appeared attenuated. Also there is marked ascites.

CT

Triphasic CT study revealed enlarged cirrhotic liver with heterogenous parenchyma; there is central enhancement and peripheral ischemia giving the appearance of nutmeg liver. No focal lesion. The IVC and hepatic veins are attenuated and spleen is enlarged. Also there is marked ascites.

Diagnosis: Budd-Chiari syndrome

Case Discussion

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Case information

rID: 23072
Case created: 20th May 2013
Last edited: 9th Nov 2016
Inclusion in quiz mode: Included

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