Budd-Chiari syndrome

Case contributed by Mina Sameh Rizk
Diagnosis certain


Gradually increasing abdominal distension and discomfort.

Patient Data

Age: 35 years
Gender: Female

Abnormal shape of the liver in terms of hypertrophy of the caudate lobe which displays homogenous enhancement. The periphery of the liver is slightly lobulated due to atrophic changes. Inhomogeneous mottled liver parenchyma (nutmeg liver) is noted. The hepatic veins could not be identified. There is moderate ascites.

Case Discussion

This case shows the classic appearance of chronic Budd-Chiari syndrome particularly the caudate lobe hypertrophy, nutmeg liver and attenuated hepatic veins.

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