Presentation is typically insidious. Can be acute, fulminant, subacute, or chronic. Classic triad includes abdominal pain, ascites, and hepatomegaly.
Most patients present with RUQ abd...
Treatment follows a stepwise therapeutic strategy; acuity dictates need for surgery (3).
Interventions are medical, endovascular, and surgical.
The overall goals of therapy are:
Reported life expectancy is ~3 years from first symptoms (1).
Without intervention, 5-year survival is <10%.
With intervention, the 5-year survival rate is ~70%.
Jayanthi V, Udayakumar N. Budd-Chiari syndrome. Changing epidemiology and clinical presentation. Minerva Gastroenterol Dietol. 2010;56(1):71–80. [View Abstract on OvidMedline]
Ascites; Cholestasis of Pregnancy, Intrahepatic
Algorithms: AST Elevation; Hepatomegaly
Consider BCS in young female patients with sudden onset of RUQ pain, hepatomegaly, and ascites.
BCS is commonly mistaken for right heart failure.
Test for myeloproliferative disease in p...
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