Skip to main content

Budd-Chiari Syndrome

Gaurav Chaturvedi, MD and Eli Ehrenpreis, MD Reviewed 05/2023
 


BASICS

DESCRIPTION

Budd-Chiari syndrome (BCS) is defined as hepatic venous outflow tract obstruction, independent of the mechanism and level of obstruction. However, hepatic venous outflow tract obstru...

DIAGNOSIS

HISTORY

  • Presentation ranges from asymptomatic to fulminant liver failure or chronic liver disease (subacute Budd-Chiari)

  • Classic triad includes abdominal pain, ascites, and hepatomegaly 

  • Patien...

TREATMENT

  • Treatment follows a stepwise therapeutic strategy; acuity dictates need for surgery.

  • Interventions are medical, endovascular, and surgical.

  • The overall goals of therapy are:

    • Relief of hepatic v...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Patient Monitoring

  • Daily weights

  • Smoking cessation

  • Avoid NSAIDs

  • Continue to monitor worsening symptoms (i.e., RUQ pain, ascites, jaundice)

DIET

  • Restrict dietary sodium ...

REFERENCES

1
Sharma A, Keshava SN, Eapen A, et al. An update on the management of Budd-Chiari syndrome. Dig Dis Sci. 2021;66(6):1780–1790. doi: 10.1007/s10620-020-06485-y. PMID: 32691382.
2
...

SEE ALSO

  • Ascites; Cholestasis of Pregnancy, Cirrhosis, Hypercoagulable States

  • Algorithms: AST Elevation; Hepatomegaly

CODES

ICD10

I82.0 Budd-Chiari syndrome 

SNOMED

82385007 Budd-Chiari syndrome (disorder) 

CLINICAL PEARLS

  • Clinicians should consider BCS in the differential diagnosis of patients presenting with acute liver failure, acute hepatitis, or chronic liver disease, particularly if the patient has...

Subscribe to Access Full Content

Sign Up for a 10-Day Free Trial

Sign up for a 10-day FREE Trial now and receive full access to all content.

 
×