Obstruction of the hepatic veins-a rare case of Budd-Chiari syndrome: A case report

Budd-Chiari syndrome is a disorder that is characterized by obstruction of hepatic venous outflow, with thrombosis being the primary cause of the obstruction. This case report describes a 47-year-old Indian male presenting with distension of the abdomen and umbilical swelling for 1 year. Investigati...

Full description

Saved in:
Bibliographic Details
Main Authors: Joel Sabu, Kevin Jose Madapat, Namitha K Baby, Supraja Subramanian
Format: Article
Language:English
Published: SAGE Publishing 2025-04-01
Series:SAGE Open Medical Case Reports
Online Access:https://doi.org/10.1177/2050313X251324986
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Budd-Chiari syndrome is a disorder that is characterized by obstruction of hepatic venous outflow, with thrombosis being the primary cause of the obstruction. This case report describes a 47-year-old Indian male presenting with distension of the abdomen and umbilical swelling for 1 year. Investigations revealed hepatic venous outflow obstruction and a partial web with focal calcification in the Inferior Vena Cava. Despite using standard medical therapeutic options such as diuretics, beta-blockers, and anticoagulation, his ascites remained uncontrolled. Interventional radiology with inferior vena cava venoplasty using 10 and 14 mm angioplasty balloons was performed, leading to the resolution of inferior vena cava stenosis and improved condition. Post-procedure, the patient was put on anticoagulation therapy and was discharged in good condition. This case highlights the successful management of Budd-Chiari syndrome with inferior vena cava occlusion using a multidisciplinary approach combining interventional radiology and medical therapy.
ISSN:2050-313X