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!
_version_ 1850040974807400448
author Joel Sabu
Kevin Jose Madapat
Namitha K Baby
Supraja Subramanian
author_facet Joel Sabu
Kevin Jose Madapat
Namitha K Baby
Supraja Subramanian
author_sort Joel Sabu
collection DOAJ
description 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.
format Article
id doaj-art-66ec8c49e27d412b8b01aa3d0632c172
institution DOAJ
issn 2050-313X
language English
publishDate 2025-04-01
publisher SAGE Publishing
record_format Article
series SAGE Open Medical Case Reports
spelling doaj-art-66ec8c49e27d412b8b01aa3d0632c1722025-08-20T02:55:54ZengSAGE PublishingSAGE Open Medical Case Reports2050-313X2025-04-011310.1177/2050313X251324986Obstruction of the hepatic veins-a rare case of Budd-Chiari syndrome: A case reportJoel Sabu0Kevin Jose Madapat1Namitha K Baby2Supraja Subramanian3Internal Medicine, Father Muller Medical College, Mangaluru, IndiaJSS College of Pharmacy, Mysuru, IndiaInternal Medicine, Kasturba Medical College, Mangaluru, IndiaDepartment of Paediatric Surgery, Institute of Child Health, Madras Medical College, Chennai, IndiaBudd-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.https://doi.org/10.1177/2050313X251324986
spellingShingle Joel Sabu
Kevin Jose Madapat
Namitha K Baby
Supraja Subramanian
Obstruction of the hepatic veins-a rare case of Budd-Chiari syndrome: A case report
SAGE Open Medical Case Reports
title Obstruction of the hepatic veins-a rare case of Budd-Chiari syndrome: A case report
title_full Obstruction of the hepatic veins-a rare case of Budd-Chiari syndrome: A case report
title_fullStr Obstruction of the hepatic veins-a rare case of Budd-Chiari syndrome: A case report
title_full_unstemmed Obstruction of the hepatic veins-a rare case of Budd-Chiari syndrome: A case report
title_short Obstruction of the hepatic veins-a rare case of Budd-Chiari syndrome: A case report
title_sort obstruction of the hepatic veins a rare case of budd chiari syndrome a case report
url https://doi.org/10.1177/2050313X251324986
work_keys_str_mv AT joelsabu obstructionofthehepaticveinsararecaseofbuddchiarisyndromeacasereport
AT kevinjosemadapat obstructionofthehepaticveinsararecaseofbuddchiarisyndromeacasereport
AT namithakbaby obstructionofthehepaticveinsararecaseofbuddchiarisyndromeacasereport
AT suprajasubramanian obstructionofthehepaticveinsararecaseofbuddchiarisyndromeacasereport