Budd-Chiari syndrome: Difference between revisions
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*Fulminant, acute, chronic, or asymptomatic. | *Fulminant, acute, chronic, or asymptomatic. | ||
==Clinical Features== | ==Clinical Features== | ||
* Classic triad: [[abdominal pain]], [[ascites]], and [[hepatomegaly]] | *Classic triad: [[abdominal pain]], [[ascites]], and [[hepatomegaly]] | ||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
*[[Hepatitis]] | *[[Hepatitis]] | ||
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==Evaluation== | ==Evaluation== | ||
*[[LFTs]], BMP, LDH | *[[LFTs]], BMP, LDH | ||
* Ultrasound, retrograde angiography | *Ultrasound, retrograde angiography | ||
*CT and MRI less sensitive | *CT and MRI less sensitive | ||
==Management== | ==Management== | ||
Revision as of 23:19, 10 July 2017
Background
- Rare
- Caused by occlusion of hepatic veins, 75% primary (thrombosis), 25% secondary (compression by mass)
- Fulminant, acute, chronic, or asymptomatic.
Clinical Features
- Classic triad: abdominal pain, ascites, and hepatomegaly
Differential Diagnosis
Evaluation
- LFTs, BMP, LDH
- Ultrasound, retrograde angiography
- CT and MRI less sensitive
Management
- Sodium restriction, diuretics, anticoagulants
- venous shunts or TIPS
- liver transplant