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==Overview==
The hallmark of Budd-Chiari syndrome is a triad of [[Right upper quadrant abdominal pain resident survival guide|right upper quadrant abdominal pain]], [[ascites]], and [[hepatomegaly]]. [[Symptoms]] of Budd-Chiari syndrome include [[fever]], [[abdominal pain]], [[abdominal distension]] from [[ascites]], [[lower extremity edema]], [[jaundice]], [[gastrointestinal bleeding]] from [[varices]], [[portal hypertensive gastropathy]], [[hepatic encephalopathy]]. Patients with [[subacute]] or [[chronic]] Budd-Chiari syndrome may be [[asymptomatic]].


==History and Symptoms==
==History and Symptoms==
* Severe upper [[abdominal pain]]
History and [[symptoms]] of Budd-Chiari syndrome include the following:<ref name="pmid26494427">{{cite journal |vauthors=Goel RM, Johnston EL, Patel KV, Wong T |title=Budd-Chiari syndrome: investigation, treatment and outcomes |journal=Postgrad Med J |volume=91 |issue=1082 |pages=692–7 |year=2015 |pmid=26494427 |doi=10.1136/postgradmedj-2015-133402 |url=}}</ref><ref name="pmid17569137">{{cite journal |vauthors=Aydinli M, Bayraktar Y |title=Budd-Chiari syndrome: etiology, pathogenesis and diagnosis |journal=World J. Gastroenterol. |volume=13 |issue=19 |pages=2693–6 |year=2007 |pmid=17569137 |pmc=4147117 |doi= |url=}}</ref><ref name="pmid19768148">{{cite journal |vauthors=Marudanayagam R, Shanmugam V, Gunson B, Mirza DF, Mayer D, Buckels J, Bramhall SR |title=Aetiology and outcome of acute liver failure |journal=HPB (Oxford) |volume=11 |issue=5 |pages=429–34 |year=2009 |pmid=19768148 |pmc=2742613 |doi=10.1111/j.1477-2574.2009.00086.x |url=}}</ref>
* [[Jaundice]]
===History===
* [[Encephalopathy]]
The hallmark of Budd-Chiari syndrome is a triad of [[Right upper quadrant abdominal pain resident survival guide|right upper quadrant abdominal pain]], [[ascites]], and [[hepatomegaly]]. A positive history of associated [[risk factors]] such as [[Myeloproliferative disease|myeloproliferative disorders]], [[malignancy]], [[paroxysmal nocturnal hemoglobinuria]], [[antiphospholipid syndrome]], [[factor V Leiden mutation]], [[infections]] and [[Liver lesions|benign liver lesions]], [[oral contraceptives]] and [[pregnancy]], [[hypercoagulable states]], [[Behçet's syndrome]], membranous webs may be associated with Budd-Chiari syndrome.
 
===Common symptoms===
The fulminant syndrome presents early with encephalopathy and ascites.  An asymptomatic form may be totally silent and discovered only incidentally. It is generally not concerning.
*[[Symptoms]] of Budd-Chiari syndrome include:
**[[Fever]]
**[[Abdominal pain]]
**[[Abdominal distension]] from [[ascites]]
**[[Lower extremity edema]]
**[[Jaundice]]
**[[Gastrointestinal bleeding]] from [[varices]] or [[portal hypertensive gastropathy]]
**[[Hepatic encephalopathy]].
===Less common symptoms===
*Patients with [[subacute]] or [[chronic]] Budd-Chiari syndrome may be [[asymptomatic]].


==References==
==References==

Latest revision as of 17:27, 30 November 2017

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Mazia Fatima, MBBS [2]

Overview

The hallmark of Budd-Chiari syndrome is a triad of right upper quadrant abdominal pain, ascites, and hepatomegaly. Symptoms of Budd-Chiari syndrome include fever, abdominal pain, abdominal distension from ascites, lower extremity edema, jaundice, gastrointestinal bleeding from varices, portal hypertensive gastropathy, hepatic encephalopathy. Patients with subacute or chronic Budd-Chiari syndrome may be asymptomatic.

History and Symptoms

History and symptoms of Budd-Chiari syndrome include the following:[1][2][3]

History

The hallmark of Budd-Chiari syndrome is a triad of right upper quadrant abdominal pain, ascites, and hepatomegaly. A positive history of associated risk factors such as myeloproliferative disorders, malignancy, paroxysmal nocturnal hemoglobinuria, antiphospholipid syndrome, factor V Leiden mutation, infections and benign liver lesions, oral contraceptives and pregnancy, hypercoagulable states, Behçet's syndrome, membranous webs may be associated with Budd-Chiari syndrome.

Common symptoms

Less common symptoms

References

  1. Goel RM, Johnston EL, Patel KV, Wong T (2015). "Budd-Chiari syndrome: investigation, treatment and outcomes". Postgrad Med J. 91 (1082): 692–7. doi:10.1136/postgradmedj-2015-133402. PMID 26494427.
  2. Aydinli M, Bayraktar Y (2007). "Budd-Chiari syndrome: etiology, pathogenesis and diagnosis". World J. Gastroenterol. 13 (19): 2693–6. PMC 4147117. PMID 17569137.
  3. Marudanayagam R, Shanmugam V, Gunson B, Mirza DF, Mayer D, Buckels J, Bramhall SR (2009). "Aetiology and outcome of acute liver failure". HPB (Oxford). 11 (5): 429–34. doi:10.1111/j.1477-2574.2009.00086.x. PMC 2742613. PMID 19768148.

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