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==Overivew==
==Overivew==
Approximately 80 percent of [[patients]] with the Budd-Chiari syndrome have an underlying [[disorder]]. Many patients may have more than one [[risk factor]]. Same patients may have multiple [[causes]] that predispose to the [[development]] of Budd-Chiari Syndrome. Associated risk factors include [[hematologic]] disorders, [[coagulopathies]], [[chronic]] [[infections]], [[chronic]] [[inflammatory diseases]], [[tumors]], [[congenital]] membranous obstructions.


==Risk Factors==
==Risk Factors==
*Approximately 80 percent of patients with the Budd-Chiari syndrome have an underlying disorder.Many patients may have more than one risk factor. Same patient may have multiple causes that predispose to the development of Budd-Chiari Syndrome.
*Approximately 80 percent of [[patients]] with the [[Budd-Chiari syndrome]] have an underlying disorder. Many [[patients]] may have more than one [[Risk factors|risk factor]]. Same [[patient]] may have multiple [[causes]] that predispose to the [[development]] of Budd-Chiari Syndrome.<ref name="pmid26668741">{{cite journal |vauthors=Martens P, Nevens F |title=Budd-Chiari syndrome |journal=United European Gastroenterol J |volume=3 |issue=6 |pages=489–500 |year=2015 |pmid=26668741 |pmc=4669515 |doi=10.1177/2050640615582293 |url=}}</ref><ref name="pmid27326316">{{cite journal |vauthors=Shin N, Kim YH, Xu H, Shi HB, Zhang QQ, Colon Pons JP, Kim D, Xu Y, Wu FY, Han S, Lee BB, Li LS |title=Redefining Budd-Chiari syndrome: A systematic review |journal=World J Hepatol |volume=8 |issue=16 |pages=691–702 |year=2016 |pmid=27326316 |pmc=4909431 |doi=10.4254/wjh.v8.i16.691 |url=}}</ref>
Associated risk factors include:
*Associated [[risk factors]] include:
*Hematologic disorders including:
*[[Hematologic]] disorders including:
**Polycythemia rubra vera
**[[Polycythemia rubra vera]]
**Paroxysmal nocturnal hemoglobinuria
**[[Paroxysmal nocturnal hemoglobinuria]]
**myeloproliferative disorder
**[[Myeloproliferative disease|myeloproliferative disorder]]
**Antiphospholipid antibody syndrome
**[[Antiphospholipid antibody syndrome]]
**Essential thrombocytosis
**[[Essential thrombocytosis]]
**Inherited thrombotic diathesis
**[[Inherited]] [[thrombotic]] diathesis


*Coagulopathies include the following:
*[[Coagulopathies]] include the following:
**Protein C deficiency
**[[Protein C deficiency]]
**Protein S deficiency
**[[Protein S deficiency]]
**Antithrombin III deficiency
**[[Antithrombin III]] [[deficiency]]
**Factor V Leiden deficiency
**[[Factor V Leiden]] [[deficiency]]
*Chronic infections like:
*[[Chronic]] [[infections]] like:
**Hydatid cysts
**[[Hydatid cyst|Hydatid cysts]]
**Aspergillosis
**[[Aspergillosis]]
**Amebic abscess
**[[Amoebic liver abscess causes|Amebic abscess]]
**Syphilis
**[[Syphilis]]
**Tuberculosis
**[[Tuberculosis]]
*Chronic inflammatory diseases such as:
*[[Chronic]] [[inflammatory diseases]] such as:
**Behçet disease
**[[Behçet disease]]
**Inflammatory bowel disease
**[[Inflammatory bowel disease]]
**Sarcoidosis
**[[Sarcoidosis]]
**Systemic lupus erythematosus
**[[Systemic lupus erythematosus]]
**Sjögren syndrome
**[[Sjögren's Syndrome|Sjögren syndrome]]
**Mixed connective-tissue disease  
**[[Mixed connective tissue disease|Mixed connective-tissue disease]]
*Tumors such as  
*[[Tumors]] such as  
**Hepatocellular carcinoma (HCC)  
**[[Hepatocellular carcinoma|Hepatocellular carcinoma (HCC)]]
**Renal cell carcinoma
**[[Renal cell carcinoma]]
**Leiomyosarcoma
**[[Leiomyosarcoma]]
**Adrenal carcinoma
**[[Adrenal carcinoma]]
**Wilms tumor
**[[Wilms' tumor|Wilms tumor]]
**Right atrial myxoma
**[[Right atrial myxoma]]
*Congenital membranous obstructions that includes the following:
*[[Congenital]] membranous obstructions that include the following:
**Type I: Thin membrane is present in the vena cava or the atrium
**Type I: Thin membrane is present in the [[vena cava]] or the [[atrium]]
**Type II: A part of the vena cava is absent
**Type II: A part of the [[vena cava]] is absent
**Type III: The inferior vena cava (IVC) cannot be filled, and collaterals have developed
**Type III: The [[Inferior vena cava|inferior vena cava (IVC)]] cannot be filled, and [[collaterals]] have developed
*Miscellaneous risk factors of Budd-Chiari syndrome include the following:
*Miscellaneous [[risk factors]] of Budd-Chiari syndrome include the following:
**Alpha1-antitrypsin deficiency
**[[Alpha1-antitrypsin deficiency]]
**Dacarbazine
**[[Dacarbazine]]
**Urethane
**Urethane
**Hypoplasia of the suprahepatic veins
**[[Hypoplasia]] of the [[Hepatic veins|suprahepatic veins]]
**Postsurgical obstruction
**[[Postsurgical]] [[obstruction]]
**Posttraumatic obstruction
**Posttraumatic [[obstruction]]
**Total parenteral nutrition (TPN): Budd-Chiari syndrome can be a complication of TPN via an IVC catheter in a neonate
**[[Total parenteral nutrition|Total parenteral nutrition (TPN)]]: Budd-Chiari syndrome can be a [[complication]] of [[total parenteral nutrition]] ([[TPN]]) via an [[inferior vena cava]] ([[Inferior vena cava|IVC]]) [[catheter]] in a [[neonate]]


==References==
==References==

Latest revision as of 18:02, 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]

Overivew

Approximately 80 percent of patients with the Budd-Chiari syndrome have an underlying disorder. Many patients may have more than one risk factor. Same patients may have multiple causes that predispose to the development of Budd-Chiari Syndrome. Associated risk factors include hematologic disorders, coagulopathies, chronic infections, chronic inflammatory diseases, tumors, congenital membranous obstructions.

Risk Factors

References

  1. Martens P, Nevens F (2015). "Budd-Chiari syndrome". United European Gastroenterol J. 3 (6): 489–500. doi:10.1177/2050640615582293. PMC 4669515. PMID 26668741.
  2. Shin N, Kim YH, Xu H, Shi HB, Zhang QQ, Colon Pons JP, Kim D, Xu Y, Wu FY, Han S, Lee BB, Li LS (2016). "Redefining Budd-Chiari syndrome: A systematic review". World J Hepatol. 8 (16): 691–702. doi:10.4254/wjh.v8.i16.691. PMC 4909431. PMID 27326316.

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