Budd-Chiari syndrome in a pluripatological patient with ulcerative colitis... and something else?
DOI:
https://doi.org/10.32818/reccmi.a4n3a11Keywords:
Budd-Chiari syndrome, thrombophilia, paroxysmal nocturnal hemoglobinuria, anticoagulationAbstract
The Budd-Chiari Syndrome is the result of clinical manifestations that appears as a consequence of hepatic venous thrombosis, whose most frequent origin is the suprahepatic veins. The aetiology is very wide, and the presence of hereditary and acquired thrombophilias must be ruled out. We present a case of a 77-year-old man, with cardiac pathology and ulcerative colitis diagnosis, without inflammatory bowel activity and under a maintenance treatment with mesalazine. The patient was referred to Internal Medicine because of a constitutional syndrome. Guided by a physical examination and a number of basic complementary tests, we began the study aimed to the aetiological diagnosis of a chronic liver disease. Subsequently, in the light of the computed tomography results, the main causes of Budd-Chiari Syndrome were ruled out.
Downloads
Metrics
References
DeLeve LD, Valla DC, García-Tsao G; American Association for the Study Liver Diseases. Vascular disorders of the liver. Hepatology. 2009; 49(5): 1729-1764. doi: https://doi.org/10.1002/hep.22772.
Darwish Murad S, Plessier A, Hernández-Guerra M, Fabris F, Eapen CE, Bahr MJ, et al; EN-Vie (European Network for Vascular Disorders of the Liver). Etiology, management, and outcome of the Budd-Chiari syndrome. Ann Intern Med. 2009; 151(3): 167-175.
Dacha S, Devidi M, Osmundson E. Budd-Chiari syndrome in a patient with ulcerative colitis and no inherited coagulopathy. World J Hepatol. 2011; 3(6): 164-169. doi: https://doi.org/10.4254/wjh.v3.i6.164.
Mancuso A. An update on management of Budd-Chiari syndrome. Ann Hepatol. 2014; 13(3): 323-326.
Shetty S, Ghosh K. Thrombophilic dimension of Budd chiari syndrome and portal venous thrombosis - A concise review. Thromb Res. 2011 Jun; 127(6): 505-512. doi: https://doi.org/10.1016/j.thromres.2010.09.019.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2019 Miguel Rodríguez-Fernández, Esther Sánchez-García, María Asunción Navarro-Puerto, Isabel Melguizo-Moya, José Antonio Mira-Escarti
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Permite compartir, copiar y redistribuir el material en cualquier medio o formato, bajo los siguientes términos:
Reconocimiento: debe otorgar el crédito correspondiente, proporcionar un enlace a la licencia e indicar si se realizaron cambios. Puede hacerlo de cualquier manera razonable, pero no de ninguna manera que sugiera que el licenciante lo respalda a usted o su uso.
No comercial: no puede utilizar el material con fines comerciales.
No Derivados: si remezcla, transforma o construye sobre el material, no puede distribuir el material modificado.
Sin restricciones adicionales: no puede aplicar términos legales o medidas tecnológicas que restrinjan legalmente a otros de hacer cualquier cosa que permita la licencia.
