Work

Budd-Chiari syndrome in a 33-year-old woman with hypercoagulable state: A case report

Year: 2025

Type: article

Abstract: Budd-Chiari syndrome (BCS) is a rare disorder caused by hepatic venous outflow obstruction, often linked to underlying prothrombotic conditions. This case describes a 33-year-old woman who presented with abdominal pain and ascites and was diagnosed with BCS secondary to deficiencies in protein C, protein S, and antithrombin III. She also had a history of epilepsy, bipolar disorder, and poor medication adherence. Imaging studies, including Doppler ultrasound and contrast-enhanced CT, played a crucial role in confirming the diagnosis. Despite treatment with anticoagulation and diuretics, recurrent ascites and behavioral issues complicated management, leading to a poor prognosis. This case highlights the importance of early recognition, imaging in diagnosis, and evaluation of prothrombotic disorders in patients with BCS to improve outcomes.

Source: Radiology Case Reports

DOI: 10.1016/j.radcr.2025.03.023

Authors: Laleh Abbasi, Alireza Motamedi, Ali Kiaee, Fatemeh Abbasi, Ommolbanin Younesian, Nazgol Khodaie

Institutions: Islamic Azad University Tonekabon, Tabriz University of Medical Sciences

Language: English

Topic: Liver Disease and Transplantation

Subfield: Hepatology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $600