Ver el código de «Budd-Chiari syndrome»

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==Background== <!--T:1-->

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[[File:Gray1121.png|thumb|Posterior abdominal wall, after removal of the peritoneum, showing kidneys, suprarenal capsules, and great vessels. (Hepatic veins labeled at center top.)]]
*Rare
*Caused by occlusion of hepatic veins, 75% primary (thrombosis), 25% secondary (compression by mass)
*Fulminant, acute, chronic, or asymptomatic.



==Clinical Features== <!--T:3-->

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Classic triad: 
#[[Special:MyLanguage/Abdominal pain|Abdominal pain]]
#[[Special:MyLanguage/Ascites|Ascites]]
#[[Special:MyLanguage/Hepatomegaly|Hepatomegaly]]



==Differential Diagnosis== <!--T:5-->

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{{DDX RUQ}}
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==Evaluation== <!--T:6-->

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[[File:Buddchiari2.png|thumb|Budd–Chiari syndrome secondary to cancer, note clot in the inferior vena cava and the metastasis in the liver.]]
*[[Special:MyLanguage/LFTs|LFTs]], BMP, LDH
*[[Special:MyLanguage/RUQ ultrasound|Ultrasound]], retrograde angiography
*CT and MRI less sensitive



==Management== <!--T:8-->

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*Sodium restriction, [[Special:MyLanguage/diuretics|diuretics]], [[Special:MyLanguage/anticoagulants|anticoagulants]]
*Venous shunts or [[Special:MyLanguage/TIPS|TIPS]]
*Liver transplant



==Disposition== <!--T:10-->


==See Also== <!--T:11-->

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*[[Special:MyLanguage/Portal vein thrombosis|Portal vein thrombosis]]



==External Links== <!--T:13-->


==References== <!--T:14-->

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[[Category:GI]]

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