Diferencia entre revisiones de «Budd-Chiari syndrome»
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==Background== | ==Background== | ||
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*Caused by occlusion of hepatic veins, 75% primary (thrombosis), 25% secondary (compression by mass) | *Caused by occlusion of hepatic veins, 75% primary (thrombosis), 25% secondary (compression by mass) | ||
*Fulminant, acute, chronic, or asymptomatic. | *Fulminant, acute, chronic, or asymptomatic. | ||
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#[[Special:MyLanguage/Ascites|Ascites]] | #[[Special:MyLanguage/Ascites|Ascites]] | ||
#[[Special:MyLanguage/Hepatomegaly|Hepatomegaly]] | #[[Special:MyLanguage/Hepatomegaly|Hepatomegaly]] | ||
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{{DDX RUQ}} | {{DDX RUQ}} | ||
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*[[Special:MyLanguage/RUQ ultrasound|Ultrasound]], retrograde angiography | *[[Special:MyLanguage/RUQ ultrasound|Ultrasound]], retrograde angiography | ||
*CT and MRI less sensitive | *CT and MRI less sensitive | ||
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*Venous shunts or [[Special:MyLanguage/TIPS|TIPS]] | *Venous shunts or [[Special:MyLanguage/TIPS|TIPS]] | ||
*Liver transplant | *Liver transplant | ||
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*[[Special:MyLanguage/Portal vein thrombosis|Portal vein thrombosis]] | *[[Special:MyLanguage/Portal vein thrombosis|Portal vein thrombosis]] | ||
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[[Category:GI]] | [[Category:GI]] | ||
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Revisión del 21:46 4 ene 2026
Background
- Rare
- Caused by occlusion of hepatic veins, 75% primary (thrombosis), 25% secondary (compression by mass)
- Fulminant, acute, chronic, or asymptomatic.
Clinical Features
Classic triad:
Differential Diagnosis
RUQ Pain
- Gallbladder disease
- Pancreatitis
- Acute hepatitis
- Pancreatitis
- GERD
- Appendicitis (retrocecal)
- Pyogenic liver abscess
- Bowel obstruction
- Cirrhosis
- Budd-Chiari syndrome
- GU
- Other
- Hepatomegaly due to CHF
- Peptic ulcer disease with or without perforation
- Pneumonia
- Herpes zoster
- Myocardial ischemia
- Pulmonary embolism
- Abdominal aortic aneurysm
Evaluation
- LFTs, BMP, LDH
- Ultrasound, retrograde angiography
- CT and MRI less sensitive
Management
- Sodium restriction, diuretics, anticoagulants
- Venous shunts or TIPS
- Liver transplant
Disposition
See Also
External Links
References