Budd-Chiari syndrome--a case report

A 21year old male presented with abdominal pain for 2 months and abdominal distension and swelling of lower limbs for 1 month. Ultrasonography of abdomen showing coarse echotexture of liver and intraluminal filling defect of inferior vena cava (IVC) and CT scan confirming the USG finding and showing enlarged caudate lobe of liver and thrombus in proximal IVC suggested the possibility of Budd-Chiari syndrome. Confirmation of diagnosis was done by inferior venacavography. The patient had nephrotic syndrome as the risk factor for thrombosis. The patient was portally decompressed by portocaval shunt with significant symptomatic relief.