Acute Budd-Chiari syndrome as an initial presentation of acute promyelocytic leukemia

Sanjay Bandyopadhyay1, Debottam Bandyopadhyay

  • 1Department of Medical Gastroenterology, School of Digestive and Liver Diseases, Institute of Post Graduate Medical Education and Research, Kolkata - 700020, India. drsanjaygastro@gmail.com

Budd-Chiari syndrome (BCS) is the constellation of clinical signs and symptoms resulting from occlusion of two or more hepatic veins, often due to an underlying thrombophilic disorder. Acute myeloid leukemia has been rarely reported to be associated with hepatic vein thrombosis due to hyperleukocytosis, hyperfibrinolysis and disseminated intravascular coagulation. We report a case of acute promyelocytic leukemia where the clinical onset of the hematological disease was with acute BCS.

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