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Ruptured Hepatocellular Carcinoma in a Child with Budd-Chiari Syndrome
Anandini Suri1, Varun K Sharma, Prajakta R Ranade
1Departments of Pediatrics, #Interventional Radiology and *Gastroenterology, Jaslok hospital and Research Centre, Mumbai, India. Correspondence to Dr Aabha Nagral, 7, Snehasagar, Prabhanagar, Prabhadevi, Mumbai 400 025, India. aabhanagral@gmail.com.
Background:
Hepatocellular carcinoma is an uncommon complication described in patients with Budd-Chiari syndrome.
Case Characteristics:
A 12-year-old boy with Budd-Chiari syndrome, who was earlier treated with Transjugular intrahepatic porto-systemic shunt (TIPS), presented with acute onset hemoperitoneum and hypotension.
Outcome:
It was diagnosed to be a case of ruptured hepatocellular carcinoma.
Message:
Successful TIPS may not prevent the development of hepatocellular carcinoma, and children with Budd Chiari syndrome should be monitored for the same.
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