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Behcet's Disease With Budd-Chiari Syndrome and Challenges in Its Management
Sudheer K Vuyyuru1, Shivanand Gamanagatti2, Shalimar1
1Department of Gastroenterology, All India Institute of Medical Sciences, New Delhi, India.
Abstract:
Budd-Chiari syndrome may rarely occur as a complication of Behcet's disease, and presentation with thrombosis of both inferior vena cava (IVC) and hepatic veins is rarer still. We present a young woman with Behcet's disease who presented with acute Budd-Chiari syndrome, with thrombosis of IVC and all 3 hepatic veins. An IVC stent was placed, followed by a transjugular intrahepatic portosystemic shunt through the IVC stent. On follow-up, despite oral anticoagulants and oral steroids, she developed recurrent thrombosis twice within a 1-year span. Her symptoms resolved with stent revision and increasing immunosuppression.
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