Budd-Chiari and the nephrotic syndromes secondary to massive hepatomegaly

Both the Budd-Chiari and the nephrotic syndrome have previously been reported to occur secondary to occlusion of the vena cava. However, they have never been reported to occur simultaneously, nor have either of these entities been reported to occur secondary to massive hepatomegaly. This is the first report of both the Budd-Chiari and the nephrotic syndromes secondary to massive hepatomegaly with vena caval obstruction due to acute fatty liver from heavy alcohol intake. With shrinkage of the liver, the vena caval obstruction cleared as did the Budd-Chiari and nephrotic syndromes.