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Budd-Chiari Syndrome

Diagnosis, symptoms, and treatment methods.

General Information About Budd-Chiari Syndrome

Budd-Chiari syndrome is a rare liver disease resulting from the partial or complete blockage of the hepatic veins that drain deoxygenated blood from the liver, due to a clot or tumor pressure. It causes blood to pool in the liver, fluid accumulation in the abdomen (ascites), and organ failure. It is managed in our Gastroenterology and Interventional Radiology units with clot-dissolving treatments, stent placements, and shunt surgeries.

Disease Details and Frequently Asked Questions

You can find detailed information about the disease under the headings below.
What is Budd-Chiari Syndrome?

It is the condition where blood is trapped inside the liver, causing the organ to swell, as a result of the blockage of the main veins (hepatic veins) that carry blood out of the liver back to the heart.

Why Does It Occur?

In the vast majority of cases, the underlying cause is genetic blood disorders that increase the tendency to clot in the blood (Thrombophilia, etc.). Additionally, oral contraceptive use, pregnancy, and tumor pressure can also block the vein.

What Are the Symptoms?

Because the liver fills with blood and swells, severe pain in the upper right abdomen, severe fluid accumulation in the abdominal cavity called ascites, jaundice, and enlargement of the liver (hepatomegaly) are the most prominent complaints.

Does It Lead to Liver Failure?

Yes. Because the blood cannot exit the liver, the internal pressure of the organ increases, and the entry of fresh blood is also prevented. Deprived of oxygen, the liver cells die over time, leading to cirrhosis and acute liver failure.

How is it Diagnosed?

It is suspected when Doppler Ultrasonography shows that blood flow in the liver veins has stopped. For a definitive diagnosis, Computed Tomography (CT) or Contrast-Enhanced MR Angiography is performed.

What Are the Treatment Options?

In the early stage, blood-thinning (anticoagulant) medications are given. If the blockage cannot be opened with medication, the vein is entered using an angiographic method and a stent is inserted, or an artificial shunt (channel) called 'TIPS' is created to reduce the pressure in the liver. In very advanced stages, a liver transplant may be required.

Our health library contents are prepared for informational purposes only and with scientific data available at the time of recording. For all your questions, concerns, diagnosis, or treatment regarding your health, please consult your doctor or a healthcare institution.


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