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Budd-Chiari syndrome with portal, splenic, and superior mesenteric vein thrombosis treated with TIPS: who dares wins.

2003

A 20 year old man presented with severe ascites and malnutrition due to Budd-Chiari syndrome (BCS) with portal vein (PV), and splenic and mesenteric vein (SMV) thrombosis in the proximal 3 cm. He had received regular and more frequent paracenteses of up to 17 litres each for eight months. He had a poor BCS prognostic index of 8.41 (table 1). After referral, despite full anticoagulation and diuretic drugs, he deteriorated over three weeks. No thrombophilic disorder was found. View this table: Table 1 Comparison of laboratory and clinical data before and two months after transjugular intrahepatic portosystemic stent shunt (TIPS) He underwent transjugular intrahepatic portosystemic stent shunt…

AdultMalemedicine.medical_specialtymedicine.medical_treatmentBudd-Chiari SyndromeMesenteric VeinAscitesmedicineHumansSuperior mesenteric veinVenous Thrombosisbusiness.industryGastroenterologyGut Filemedicine.diseaseThrombosisSurgeryVenous thrombosisSplenic veinBudd–Chiari syndromeRadiologymedicine.symptomPortasystemic Shunt Transjugular IntrahepaticbusinessTransjugular intrahepatic portosystemic shuntFollow-Up StudiesGut
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