hepatic and biliary disorders
Budd Chiari Syndrome
Introduction
Budd-Chiari syndrome is obstruction of hepatic venous outflow that originates anywhere from the small hepatic veins inside the liver to the inferior vena cava and right atrium. Manifestations range from no symptoms to fulminant liver failure. If suspected, initial testing is Doppler ultrasonography. Treatment includes supportive medical therapy and measures to establish and maintain venous patency, such as thrombolysis, decompression with shunts, and long-term anticoagulation. (See also Overview of Vascular Disorders of the Liver .) 