Budd Chiari Syndrome in a Fifteen-Year Old Girl with Systemic Lupus Erythematosus

Hussain, Nahin; Jaffery, Ghazala; Sabri, AN; Hasnain, Shahida; Mir, Nuria

doi:10.4314/ijhr.v1i2.47915

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2021

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“…Pediatric BCS is relatively rare, with an incidence of one per one million across the world annually [2]. To our knowledge, only two cases of BCS in children have been reported in Pakistan to date [3,4].…”

Section: Introductionmentioning

confidence: 99%

Rare Case of Budd-Chiari Syndrome in a Young Child: A Diagnostic Conundrum

Timsaal¹,

Ali²,

Malik³

et al. 2021

Cureus

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Budd-Chiari syndrome (BCS) is an uncommon vascular disorder in which venous thrombosis prevents the venous outflow of the liver. The obstruction is primarily at the level of hepatic veins and inferior vena cava.Here, we present a case of a two-and-a-half-year-old male child who presented with complaints of abdominal distension for two months and fever and watery diarrhea for one month. Physical examination showed the patient was anemic with palmar erythema. He was started on an empirical treatment of cefotaxime, metronidazole, and amikacin. Sensitivity and culture reports for blood and urine samples were negative, but abdominal computed tomography (CT) scan showed characteristic findings for BCS with caudate lobe hypertrophy. After the symptomatic treatment of the patient, a liver transplant was suggested as a last resort.

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Section: Introductionmentioning

confidence: 99%