budd-chiari syndrome Flashcards
1
Q
what is it
A
obstruction to the venous outflow of the liver owing to occlusion of the hepatic vein
2
Q
causes
A
- hypercoaguability
- thrombophilia
- contraceptive pill
- leukaemia
3
Q
symptoms
A
- abdominal pain
- nausea
- vomiting
- tender hepatomegaly
- ascites
- jaundice
- ascites
- splenomegaly
- portal hypertension
4
Q
histology of the liver shows
A
- centrizonal congestion
- haemorrhage
- fibrosis
- cirrhosis
5
Q
what will ultrasound show
A
- hepatic vein occlusion with abnormal parenchyma
6
Q
differential diagnosis
A
- inferior vena cava obstruction
- right sided cardiac failure
- constrictive pericarditis
7
Q
acute treatment
A
thrombolytic therapy
8
Q
what is treatment of choice
A
TIPS
9
Q
what is given if patient fails TIPS
A
surgical protocaval shunts
10
Q
chronic treatment
A
liver transplant
11
Q
what is mandatory treatment
A
lifelong anticoagulation
