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Persistent hiccups – A rare complication of suprahepatic inferior vena cava stenting
  1. Jithin Jagan Sebastian,
  2. Radhakrishnan Raju,
  3. Kapil Mathur and
  4. Makkathai Kanakasabai Ayyappan
  1. Department of Vascular Surgery, Sri Ramachandra Institute of Higher Education and Research, Chennai, Tamil Nadu, India
  1. Correspondence to Dr Jithin Jagan Sebastian; jithinjs{at}hotmail.com

Abstract

Persistent hiccups has not been reported previously with suprahepatic inferior vena cava (IVC) stenting. Persistent hiccups after palliative oesophageal stenting has been reported. We present a case of a 41-year-old male patient diagnosed with primary Budd-Chiari syndrome who underwent IVC stenting for suprahepatic IVC stenosis. Patient developed transient hiccups post procedure which settled immediately with medications. Patient developed a recurrence of symptoms after a year due to stent migration which led to redo stenting. Post-procedure, the patient developed persistent hiccups which could not be controlled by physiological methods or chlorpromazine and needed baclofen at a dose of 10 mg three times a day. The patient has been symptom-free for the past 2 years. Persistent hiccups may present as a rare complication of suprahepatic IVC stenting due to extrinsic phrenic nerve compression or by direct irritation of the diaphragm. Baclofen has been effective in terminating persistent hiccups in our case.

  • drug therapy related to surgery
  • primary care
  • liver disease
  • interventional radiology
  • vascular surgery

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Footnotes

  • Contributors JJS was instrumental in writing the manuscript. RR came up with the idea to publish the report and helpful in researching the topic. MKA and KM were instrumental in managing the patient and in reviewing the manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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