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Unusual association of diseases/symptoms
CASE REPORT
Budd-Chiari syndrome in a patient with ulcerative colitis
  1. Gopal Krishana Bohra1,
  2. Vivek Chhabra1,
  3. Naresh Midha1,
  4. Binit Sureka2
  1. 1Department of Medicine, All India Institute of Medical Science, Jodhpur, Rajasthan, India
  2. 2Department of Radiodiagnosis, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India
  1. Correspondence to Dr Gopal Krishana Bohra, gopalbohra17{at}gmail.com

Summary

We report a case of 26-year-old man who was admitted on our ward for the evaluation of ascites. He was a known case of inflammatory bowel disease(ulcerative colitis) and was on regular mesalamine therapy. On evaluation, he was having high serum ascites albumin gradient. CT scan of the abdomen revealed features of portal hypertension and non-visualisation of right and middle hepatic veins along with thrombus in inferior vena cava, suggesting a diagnosis of Budd-Chiari syndrome (BCS). There are only few case reports available showing association of BCS with UC. Hence, we are reporting this interesting and rare case.

  • ulcerative colitis
  • portal hypertension

https://doi.org/10.1136/bcr-2017-222300

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    Footnotes

    • Contributors GKB has produced the report and literature review. VC assisted in the production of the report, the literature review and was also involved in the care of the patient. NM oversaw the creation of the report and was additionally involved in the care of the patient. SB did the radiological investigations of the patient and provided valuable insight into the case.

    • Competing interests None declared.

    • Patient consent Obtained.

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