Case Report on “Budd Chiari Syndrome”
Keywords:Budd Chiari Syndrome, Hepatomegaly, Ascites, Cirrhosis of Liver.
Background: Hepatic Vein Thrombosisis also known as Budd Chiari Syndrome is a sparse disorder
marked by obstruction and narrowing of the hepatic veins i.e., veins of the liver. 70% casers of Budd Chiari
Syndrome are unknown. Approximately 10% have polycythemia vera which is a type of blood cancer.
Clinical manifestations can be developed due to the blockage of the major veins which carries blood from
the liver to the heart. Features may include hepatomegaly (an abnormally enlarged liver), pain in the upper
right part of the abdomen, yellowish color of the skin and sclera (whites of the eyes) jaundice i.e., due to
jaundice, ascites i.e., accumulation of fluid in the peritoneal cavity between the two layers of membrane
that lines the stomach. Portal hypertension (due to increase in pressure of the portal veins) etc. Diagnosis
of hepatic vein thrombosis is made based upon a detailed diagnostic findings, a thorough history of patient,
and a variety of specialized tests. Management of hepatic vein thrombosis includes corticosteroid drug.
anticoagulants, angioplasty, etc. Patient history: The patient is a female, 46 years old who was admitted
in A.V.B.R.H. on 29/11/19 with chief complaints of tenderness in abdomen on palpation, fever, rigor and
pain. Past history: Patient is a known case of hypertension and cerebrovascular accident. Clinical findings:
The patient has undergone venography, Complete blood count, etc. Pharmacology: The patient was treated
with medications such as, tab. Augmentin 625 mg, tab. Pantop 40 mg, tab. Ultracet 50 mg, tab. Mucomix
625 mg. Nursing management: Administered IV fluids as advised by physician. Administered medications
as prescribed by physician. Monitored vital signs. Conclusion: The 46 years old female was admitted
to AVBRH in Cathlab ICU with chief complaints of pain in abdomen, fever, rigor etc. after undergoing
investigations she was diagnosed as Budd Chiari Syndrome.
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