Chronic Budd Chiari Syndrome with Probable Etiology of Obstruction Being a Membranous Occlusion of Vena Cava (MOVC) With Secondary Chronic Liver Disease (NCPF) Leading To Portal Hypertension: A Case Report
Faraz Farishta, Sanda Mallikarjuna Rao, Sneha Sagar Parchuri, and Mohammed Salman Hadi
Mediciti institute of Medical sciences, Ghanpur, Medchal Mandal, Hyderabad, Telangana 501401.
Abstract—A 25 years old female came with complains of fever since one week and abdominal distension since 5 days . Patient took antimalarial treatment for Plasmodium falciparum 6 months back. On examination Mild Hepatomegaly, Moderate Splenomegaly. Patient was investigated with CBP- Hb ¨C 9 gm/dl,WBC ¨C 3,800 / mm 3 Plateletcount¨C 60 000 /m 3 Malarial antigen test ¨C positive for Plasmodium vivax, LFT - Normal, USG Abdomen : Mild Hepatomegaly with Altered Echotexture, Splenomegaly and Minimal Ascites Portal Hypertension : Upper GI Endoscopy :Grade1 and 2 varicies present. Contrast mri angiography with splenoportal and ivc venography- Chronic Budd Chiari Syndrome with splenomegaly - Secondary Chronic Liver Disease, Minimal Ascites. Thrombophilic profile was Normal. Liver biopsy :Widened portal tracts with peri portal fibrosis- suggestive of Non cirrhotic portal fibrosis. Pateint was treated with Antimalarial and on line of Chronic liver disease.
Index Terms—Budd chiari syndrome, Etiology, MOVC, Hypertension
Cite: Faraz Farishta, Sanda Mallikarjuna Rao, Sneha Sagar Parchuri, and Mohammed Salman Hadi, "Chronic Budd Chiari Syndrome with Probable Etiology of Obstruction Being a Membranous Occlusion of Vena Cava (MOVC) With Secondary Chronic Liver Disease (NCPF) Leading To Portal Hypertension: A Case Report," International Journal of Pharma Medicine and Biological Sciences, Vol. 3, No. 4, pp. 30-34, October 2014.