Budd-Chiari Syndrome

Key points

• Budd-Chiari syndrome, or hepatic vein thrombosis, is usually seen in the context of underlying haematological disease or another procoagulant condition Causes
• polycythaemia rubra vera
• thrombophilia: activated protein C resistance, antithrombin III deficiency, protein C & S deficiencies
• oral contraceptive pill Features
• abdominal pain: sudden onset, severe