Korean J Gastroenterol.
2002 Jan;39(1):64-67.
A Case of Budd-Chiari Syndrome with Essential Thrombocythemia
- Affiliations
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- 1Department of Internal Medicine, Dong-A University College of Medicine, Busan, Korea. syhan@daunet.donga.ac.kr
Abstract
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Budd-Chiari syndrome is an acute or subacute obstruction of hepatic venous outflow which causes post-sinusoidal portal hypertension, esophageal varix, and cirrhotic course. Its prognosis is usually poor. The cause and pathogenesis are unclear, but the primary cause is generally thought to be congenital. The main secondary causes are chronic myeloproliferative disorders, paroxysmal nocturnal hemoglobinuria, presence of lupus anticoagulant, protein C or protein S deficiency, hypercoagulability due to oral pills, tumor, trauma, and infection. It can be treated by shunt operation, balloon dilatation, stent insertion, or transjugular intrahepatic portosystemic shunt. We report one case of Budd-Chiari syndrome with essential thrombocythemia which has never been reported in Korea.