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Budd Chiari syndrome in Pediatrics

Pediatric Budd-Chiari Syndrome: A Case Serie

  1. Objective: To study the diagnostic methods and treatment outcomes in children with Budd- Chiari syndrome. Methods: Case records of 25 patients with Budd-Chiari syndrome were evaluated retrospectively. These patients were investigated with imaging techniques and underwent balloon angioplasty or surgical management
  2. al lesion such as thrombosis or IVC web
  3. Acute Budd-Chiari syndrome in pediatric acute promyelocytic leukemia. Kayal S, Singhal B, Thulkar S, Mishra J, Kumar R, Bakhshi S. PMID: 21649539 [PubMed - indexed for MEDLINE] Publication Types: Case Reports; Letter; MeSH Terms. Acute Disease; Budd-Chiari Syndrome/complications* Budd-Chiari Syndrome/diagnosis; Child; Child, Preschool; Dyspnea/complication
  4. Budd-Chiari syndrome is a vascular pathology of the liver, commonly seen in adults and uncommon in children. Most children with Budd-Chiari syndrome present with ascites, and an etiology is found in only about 50%. Ultrasonography (US) with color Doppler is the main modality used in the diagnosis. U
  5. al pain, hepatomegaly, edema, and occasionally jaundice
  6. Thrombotic Storm With Budd-Chiari Syndrome in a Pediatric Patient With Ulcerative Colitis Rohit Josyabhatla , MBBS, 1 Diane Hsu , MD, 1 Michael McGuire , MD, 2 and Sharon D'Mello , MD 3 Rohit Josyabhatl

Pediatric-GI-and-Hepatology : Budd Chiari Syndrome : budd

Acute Budd-Chiari syndrome in pediatric acute

Budd-Chiari syndrome (BCS) is a heterogeneous group of clinical conditions presenting with hepatic venous outflow obstruction from the level of the hepatic veins to the junction of the inferior vena cava (IVC) with the right atrium. The causes of venou Budd-Chiari syndrome is a rare liver disease and rarer in children. It is a heterogeneous group of the clinical condition that mostly occurs due to narrowing and obstruction of the hepatic veins. These veins of the liver play a major role in carrying the blood flow from the liver Budd-Chiari syndrome (BCS) or hepatic venous outflow obstruction (HVOO) is a disease complex that results from obstruction to the hepatic venous outflow at the level of the hepatic veins (HVs) or the inferior vena cava (IVC). If left untreated, it results in fatal portal hypertension, cirrhosis, and liver failure Budd-Chiari syndrome (BCS) is characterised by obstruction to the hepatic venous outflow at any level from the hepatic veins (HVs) to the atrio-caval junction regardless of the cause of obstruction. This excludes veno-occlusive disease where the obstruction is at the level of the sinusoids and terminal hepatic venules and also cardiac conditions such as constrictive pericarditis and right-sided heart failure Budd Chiari Syndrome. Dr Ira Shah. Medical Sciences Department, Pediatric Oncall, Mumbai, India. A 3 months old girl presented with ascitis. There is no jaundice. Ultrasound abdomen with colour doppler showed ascitis with hepatomegaly with non-visualisation of hepatic veins. CT angiography showed thrombosis of all 3 hepatic veins suggestive of.

Budd-Chiari syndrome David Luong and Assoc Prof Frank Gaillard ◉ ◈ et al. Budd-Chiari syndrome, also known as hepatic venous outflow obstruction (HVOO), refers to the clinical picture that occurs when there is partial or complete obstruction of the hepatic veins Budd-Chiari syndrome is a vascular pathology of the liver, commonly seen in adults and uncommon in children. Most children with Budd-Chiari syndrome present with ascites, and an etiology is. Budd-Chiari syndrome (BCS) is a severe liver disorder characterized by hepatic venous outflow obstruction, mainly resulting from thrombosis of the terminal part of the hepatic veins or the inferior vena cava . It causes hepatic congestion, ascites, portal hypertension, and collateral circulation between the obstructed and contiguous patent venous territories It was with great interest that we read the article by Redkar, et al. [1] on pediatric Budd-Chiari syndrome (BCS) and the various therapeutic interventions. BCS is a rare clinical syndrome in children, estimated to account for 7.4% of pediatric chronic liver disease in India [2] Purpose: To assess the capabilities of a velocity ratio>3 for the diagnosis of Budd-Chiari syndrome (BCS) in children after split liver transplantation using Doppler ultrasonography (DUS). Materials and methods: A total of 28 children who underwent liver transplantation using a split procedure were included. There were 11boys and 17girls with a mean age of 3.8years (range: 0.7-12years)

Radiation Exposure During Direct Intrahepatic Portosystemic Shunt in Pediatric Budd-Chiari Syndrome: Initial Experience from a Tertiary Care Center July 2021 CardioVascular and Interventional. Budd-Chiari syndrome is characterized by hepatic venous outflow obstruction. Conditions associated with hepatic vein obstruction include tumors, trauma, surgery, congenital anomalies, parenteral nutrition, ventricular atrial shunt, and thrombosis secondary to hereditary or acquired thrombophilic states (1,2)

Ultrasonography in pediatric Budd-Chiari syndrom

  1. Orthotopic liver transplantation in a pediatric patient with iatrogenic Budd-Chiari syndrome complicated by bronchobiliary fistula Pediatr Transplant . 2017 Nov;21(7). doi: 10.1111/petr.13008
  2. Budd-Chiari syndrome is broadly classified as primary and secondary [3,4,5].Primary Budd-Chiari syndrome is more common in pediatric patients and can be acute when it is caused by thrombosis of the hepatic veins or inferior vena cava, or chronic when there is fibrous stenosis or occlusion or membranous web of the hepatic veins or inferior vena cava
  3. Definition Budd-Chiari Syndrome - Hepatic venous outflow obstruction at Hepatic venules Large hepatic veins Inferior vena cava Right atrium. Sinusoidal obstruction syndrome is excluded from this definition Shin N et al

Budd-Chiari Syndrome in Childhood Secondary to Inferior

  1. Pediatric Budd-Chiari. Budd-Chiari syndrome is even rarer in children, and there aren't any unique types in children. According to a 2017 medical study conducted in London,.
  2. al pain. It most often occurs in patients with underlying thrombotic diathesis, including in those who are pregnant or who have a tumor, a chronic inflammatory diseas..
  3. Budd-Chiari syndrome (BCS) occurs as a result of hepatic venous outflow obstruction. In the pediatric population, the etiologies vary as compared with the adult population. Decompensation can occur faster in this set of patients
  4. al pain or distention
  5. Patient Education. What is Budd Chiari Syndrome? Budd Chiari syndrome (BCS) is a clinical condition in which there is obstruction of the hepatic veins at any level from the small hepatic veins to the inferior vena cava (IVC) with the right atrium
  6. Objective To study the diagnostic methods and treatment outcomes in children with Budd-Chiari syndrome. Methods Case records of 25 patients with Budd-Chiari syndrome were evaluated retrospectively. These patients were investigated with imaging techniques and underwent balloon angioplasty or surgical management. Results 21 patients underwent balloon angioplasty, of which 17 had good medium- to.

The article presents a case report of chronic refractory Budd-Chiari syndrome with a leading ascites in 16 years adolescent, which required surgical intervention--transjugular intrahepatic porta systemic shunt. As this syndrome is uncommon in pediatric practice, complex differential diagnostic search and delays in the diagnosis are frequent Badd-Chiari syndrome (BCS) is a rare disorder clinically characterised by pain abdomen, hepatomegaly and ascites. We observed 3 children with BCS. Histopathology of biopsy specimen of liver was diagnostic. One child had developed cirrhosis of liver because of long standing venous congestion. Inferior vena cavography (IVC-graphy) and percutaneous hepatography were helpful to localise the site. Acute Budd-Chiari syndrome in pediatric acute promyelocytic leukemia. Kayal S, Singhal B, Thulkar S, Mishra J, Kumar R, Bakhshi S. Leukemia & Lymphoma, 08 Jun 2011, 52(8): 1611-1614 DOI: 10.3109/10428194.2011.573040 PMID: 21649539 . Share this article Share with. Valla DC. Budd-Chiari syndrome/hepatic venous outflow tract obstruction. Hepatol Int. 2018 Feb;12(Suppl 1):168-180. Redkar R, Bangar A, Hathiramani V, Raj V, Swathi C. Pediatric Budd-Chiari Syndrome: A Case Series. Indian Pediatr. 2018 Oct 15;55(10):871-873

Budd-Chiari Syndrome (BCS) is a rare disorder consisting of hepatic venous outflow obstruction at any level between the small hepatic veins and the right atrium. 1 Clinical presentation ranges from asymptomatic to fulminant liver failure, 2 most commonly as subacute liver disease, with manifestations of portal hypertension, such as ascites or upper gastrointestinal bleeding. 3 Conventional. Budd-Chiari syndrome is an uncommon disorder that may be associated with a large number of causative diseases like polycythemia vera, trauma, hypercoagulable states, neoplasm, and congenital web or band in children . A hypercoagulable state is a major cause of BCS Among the important etiologies of pediatric portal hypertension, Budd-Chiari syndrome (BCS) is a potentially treatable cause. Pediatric BCS has distinctive differences as compared to adults in. Imaging is crucial for the diagnosis of pediatric Budd-Chiari syndrome. US imaging with color Doppler is the initial and probably most accurate modality to demonstrate hepatic vein occlusion or. Percutaneous recanalization of an occluded hepatic vein in a difficult subset of pediatric Budd-Chiari syndrome. Pediatr Cardiol. 2012 Jun. 33(5):806-10. . Paradis V, Bieche I, Dargere D, et al. Quantitative gene expression in Budd-Chiari syndrome: a molecular approach to the pathogenesis of the disease. Gut. 2005 Dec. 54(12):1776-81

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Primary Budd-Chiari syndrome is present when there is obstruction due to a predominantly venous process (thrombosis or phlebitis), whereas secondary Budd-Chiari is present when there is compression or invasion of the hepatic veins and/or the inferior vena cava by a lesion that originates outside of the vein (eg, a malignancy) Pediatrics: Budd-Chiari syndrome does not discriminate, as it may also present in the pediatric population. Similar to adults, a small study conducted at a hospital in the United Kingdom suggests that hypercoagulable states are present in 66% of children presenting with this syndrome. With rapid diagnosis, treatment, and coordinated specialist. Kaabachi O, Berg A, Laguenie G. Budd-Chiari syndrome follo-wing repair of a giant omphalocele. Eur J Pediatr Surg 1998; 8: 371-372. 5. García MJ, Bañares R, García J. Síndrome de Budd-Chiari como primera manifestación de policitemia vera. An Med Intern 1991; 8: 27-29. 6. Gentil-Kocher S, Bernad O, Brunelle F. Budd-Chiari syndrome In the pediatric population, post-transplantation venous complications affect approximately 10% of patients, including complications of the portal vein, hepatic veins (HV) and inferior vena cava. Budd-Chiari syndrome (BCS) accounts for 2-3% of these complications versus 1-1.8% in adults , , ,

Thrombotic Storm With Budd-Chiari Syndrome in a Pediatric

Budd-Chiari syndrome: a focussed and collaborative approach ferent for pediatric and adult patients and same has been reported. However, the disease is frequently seen involving adolescents but the literature remains sparse. In this issue of the Journal, Shukla et al. present data of 43 adolescent Indian Pediatrics 2003; 40:907-908 : Antiphospholipid Antibody Syndrome as a Cause of Budd-Chiari Syndrome: We read with interest the case report on cutaneous manifestations of the Antiphospho-lipid Antibody Syndrome (APS) in a recent issue of this journal(l). Soon, thereafter, we diagnosed a child with APS Abstract: A seven‐yr‐old boy presented with a severe Budd-Chiari syndrome, complicated by recurrent thrombosis of several successive TIPSs. Because of liver failure secondary to venous outflow tract obstruction and deterioration of his general condition, an emergency liver transplantation was performed

Each of the patients was then listed for Introduction: Budd-Chiari Syndrome in the pediatric patient is a multivisceral transplantation which included simultaneous transplan- rare disease that is often diagnosed at a late stage. There has been a tation of all organs with blood supply provided by the SMA and celiac paucity of analysis of long. budd-chiari syndrome walton m. edwards, lieutenant colonel, mc, usa, douglas }i. sandberg, captain, mc, usa, and john t. steele, captain, mc, usa new york, n. y. I N 1846, Budd1 in his textbook Dis- eases of the Liver, briefly de- scribed a symptom-complex produced by thrombosis of the hepatic veins

2. Budd-Chiari Syndrome In Children. As the name suggests, pediatric Budd Chiari syndrome, which is the rarest of all types of the disease, affects only children. There is also only one type of the condition that affects children that we know of. In the majority of cases it happens because of a medical condition that causes blood clots Percutaneous recanalization of an occluded hepatic vein in a difficult subset of pediatric Budd-Chiari syndrome. Pediatr Cardiol. 2012 Jun. 33(5):806-10. . Paradis V, Bieche I, Dargere D, et al.

Ultrasound and Doppler features of Budd-Chiari syndrome in

If the Budd-Chiari syndrome remains untreated or goes unrecognized, progressive portal hypertension will result in esophageal variceal hemorrhage (19-53%), increasing liver dysfunction and coagulopathy, with eventual end-stage hepatic failure, encephalopathy, and death. 1, 3, 5 A few patients may present initially with fulminate hepatic failure and encephalopathy, reflecting overwhelming. Budd-Chiari syndrome (BCS) occurs as a result of hepatic venous outflow obstruction. In the pediatric population, the etiologies vary as compared with the adult population

Background and objectives Budd-Chiari syndrome (BCS) refers to a complete thrombotic obstruction of the venous hepatic outflow tract due to various etiologies and constitutes a rare indication for ortothopic liver transplantation (LT). Few studies investigated long-term outcomes after LT for BCS. The aim of this study was to examine potential risk factors for late mortality and to evaluate. Budd-Chiari syndrome is a condition caused by occlusion of the hepatic veins that drain the liver. It presents with the classical triad of abdominal pain, ascites, and liver enlargement. The formation of a blood clot within the hepatic veins can lead to Budd-Chiari syndrome. The most common cause is polycythemia vera outcome of the Budd-Chiari syndrome. Ann Intern Med. 2009;151:167-75. 9. Gomes AC, Rubino G, Pinto C, Cipriano A, Furtado E, Gonçalves I. Budd-Chiari syndrome in children and outcome after liver transplant. Pediatr Transplant. 2012;16:E338-41. 10. Redkar R, Bangar A, Hathiramani V, Raj V, Swathi C. Pediatric Budd-Chiari syndrome: A case series.

James J. Pediatric hypereosinophilic syndrome (HES) differs from adult HES. Pediatrics. 2006. 118:S49-S50. . Carey JP, Burke AC. Transient hypereosinophilia in the infant of a mother with hypereosinophilic syndrome. Arch Intern Med. 1982 Sep. 142(9):1754-5.

1. Pediatr Transplant. 2017 Nov;21(7). doi: 10.1111/petr.13008. Epub 2017 Jul 26. Orthotopic liver transplantation in a pediatric patient with iatrogenic Budd-Chiari syndrome complicated by bronchobiliary fistula To differentiate between clinical and demographic spectrum, and outcome in hepatovenocaval syndrome (HVCS) and Budd-Chiari syndrome (BCS).Descriptive study.Division of Pediatric Gastroenterology, Hepatology and Nutrition, The Children Hospital, Lahore, from January 2014 to January 2017.All children less than 18 years of age, presenting with ascites and visible veins over abdomen, flanks and.

Ours is the first report of hollow viscus perforation documented in pediatric liver biopsy procedure. This may be due to abnormal colonic anatomy which would have been missed during initial USG. Certain conditions like Budd Chiari syndrome are more prone for complication due to increased vascularity of the liver and nodule formation Budd-Chiari syndrome, due to thrombotic occlusion of hepatic veins or ostia, is unusual in infants. Review of the literature reveals no documented case symptomatic at birth. We describe a male infa.. INDIAN PEDIATRICS 833 VOLUME 53__SEPTEMBER 15, 2016 C A S E RE P O R T Ruptured Hepatocellular Carcinoma in a Child with Budd-Chiari Syndrome ANANDINI SURI, V ARUN K S HARMA, P RAJAKTA R R ANADE, #SHAJI MARAR AND *AABHA NAGRAL From Departments of Pediatrics, #Interventional Radiology and *Gastroenterology, Jaslok hospital and Research Centre, Mumbai, India. Background: Hepatocellular carcinoma. Budd-Chiari syndrome (BCS) is a rare disease that is characterized by hepatic venous outflow tract obstruction (HVOTO), with an estimated incidence of 0.87 per million population per year. Most patients with Budd-Chiari syndrome have an underlying thrombotic diathesis, although in approximately one third of patients, the condition is idiopathic

Budd-Chiari syndrome develops due to an obstruction in the hepatic venous outflow. It has an incidence rate of 2.0 per million population. We present the case of a middle-aged woman with COVID-19 who presented in a clinical picture of Budd-Chiari Syndrome [3]. To the best of our knowledge, this is the first report of a patient with COVID-19 who. Budd-Chiari syndrome is caused by blood clots that completely or partially block blood flow from the liver. The blockage may occur anywhere from the small and large veins that carry blood from the liver (hepatic veins) to the inferior vena cava Budd-Chiari syndrome is extremely rare, and the incidence is not well reported in the literature, although a study by Rajani et al found an incidence of about 1 case per million population per.

Primary Budd-Chiari syndrome is related to thrombosis of hepatic veins or the terminal portion of the inferior vena cava. This rare disease is usually caused by multiple concurrent factors. PURPOSE: To analyze the imaging features of nodules associated with Budd-Chiari syndrome. MATERIALS AND METHODS: The authors retrospectively studied images obtained in 23 patients with liver nodules who were being followed up for Budd-Chiari syndrome. Doppler ultrasonography was performed in all patients, computed tomography in 16, and magnetic resonance (MR) imaging in 20 Budd-Chiari syndrome (BCS) is a group of disorders caused by occlusion of the major hepatic veins or the inferior vena cava (IVC) or both at or near the level of the hepatic vein ostia. Although a brief discussion of these disorders first appeared in a book by Budd in 1845, Lambron in 1842 is said to have reported the first case Akamatsu N, Sugawara Y, Kokudo N. Budd-Chiari syndrome and liver transplantation. Intractable Rare Dis Res. 2015 Feb;4(1):24-32 PDF Recommendation grading systems use

Splenomegaly - Radipedia

Read this chapter of Syndromes: Rapid Recognition and Perioperative Implications, 2e online now, exclusively on AccessPediatrics. AccessPediatrics is a subscription-based resource from McGraw Hill that features trusted medical content from the best minds in medicine KEY WORDS: Budd Chiari Syndrome, Factor V Leiden, Ascites, Portal Hypertension CASE REPORT A YOUNG BOY WITH BUDD CHIARI SYNDROME SECONDARY HETEROZYGOUS TO FACTOR V LEIDEN - A CASE REPORT 1. Assistant Professor 2. Registrar 3. Professor Department of Pediatrics Al-Nafees Medical College & Hospital, Isra University, Islamabad Campus, Islamaba

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The Budd-Chiari syndrome in children: the spectrum of

Endovascular Management of Pediatric Budd Chiari Syndrome: A Promising Therapeutic Option?, SSQ14-08, 5015569, Sanjay Sharma Promising advances in Budd-Chiari syndrome in children. By:Vasudevan V, Joshi DC|Date: October 01, 2018|Source: Indian Pediatrics 2018 Oct; 55(10): 857-85

All You Need to Know About Pediatric Budd- Chiari Syndrom

Division of Pediatric Department of Surgery, Indonesia. Posters & Accepted Abstracts: Clin Pediatr OA. Abstract : Background & Objective: Budd-Chiari syndrome (BCS) in children is a rare case. The prevalence of SBC in India is reported to be 7.4%. No publication on the prevalence of SBC in RSCM. Because of that, there is difficulty in. Thrombotic events consisted of arterial ischemic stroke in 1 patient, cerebral venous sinus thrombosis with pulmonary embolism in 1 patient, and Budd-Chiari syndrome in 4 patients; Budd-Chiari is a type of splanchnic vein thrombosis. By mutational status, 5 of the 6 patients with thromboses showed JAK2V617F mutational status In a patient believed clinically to have hepatic vein obstruction (Budd-Chiari Syndrome) the diagnosis was confirmed by catheterising the hepatic vein and injecting a contrast medium. The diagnosis was proved at autopsy. A crushing injury of the upper abdomen was closely related to the onset of symptoms Budd-Chiari syndrome (BCS) is an uncommon condition characterized by obstruction of the hepatic venous outflow tract. Presentation may vary from a completely asymptomatic condition to fulminant liver failure. BCS is an example of postsinusoidal portal hypertension Budd-Chiari Syndrome Disorder Dr. Gaurav Gupta is a Consultant and Head of Liver Transplant and HPB Surgery at Fortis Hospitals, Mumbai. He is an ASTS certified abdominal organ transplant surgeon with over a decade of experience in Liver Transplant

Budd-Chiari Syndrome in Children: Experience With

with Budd-Chiari syndrome (BCS) related to essential thrombocythaemia (ET), and celiac disease (CD). BCS is a very rare condition in children, and according to the literature, only a few cases have ever been reported that could indicate a link between BCS and CD in children. Because all the paediatric patients with this observe We report the case of a 14-year-old girl presenting with ascites and marked hypertransaminasemia resulting from hepatic vein occlusion (Budd-Chiari syndrome). Despite anticoagulant therapy, in the following days she developed criteria suggestive of thrombotic storm to include cerebral vein, right atrial thrombosis, and bilateral pulmonary embolism

Primary Budd-Chiari Syndrome in Children: King's College

Budd-Chiari syndrome (BCS) results from the occlusion or flow reduction in the hepatic veins or inferior vena cava and can be treated with transjugular intrahepatic portosystemic shunt when hepatic vein recanalization fails. 1-3 Hypercoagulable patients with primary BCS are predisposed to development of new areas of thrombosis within the TIPS shunt or IVC Background: Thrombotic events are well-known complications of the BCR-ABL-negative, classical myeloproliferative neoplasms (MPNs). Both arterial and venous thromboses can occur, especially splanchnic vein thromboses (including Budd-Chiari syndrome). There are various potential risk factors, including JAK2V617F, the most common MPN driver mutation, yet height of platelet count has been shown to. Read Budd-Chiari syndrome caused by Gaucher's disease, Pediatric Radiology on DeepDyve, the largest online rental service for scholarly research with thousands of academic publications available at your fingertips. We present a unique case of Budd-Chiari syndrome caused by Gaucher's disease. The diagnosis was based on Doppler sonography.

Budd chiari syndrome Pediatric Oncall Journa

American Journal of Roentgenology - 216(5):pp. W15; Utility of Ultrasound Guidance During Direct Intrahepatic Portal Shunt Placement in Pediatric Patients With Budd-Chiari Syndrome, Electronic, Individual (access for 24 hours for $20.00 Membranous obstruction of the inferior vena cava at the level of the diaphragm is a rare cause of Budd-Chiari syndrome in children. Medical therapy usually fails. Surgical intervention aims at reestablishing patency of the inferior vena cava and hepatic venous outflow to the right atrium. We report on the management of this condition in 19 children of whom 7 were treated surgically Labeling your bookmark will be stored as a collection in My Research. Save. × Citatio The anticardiolipin or antiphospholipid antibody syndrome is characterized by an increased incidence of venous and arterial thromboses. This syndrome may occur in association with systemic lupus erythematosus or independently. Gastroenterological manifestations may include Budd-Chiari syndrome, hepatic infarction, pancreatitis Budd-Chiari syndrome. January 11, 2021. January 11, 2021. ~ Pilgrim Bobby. Cause of a Budd-Chiari malformation (hepatic venous outflow obstruction, whether of small centrilobular or major hepatic veins or, indeed, of the IVC): idiopathic. myeloproliferative disease. carcinoma. kidney

Pediatric Oncall - Child health medical InformationAbd 200 Mod 3 Ultrasound | ultrasound, sonographyMechanism of Acute Ascites Formation After Trauma

Budd-Chiari syndrome is obstruction of hepatic venous outflow that originates anywhere from the small hepatic veins inside the liver to the inferior vena cava and right atrium. Manifestations range from no symptoms to fulminant liver failure. Diagnosis is based on ultrasonography. Treatment includes supportive medical therapy and measures to. Infantile Budd Chiari and Response to Balloon Dilatation Infantile Budd Chiari and Response to Balloon Dilatation Shah, Ira; Dey, Amit; Bhatnagar, Sushmita; Warawdekar, Gireesh 2014-10-01 00:00:00 Indian J Pediatr (October 2014) 81(10):1126­1127 DOI 10.1007/s12098-014-1488-2 SCIENTIFIC LETTER Ira Shah & Amit Dey & Sushmita Bhatnagar & Gireesh Warawdekar Received: 26 August 2013 / Accepted: 5. The Budd-Chiari Syndrome. Hepatic venous outflow obstruction may develop at the level of the hepatic venules, the large hepatic veins, the inferior vena cava, or the right atrium. Outflow. Acute Glomerulonephritis & Budd-Chiari Syndrome & Fever & Leg Pain & Pediatric Disorder Symptom Checker: Possible causes include Sickle Cell Anemia. Check the full list of possible causes and conditions now! Talk to our Chatbot to narrow down your search Outflow obstruction results in increased hepatic sinusoidal pressure and portal hypertension. This review summarizes the causes of the Budd-Chiari syndrome and current management, including the. Reply to utility of ultrasound guidance during direct intrahepatic portal shunt placement in pediatric patients with Budd-Chiari syndrome. / Young, Shamar; Cam, Isa; Gencturk, Mehmet. In: American Journal of Roentgenology, Vol. 216, No. 5, 05.2021, p. W16. Research output: Contribution to journal › Letter › peer-revie