Diseases of Veins, Lymphatic Vessels and Lymph Nodes: Lymphedema, Varicose Veins, Hemorrhoid, Deep Vein Thrombosis, Budd-Chiari Syndrome

Diseases of Veins, Lymphatic Vessels and Lymph Nodes: Lymphedema, Varicose Veins, Hemorrhoid, Deep Vein Thrombosis, Budd-Chiari Syndrome

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Purchase includes free access to book updates online and a free trial membership in the publisher's book club where you can select from more than a million books without charge. Chapters: Lymphedema, Varicose Veins, Hemorrhoid, Deep Vein Thrombosis, Budd-Chiari Syndrome, Esophageal Varices, Lymphadenopathy, Gastric Varices, Paget-Schroetter Disease, Thrombophlebitis, Superior Vena Cava Syndrome, List of Causes of Lymphadenopathy, Post-Thrombotic Syndrome, Lymphangitis, Portal Vein Thrombosis, Venous Insufficiency Ulceration. Excerpt: Budd-Chiari syndrome In medicine (gastroenterology and hepatology ), Budd-Chiari syndrome is the clinical picture caused by occlusion of the hepatic veins . It presents with the classical triad of abdominal pain, ascites and hepatomegaly. Examples of occlusion include thrombosis of hepatic veins. The syndrome can be fulminant, acute, chronic, or asymptomatic. It occurs in 1 out of 100,000 individuals and is more common in females. Some 10-20 % also have obstruction of the portal vein. Signs and symptoms The acute syndrome presents with rapidly progressive: severe upper abdominal pain , jaundice , hepatomegaly (enlarged liver ), ascites , elevated liver enzymes , and eventual encephalopathy . The fulminant syndrome presents early with encephalopathy and ascites. Severe hepatic necrosis and lactic acidosis may be present as well. Caudate lobe hypertrophy is often present. The majority of patients have a slower-onset form of Budd-Chiari syndrome. This can be painless. A system of venous collaterals may form around the occlusion which may be seen on imaging as a "spider's web." Patients may progress to cirrhosis and show the signs of liver failure. An asymptomatic form may be totally silent and discovered only incidentally. It is generally not concerning. Causes Often, the patient is known to have a tendency towards thrombosis , although Budd-Chiari syndrome can also be the first symptom of such a tendency. Examples of genetic tendencie...

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