title: Acute Budd-Chiari syndrome with hepatic failure and obstruction of the inferior vena cava as presenting manifestations of hereditary protein C deficiency.
abstract: The protein C system is essential in limiting the activation of coagulation in vivo. We report on a 29 year old woman with Budd-Chiari syndrome and occlusion of the inferior vena cava who presented with acute liver failure. She was successfully treated with an emergency mesoatrial shunt. Eight months after surgery, she has no ascites and normal liver function. She had a low concentration of plasma protein C on admission to hospital and during the follow up. Protein C deficiency subsequently was found in her father and two sisters, who were asymptomatic. Hereditary protein C deficiency should be considered in patients with Budd-Chiari syndrome.
authors.affiliation: Department of Hepatogastroenterology, Hôpital La Conception, Marseille, France.
authors.forename: M
authors.initials: M
authors.lastname: Bourlière
authors.forename: Y P
authors.initials: YP
authors.lastname: Le Treut
authors.forename: D
authors.initials: D
authors.lastname: Arnoux
authors.forename: P
authors.initials: P
authors.lastname: Castellani
authors.forename: L
authors.initials: L
authors.lastname: Bordigoni
authors.forename: A
authors.initials: A
authors.lastname: Maillot
authors.forename: M
authors.initials: M
authors.lastname: Antoni
authors.forename: D
authors.initials: D
authors.lastname: Botta
authors.forename: B
authors.initials: B
authors.lastname: Pol
authors.forename: A P
authors.initials: AP
authors.lastname: Gauthier
mesh_terms: D000208:Acute Disease; D000328:Adult; D006502:Budd-Chiari Syndrome / Q000150:complications*; D005260:Female; D006801:Humans; D008107:Liver Diseases / Q000150:complications*; D010375:Pedigree; D020151:Protein C Deficiency; D014652:Vascular Diseases / Q000150:complications; D014682:Vena Cava, Inferior