title: Budd-Chiari syndrome in a young patient with celiac sprue: a case report.
abstract: Budd-Chiari syndrome is thrombosis of the hepatic veins, and associated conditions vary. Budd-Chiari and celiac sprue association is a rare condition. A 24-year-old woman was admitted to the clinic with complaints of weakness, distended abdomen and weight loss for four months. Results of investigation showed Budd-Chiari syndrome and malabsorption with endomysial antibodies and intestinal villous atrophy. All known etiological factors for Budd-Chiari syndrome were negative. Three months after initiation of a gluten-free diet and replacement therapy, she died from infection of ascitic fluid and renal failure following umbilical hernia rupture. Celiac sprue must be remembered especially in the event of Budd-Chiari syndrome and malabsorption.
authors.affiliation: Istanbul University, Istanbul Medical Faculty, Gastroenterohepatology Department, Istanbul, Turkey. drahmetdan@yahoo.com
authors.forename: Ahmet
authors.initials: A
authors.lastname: Danalioğlu
authors.forename: Sule
authors.initials: S
authors.lastname: Poturoğlu
authors.forename: Mine
authors.initials: M
authors.lastname: Güngör Güllüoğlu
authors.forename: Kadir
authors.initials: K
authors.lastname: Demir
authors.forename: Fatih
authors.initials: F
authors.lastname: Beşişik
authors.forename: Yilmaz
authors.initials: Y
authors.lastname: Cakaloğlu
authors.forename: Uğur
authors.initials: U
authors.lastname: Cevikbaş
authors.forename: Atilla
authors.initials: A
authors.lastname: Okten
mesh_terms: D001201:Ascites / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology; D006502:Budd-Chiari Syndrome / Q000150:complications* / Q000175:diagnosis*; D002446:Celiac Disease / Q000150:complications* / Q000175:diagnosis* / Q000178:diet therapy; D055050:Diet, Gluten-Free; D004232:Diuretics / Q000627:therapeutic use; D004386:Duodenum / Q000473:pathology; D016145:Endoscopy, Digestive System; D017809:Fatal Outcome; D005260:Female; D005665:Furosemide / Q000627:therapeutic use; D006801:Humans; D008099:Liver / Q000000981:diagnostic imaging; D010690:Phlebography; D013148:Spironolactone / Q000627:therapeutic use; D014057:Tomography, X-Ray Computed; D018608:Ultrasonography, Doppler; D055815:Young Adult
chemical_list: D004232:Diuretics; D013148:Spironolactone; D005665:Furosemide