Budd-Chiari syndrome in a young patient with celiac sprue: a case report.
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.
Danalioğlu
Ahmet
A
Istanbul University, Istanbul Medical Faculty, Gastroenterohepatology Department, Istanbul, Turkey. drahmetdan@yahoo.com
Poturoğlu
Sule
S
Güngör Güllüoğlu
Mine
M
Demir
Kadir
K
Beşişik
Fatih
F
Cakaloğlu
Yilmaz
Y
Cevikbaş
Uğur
U
Okten
Atilla
A
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
D004232:Diuretics; D013148:Spironolactone; D005665:Furosemide