title: Budd-Chiari syndrome.
abstract: Budd-Chiari syndrome is a spectrum of disease states, including anatomic abnormalities and hypercoagulable disorders, resulting in hepatic venous outflow occlusion. Clinical manifestations observed in the majority of patients include hepatomegaly, right upper quadrant pain, and abdominal ascites. This article outlines the approach to clinical diagnosis and supportive medical therapy in patients who have BCS and reviews the clinical data supporting surgical shunting and liver transplantation as viable treatment options in this patient population.
authors.affiliation: Division of Liver and Pancreas Transplantation, Department of Surgery, The Pfleger Liver Institute, The Dumont-UCLA Transplant Center, The David Geffen School of Medicine at the University of California Los Angeles, Los Angeles, CA 90095, USA.
authors.forename: Michael A
authors.initials: MA
authors.lastname: Zimmerman
authors.forename: Andrew M
authors.initials: AM
authors.lastname: Cameron
authors.forename: R Mark
authors.initials: RM
authors.lastname: Ghobrial
mesh_terms: D006502:Budd-Chiari Syndrome / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy*; D006801:Humans; D016031:Liver Transplantation; D011170:Portasystemic Shunt, Surgical; D015912:Thrombolytic Therapy