title: Late onset ulcerative colitis complicating a patient with Budd-Chiari syndrome: a case report and review of the literature.
abstract: We report a case of a 33-year-old female patient with Budd-Chiari syndrome because of polycythemia vera. A transjugular intrahepatic portal-systemic shunt was performed because of refractory ascites 7 months after diagnosis. She had a stable hepatic function receiving anticoagulants until 3 years later when she presented with bloody diarrheas, liver function deterioration with prolonged prothrombin time and hypoalbuminemia, encephalopathy, and ascites. Colonoscopy revealed ulcerative pancolitis and the patient was treated with corticosteroids and antibiotics. Hepatic function was stabilized in parallel to controlling ulcerative colitis and the patient is in good health until now receiving maintenance therapy for ulcerative colitis and anticoagulants for Budd-Chiari syndrome.
authors.affiliation: 2nd Propaedeutic Department of Internal Medicine, Division of Gastroenterology and Hepatology, Aristotle University of Thessaloniki, Hippokration General Hospital, Thessaloniki, Greece.
authors.forename: Themistoklis
authors.initials: T
authors.lastname: Vassiliadis
authors.forename: Alexander
authors.initials: A
authors.lastname: Mpoumponaris
authors.forename: Olga
authors.initials: O
authors.lastname: Giouleme
authors.forename: Adam
authors.initials: A
authors.lastname: Hatzidakis
authors.forename: Kalliopi
authors.initials: K
authors.lastname: Patsiaoura
authors.forename: Petros
authors.initials: P
authors.lastname: Zezos
authors.forename: Sofia
authors.initials: S
authors.lastname: Vakalopoulou
authors.forename: Konstantinos
authors.initials: K
authors.lastname: Kargiotis
authors.forename: Dimitrios
authors.initials: D
authors.lastname: Gkisakis
authors.forename: Panagiotis
authors.initials: P
authors.lastname: Katsinelos
authors.forename: Nikolaos
authors.initials: N
authors.lastname: Evgenidis
mesh_terms: D000328:Adult; D001201:Ascites / Q000188:drug therapy / Q000209:etiology; D006502:Budd-Chiari Syndrome / Q000150:complications*; D003093:Colitis, Ulcerative / Q000150:complications* / Q000188:drug therapy; D005260:Female; D006801:Humans; D011087:Polycythemia Vera / Q000150:complications