[Atypical course of Budd-Chiari syndrome with hydrothorax].
Budd-Chiari syndrome is a very rare condition with an incidence and a prevalence of respectively 0.8 and 1.4 per million inhabitants per year. Significant large right-sided pleural effusion without significant ascites is well-known in portal hypertension and cirrhosis, where it occurs in 5-10% of the patients. Due to the presence of endometriosis and the dominant symptom in the form of hydrothorax up to 5 l per day delayed the correct diagnosis in a case with a 33 year-old woman. Reviews of the initially performed computed tomographies could have been made shortly after admission thus avoiding long time illness and hospitalization.
Afdeling for Medicinske Mavetarmsygdomme, Odense Universitetshospital, Morgenfruevænget 1, Odense. antonbilenko@yahoo.dk
Anton
A
Bilenko
Bassam
B
Mahdi
D000328:Adult; D006502:Budd-Chiari Syndrome / Q000150:complications / Q000175:diagnosis / Q000601:surgery; D003937:Diagnosis, Differential; D004715:Endometriosis / Q000175:diagnosis; D005260:Female; D006801:Humans; D006876:Hydrothorax / Q000209:etiology*; D008279:Magnetic Resonance Imaging; D019168:Portasystemic Shunt, Transjugular Intrahepatic