title: Ruptured Hepatocellular Carcinoma in a Child with Budd-Chiari Syndrome.
abstract: BACKGROUND
  Hepatocellular carcinoma is an uncommon complication described in patients with Budd-Chiari syndrome.
  
  
  METHODS
  A 12-year-old boy with Budd-Chiari syndrome, who was earlier treated with Transjugular intrahepatic porto-systemic shunt (TIPS), presented with acute onset hemoperitoneum and hypotension.
  
  
  RESULTS
  It was diagnosed to be a case of ruptured hepatocellular carcinoma.
  
  
  CONCLUSIONS
  Successful TIPS may not prevent the development of hepatocellular carcinoma, and children with Budd Chiari syndrome should be monitored for the same.
authors: Departments of Pediatrics, #Interventional Radiology and *Gastroenterology, Jaslok hospital and Research Centre, Mumbai, India. Correspondence to Dr Aabha Nagral, 7, Snehasagar, Prabhanagar, Prabhadevi, Mumbai 400 025, India. aabhanagral@gmail.com.
authors: Anandini
authors: A
authors: Suri
authors: Varun K
authors: VK
authors: Sharma
authors: Prajakta R
authors: PR
authors: Ranade
authors: Shaji
authors: S
authors: Marar
authors: Aabha
authors: A
authors: Nagral
mesh_terms: D006502:Budd-Chiari Syndrome / Q000150:complications*; D006528:Carcinoma, Hepatocellular / Q000150:complications / Q000175:diagnosis; D002648:Child; D006801:Humans; D008113:Liver Neoplasms / Q000150:complications / Q000175:diagnosis; D008297:Male; D019168:Portasystemic Shunt, Transjugular Intrahepatic