A 30 years old, non-alcoholic farmer from Trishal, Mymensingh was admitted in Mymensingh Medical College Hospital on 7 February, 2004 with the complaints of gradual swelling of abdomen, both legs and upper abdominal pain for 3 months. For the last 6 years, he was treated as a case of chronic liver disease (CLD) with spironolactone and frusemide. He was non-icteric, mildly anaemic with mild oede...

Budd-Chiari syndrome (BCS) is a rare condition which occurs when there is obstruction of the hepatic veins. It includes any condition in which there is obstruction to venous flow from the small hepatic veins to the inferior vena cava. It should be differentiated from veno-occlusive disease in which the sinusoidal epithelial cells of the hepatic venules are damaged; this mainly occurs after stem...

budd-chiari syndrome is caused by the obstruction of the hepatic venous, with high mortality rate in nontreated cases. because the clinical presentation of this syndrome is nonspecific, is very important. contrast enhanced multiphase computed tomography (ct) and magnetic resonance (mr) angiography permits morphologic and functional assessment of liver changes in suspicious clinical setting. the...

Budd-Chiari syndrome is the generic term for different forms of hepatic venous outflow obstruction resulting in a clinical picture of portal hypertension and hepatomegaly. Three levels of venous outflow obstruction may be recognized, affecting respectively the small intrahepatic (IVC). Each level of obstruction is related to a different aetiology. Clinical manifestations range from mild symptom...

Obstruction of the hepatic venous outflow tract results in increased hepatic sinusoidal pressure and portal hypertension. In the early stages, portal venous perfusion of the liver is decreased, which may result in portal venous thrombosis. 2 The ensuing venous stasis and congestion lead to hypoxic damage to adjacent hepatic parenchymal cells. Furthermore, the ischemic injury to the sinusoidal l...

1. Manivel S, Prasad R, Jacob R. Anesthetic management of a child with Klippel-Feil syndrome in the radiology suite. Paediatr Anaesth. 2005;15:171--2. 2. Cakmakkaya OS, Kaya G, Altintas F, et al. Anesthetic management of a child with Arnold-Chiari malformation and Klippel-Feil syndrome. Paediatr Anaesth. 2006;16:355--6. 3. Subramanyam R, Cudilo EM, Hossain MM, et al. To pretreat or not to pretr...