The Budd-Chiari Syndrome may evolve over various time courses depending on the extent of its pathogenic factors.
Pathogenic factors affecting temporal course of the Budd-Chiari syndrome:
(1) extent of hepatic venous occlusion (the less the better)
(2) how fast the hepatic venous occlusions occurs (the more gradual the better)
(3) development of venous collateral circulation (the more the better)
Time Course
Features
fulminant
rapid progression to hepatic failure after the onset of symptoms (hepatic encephalopathy within 8 weeks)
acute
appearance of intractable ascites and moderate hepatic dysfunction over a few weeks
subacute
insidious onset of symptoms with variable ascites and hepatic dysfunction
chronic
symptoms of cirrhosis after months or years
To read more or access our algorithms and calculators, please log in or register.
Specialty: Gastroenterology, Hematology Oncology