Some patients with ulcerative colitis (UC) may develop hepatic vein thrombosis with the Budd-Chiari Syndrome (BCS).
A patient with an inflammatory bowel disease is at increased risk for deep vein thrombosis.
Additional risk factors:
(1) history of deep vein thrombosis
(2) hereditary hypercoagulability
(3) bacteremia with Fusobacterium species
(4) parenteral nutrition
(5) flare in UC disease activity
In some patients Budd-Chiari syndrome may be the first sign of the underlying UC.
Presentation:
(1) portal hypertension with ascites
(2) hepatomegaly
(3) abdominal pain
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Specialty: Gastroenterology
