Acute Budd–Chiari syndrome caused by inferior vena cava compression from a congenital diaphragmatic hernia
Acute Budd–Chiari syndrome is a rare condition characterised by obstruction of hepatic venous outflow. We describe the case of a 52-year-old man, with a congenital Morgagni diaphragmatic hernia, who presented with acute onset abdominal pain, shortness of breath, lactic acidosis, hyperbilirubinaemia...
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| Veröffentlicht in: | Annals of the Royal College of Surgeons of England 2020-10, Vol.102 (8), p.e202-e204 |
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| container_title | Annals of the Royal College of Surgeons of England |
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| creator | Wcislo, KM Hall, CE Abbassi-Ghadi, N |
| description | Acute Budd–Chiari syndrome is a rare condition characterised by obstruction of hepatic venous outflow. We describe the case of a 52-year-old man, with a congenital Morgagni diaphragmatic hernia, who presented with acute onset abdominal pain, shortness of breath, lactic acidosis, hyperbilirubinaemia and transaminasaemia. Computed tomography revealed strangulation of the diaphragmatic hernia and extrinsic compression of the inferior vena cava from the herniated viscera. Emergency surgery was carried out to repair the hernia with a biosynthetic mesh, with complete resolution of the Budd–Chiari syndrome. |
| doi_str_mv | 10.1308/rcsann.2020.0106 |
| format | Article |
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We describe the case of a 52-year-old man, with a congenital Morgagni diaphragmatic hernia, who presented with acute onset abdominal pain, shortness of breath, lactic acidosis, hyperbilirubinaemia and transaminasaemia. Computed tomography revealed strangulation of the diaphragmatic hernia and extrinsic compression of the inferior vena cava from the herniated viscera. Emergency surgery was carried out to repair the hernia with a biosynthetic mesh, with complete resolution of the Budd–Chiari syndrome.</description><identifier>ISSN: 0035-8843</identifier><identifier>EISSN: 1478-7083</identifier><identifier>DOI: 10.1308/rcsann.2020.0106</identifier><identifier>PMID: 32538105</identifier><language>eng</language><publisher>London: BMJ Publishing Group LTD</publisher><subject>Abdomen ; Acidosis ; Ascites ; Blood ; Compression therapy ; Dehydrogenases ; Heart rate ; Hemoglobin ; Hernias ; Liver ; Online Case Report ; Pain ; Ultrasonic imaging ; Veins & arteries</subject><ispartof>Annals of the Royal College of Surgeons of England, 2020-10, Vol.102 (8), p.e202-e204</ispartof><rights>Copyright Royal College of Surgeons of England Oct 2020</rights><rights>Copyright © 2020, All rights reserved by the Royal College of Surgeons of England 2020</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c401t-21629a9d2f8cbe75771b90b2e6f766eda6565a7aad1ce3694f808f651055d9993</citedby><cites>FETCH-LOGICAL-c401t-21629a9d2f8cbe75771b90b2e6f766eda6565a7aad1ce3694f808f651055d9993</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7538725/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7538725/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids></links><search><creatorcontrib>Wcislo, KM</creatorcontrib><creatorcontrib>Hall, CE</creatorcontrib><creatorcontrib>Abbassi-Ghadi, N</creatorcontrib><title>Acute Budd–Chiari syndrome caused by inferior vena cava compression from a congenital diaphragmatic hernia</title><title>Annals of the Royal College of Surgeons of England</title><description>Acute Budd–Chiari syndrome is a rare condition characterised by obstruction of hepatic venous outflow. We describe the case of a 52-year-old man, with a congenital Morgagni diaphragmatic hernia, who presented with acute onset abdominal pain, shortness of breath, lactic acidosis, hyperbilirubinaemia and transaminasaemia. Computed tomography revealed strangulation of the diaphragmatic hernia and extrinsic compression of the inferior vena cava from the herniated viscera. Emergency surgery was carried out to repair the hernia with a biosynthetic mesh, with complete resolution of the Budd–Chiari syndrome.</description><subject>Abdomen</subject><subject>Acidosis</subject><subject>Ascites</subject><subject>Blood</subject><subject>Compression therapy</subject><subject>Dehydrogenases</subject><subject>Heart rate</subject><subject>Hemoglobin</subject><subject>Hernias</subject><subject>Liver</subject><subject>Online Case Report</subject><subject>Pain</subject><subject>Ultrasonic imaging</subject><subject>Veins & arteries</subject><issn>0035-8843</issn><issn>1478-7083</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNpdkc2KFDEQgIMo7jh69xjw4qXHSv8k6YuwDv7Bghc9h5qkeiZLdzIm3QNz23fwDX0SM8wi6KUKqj6KqvoYey1gIxrQ75LNGMKmhho2IEA-YSvRKl0p0M1TtgJoukrrtrlhL3K-BxC90uI5u2nqrtECuhUbb-0yE_-wOPf74df24DF5ns_BpTgRt7hkcnx35j4MlHxM_EQBS_1UQpyOiXL2MfCh4PxSCnsKfsaRO4_HQ8L9hLO3_EApeHzJng04Znr1mNfsx6eP37dfqrtvn79ub-8q24KYq1rIusfe1YO2O1KdUmLXw64mOSgpyaHsZIcK0QlLjezbQYMeZFcO6lzf982avb_OPS67iZylMCcczTH5CdPZRPTm307wB7OPJ6PKW1T5zZq9fRyQ4s-F8mwmny2NIwaKSzZ1K1oApfu6oG_-Q-_jkkI5r1BlGS1k0bBmcKVsijknGv4uI8BcVJqrSnNRaS4qmz_xPpQy</recordid><startdate>20201001</startdate><enddate>20201001</enddate><creator>Wcislo, KM</creator><creator>Hall, CE</creator><creator>Abbassi-Ghadi, N</creator><general>BMJ Publishing Group LTD</general><general>Royal College of Surgeons</general><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>EHMNL</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20201001</creationdate><title>Acute Budd–Chiari syndrome caused by inferior vena cava compression from a congenital diaphragmatic hernia</title><author>Wcislo, KM ; 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We describe the case of a 52-year-old man, with a congenital Morgagni diaphragmatic hernia, who presented with acute onset abdominal pain, shortness of breath, lactic acidosis, hyperbilirubinaemia and transaminasaemia. Computed tomography revealed strangulation of the diaphragmatic hernia and extrinsic compression of the inferior vena cava from the herniated viscera. Emergency surgery was carried out to repair the hernia with a biosynthetic mesh, with complete resolution of the Budd–Chiari syndrome.</abstract><cop>London</cop><pub>BMJ Publishing Group LTD</pub><pmid>32538105</pmid><doi>10.1308/rcsann.2020.0106</doi><oa>free_for_read</oa></addata></record> |
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| ispartof | Annals of the Royal College of Surgeons of England, 2020-10, Vol.102 (8), p.e202-e204 |
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| source | EZB-FREE-00999 freely available EZB journals; PubMed Central |
| subjects | Abdomen Acidosis Ascites Blood Compression therapy Dehydrogenases Heart rate Hemoglobin Hernias Liver Online Case Report Pain Ultrasonic imaging Veins & arteries |
| title | Acute Budd–Chiari syndrome caused by inferior vena cava compression from a congenital diaphragmatic hernia |
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