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Small Intrahepatic Vein Budd-Chiari Syndrome Complicated by Fusobacterium nucleatum Peritonitis
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| Zeitschriftentitel: | ACG Case Reports Journal |
|---|---|
| Personen und Körperschaften: | , , , , |
| In: | ACG Case Reports Journal, 6, 2019, 7, S. e00121 |
| Format: | E-Article |
| Sprache: | Englisch |
| veröffentlicht: |
Ovid Technologies (Wolters Kluwer Health)
|
| Schlagwörter: |
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Bannaga, Ayman Armstrong, Matthew J. Mehrzad, Homoyon Brown, Rachel M. Tripathi, Dhiraj Bannaga, Ayman Armstrong, Matthew J. Mehrzad, Homoyon Brown, Rachel M. Tripathi, Dhiraj |
|---|---|
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Bannaga, Ayman Armstrong, Matthew J. Mehrzad, Homoyon Brown, Rachel M. Tripathi, Dhiraj |
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Bannaga, Ayman Armstrong, Matthew J. Mehrzad, Homoyon Brown, Rachel M. Tripathi, Dhiraj ACG Case Reports Journal Small Intrahepatic Vein Budd-Chiari Syndrome Complicated by Fusobacterium nucleatum Peritonitis General Medicine |
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bannaga, ayman |
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Bannaga, Ayman Armstrong, Matthew J. Mehrzad, Homoyon Brown, Rachel M. Tripathi, Dhiraj 2326-3253 Ovid Technologies (Wolters Kluwer Health) General Medicine http://dx.doi.org/10.14309/crj.0000000000000121 <jats:title>ABSTRACT</jats:title> <jats:p>Budd-Chiari syndrome is a rare disorder with significant liver-related complications. We present a 28-year-old woman with a 1-month history of weight loss and ascites. Hepatic venogram showed patent hepatic veins and inferior vena cava; however, there was an increased hepatic venous pressure gradient, which is clinically significant for portal hypertension. Hereditary and acquired thrombophilia workup was unrevealing. During admission, she developed peritonitis with <jats:italic toggle="yes">Fusobacterium nucleatum</jats:italic> and was treated with piperacillin-tazobactam. Liver biopsy showed vascular changes with features of venous outflow obstruction, and she was diagnosed with “small hepatic vein” Budd-Chiari syndrome. She was treated with transjugular intrahepatic portosystemic stent-shunt and tinzaparin, with significant clinical improvement.</jats:p> Small Intrahepatic Vein Budd-Chiari Syndrome Complicated by Fusobacterium nucleatum Peritonitis ACG Case Reports Journal |
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| title |
Small Intrahepatic Vein Budd-Chiari Syndrome Complicated by Fusobacterium nucleatum Peritonitis |
| title_unstemmed |
Small Intrahepatic Vein Budd-Chiari Syndrome Complicated by Fusobacterium nucleatum Peritonitis |
| title_full |
Small Intrahepatic Vein Budd-Chiari Syndrome Complicated by Fusobacterium nucleatum Peritonitis |
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Small Intrahepatic Vein Budd-Chiari Syndrome Complicated by Fusobacterium nucleatum Peritonitis |
| title_full_unstemmed |
Small Intrahepatic Vein Budd-Chiari Syndrome Complicated by Fusobacterium nucleatum Peritonitis |
| title_short |
Small Intrahepatic Vein Budd-Chiari Syndrome Complicated by Fusobacterium nucleatum Peritonitis |
| title_sort |
small intrahepatic vein budd-chiari syndrome complicated by fusobacterium nucleatum peritonitis |
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General Medicine |
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http://dx.doi.org/10.14309/crj.0000000000000121 |
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2019 |
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e00121 |
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<jats:title>ABSTRACT</jats:title>
<jats:p>Budd-Chiari syndrome is a rare disorder with significant liver-related complications. We present a 28-year-old woman with a 1-month history of weight loss and ascites. Hepatic venogram showed patent hepatic veins and inferior vena cava; however, there was an increased hepatic venous pressure gradient, which is clinically significant for portal hypertension. Hereditary and acquired thrombophilia workup was unrevealing. During admission, she developed peritonitis with <jats:italic toggle="yes">Fusobacterium nucleatum</jats:italic> and was treated with piperacillin-tazobactam. Liver biopsy showed vascular changes with features of venous outflow obstruction, and she was diagnosed with “small hepatic vein” Budd-Chiari syndrome. She was treated with transjugular intrahepatic portosystemic stent-shunt and tinzaparin, with significant clinical improvement.</jats:p> |
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| description | <jats:title>ABSTRACT</jats:title> <jats:p>Budd-Chiari syndrome is a rare disorder with significant liver-related complications. We present a 28-year-old woman with a 1-month history of weight loss and ascites. Hepatic venogram showed patent hepatic veins and inferior vena cava; however, there was an increased hepatic venous pressure gradient, which is clinically significant for portal hypertension. Hereditary and acquired thrombophilia workup was unrevealing. During admission, she developed peritonitis with <jats:italic toggle="yes">Fusobacterium nucleatum</jats:italic> and was treated with piperacillin-tazobactam. Liver biopsy showed vascular changes with features of venous outflow obstruction, and she was diagnosed with “small hepatic vein” Budd-Chiari syndrome. She was treated with transjugular intrahepatic portosystemic stent-shunt and tinzaparin, with significant clinical improvement.</jats:p> |
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| spelling | Bannaga, Ayman Armstrong, Matthew J. Mehrzad, Homoyon Brown, Rachel M. Tripathi, Dhiraj 2326-3253 Ovid Technologies (Wolters Kluwer Health) General Medicine http://dx.doi.org/10.14309/crj.0000000000000121 <jats:title>ABSTRACT</jats:title> <jats:p>Budd-Chiari syndrome is a rare disorder with significant liver-related complications. We present a 28-year-old woman with a 1-month history of weight loss and ascites. Hepatic venogram showed patent hepatic veins and inferior vena cava; however, there was an increased hepatic venous pressure gradient, which is clinically significant for portal hypertension. Hereditary and acquired thrombophilia workup was unrevealing. During admission, she developed peritonitis with <jats:italic toggle="yes">Fusobacterium nucleatum</jats:italic> and was treated with piperacillin-tazobactam. Liver biopsy showed vascular changes with features of venous outflow obstruction, and she was diagnosed with “small hepatic vein” Budd-Chiari syndrome. She was treated with transjugular intrahepatic portosystemic stent-shunt and tinzaparin, with significant clinical improvement.</jats:p> Small Intrahepatic Vein Budd-Chiari Syndrome Complicated by Fusobacterium nucleatum Peritonitis ACG Case Reports Journal |
| spellingShingle | Bannaga, Ayman, Armstrong, Matthew J., Mehrzad, Homoyon, Brown, Rachel M., Tripathi, Dhiraj, ACG Case Reports Journal, Small Intrahepatic Vein Budd-Chiari Syndrome Complicated by Fusobacterium nucleatum Peritonitis, General Medicine |
| title | Small Intrahepatic Vein Budd-Chiari Syndrome Complicated by Fusobacterium nucleatum Peritonitis |
| title_full | Small Intrahepatic Vein Budd-Chiari Syndrome Complicated by Fusobacterium nucleatum Peritonitis |
| title_fullStr | Small Intrahepatic Vein Budd-Chiari Syndrome Complicated by Fusobacterium nucleatum Peritonitis |
| title_full_unstemmed | Small Intrahepatic Vein Budd-Chiari Syndrome Complicated by Fusobacterium nucleatum Peritonitis |
| title_short | Small Intrahepatic Vein Budd-Chiari Syndrome Complicated by Fusobacterium nucleatum Peritonitis |
| title_sort | small intrahepatic vein budd-chiari syndrome complicated by fusobacterium nucleatum peritonitis |
| title_unstemmed | Small Intrahepatic Vein Budd-Chiari Syndrome Complicated by Fusobacterium nucleatum Peritonitis |
| topic | General Medicine |
| url | http://dx.doi.org/10.14309/crj.0000000000000121 |