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Revista Colombiana de Gastroenterologia

Print version ISSN 0120-9957

Abstract

DIAZ, Gabriel Sebastián et al. Case report and literature review of Budd-Chiari syndrome during the puerperium. Rev Col Gastroenterol [online]. 2019, vol.34, n.3, pp.297-302. ISSN 0120-9957.  http://dx.doi.org/10.22516/25007440.451.

Budd-Chiari syndrome is defined as obstruction of hepatic blood outflow. This obstruction can be located anywhere from the small hepatic veins at the entrance of the inferior vena cava to the right atrium. Most cases are primary Budd-Chiari syndrome which is caused by endoluminal thrombosis. Secondary Budd-Chiari syndrome occurs as the result of extrinsic compression associated with space-occupying lesions such as malignant tumors. Hereditary thrombophilic states are the main risk factors, but since pregnancy and the puerperium are hypercoagulable states, they can be associated with Budd-Chiari syndrome. Nevertheless, the prevalence of this type of case in the literature varies according to the population studied. There have been no studies on the incidence or prevalence of this disease in Colombia. The small number of case reports here have not been related to pregnancy.

We report the case of a patient who developed Budd-Chiari syndrome 12 weeks postpartum. Our report includes management and clinical evolution as well as a review of the literature of cases associated with pregnancy.

Keywords : Budd-Chiari syndrome; postpartum period; venous thrombosis.

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