Ascites in a patient with ulcerative colitis presenting Budd-Chiari syndrome: case report and literature review
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https://doi.org/10.52784/27112330.141Keywords:
Budd-Chiari syndrome, inflammatory bowel disease, ulcerative colitis, venous thrombosis, ascites.Abstract
Inflammatory bowel disease is a chronic disease involving the immune system, which can be accompanied by extraintestinal manifestations in the liver and biliary tract. Budd-Chiari syndrome has previously been described as a rare complication of ulcerative colitis. We describe the case of a young patient with a history of ulcerative colitis and venous thrombosis of the lower limb, under chronic management with aminosalicylates, and anticoagulation therapy for the past 6 months, who consulted with a 2-month history of ascites, with hypertension-related ascitic fluid, imaging analysis and liver biopsy compatible with Budd-Chiari syndrome. A case report and a brief literature review are presented.
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Sloan WP, Jr., Bargen JA, Gage RB. Life histories of patients with chronic ulcerative colitis: a review of 2,000 cases. Gastroenterology 1968;54:S819-822.
Spina L, Saibeni S, Battaglioli T, Peyvandi F, de Franchis R, Vecchi M. Thrombosis in inflammatory bowel diseases: role of inherited thrombophilia. Am J Gastroenterol 2005;100:2036-2041. https://doi.org/10.1111/j.1572-0241.2005.42029.x.
Chesner IM, Muller S, Newman J. Ulcerative colitis complicated by Budd-Chiari syndrome. Gut 1986;27:1096-1100. https://doi.org/10.1136/gut.27.9.1096.
Brinson RR, Curtis WD, Schuman BM, Mills LR. Recovery from hepatic vein thrombosis (Budd-Chiari syndrome) complicating ulcerative colitis. Dig Dis Sci 1988;33:1615-1620. https://doi.org/10.1007/bf01535954.
Maccini DM, Berg JC, Bell GA. Budd-Chiari syndrome and Crohn's disease. An unreported association. Dig Dis Sci 1989;34:1933-1936. https://doi.org/10.1007/bf01536715.
Witteman BJ, Weterman IT, Griffioen G, Lamers CB. [Intestinal obstruction caused by non-absorbable tablets and Budd-Chiari syndrome in a patient with Crohn's disease]. Ned Tijdschr Geneeskd 1991;135:766-769.
Kraut J, Berman JH, Gunasekaran TS, Allen R, McFadden J, Messersmith R, et al. Hepatic vein thrombosis (Budd-Chiari syndrome) in an adolescent with ulcerative colitis. J Pediatr Gastroenterol Nutr 1997;25:417-420. https://doi.org/10.1097/00005176-199710000-00010.
Rahhal RM, Pashankar DS, Bishop WP. Ulcerative colitis complicated by ischemic colitis and Budd Chiari syndrome. J Pediatr Gastroenterol Nutr 2005;40:94-97. https://doi.org/10.1097/00005176-200501000-00018.
Park SY, Kim YJ, Park IH, Moon CM, Choi CW, Lee SK, et al. [A case of Budd-Chiari syndrome and superior mesenteric vein thrombosis in ulcerative colitis]. Korean J Gastroenterol 2005;45:201-205.
Dacha S, Devidi M, Osmundson E. Budd-Chiari syndrome in a patient with ulcerative colitis and no inherited coagulopathy. World J Hepatol 2011;3:164-169. https://doi.org/10.4254/wjh.v3.i6.164.
Yılmaz B, Köklü S, Bayraktar Y. Ulcerative colitis presenting with Budd-Chiari syndrome. J Crohns Colitis 2013;7:e74-75. https://doi.org/10.1016/j.crohns.2012.07.005.
Bohra GK, Chhabra V, Midha N, Sureka B. Budd-Chiari syndrome in a patient with ulcerative colitis. BMJ Case Rep 2018;2018:bcr2017222300. https://doi.org/10.1136/bcr-2017-222300.
Matsuoka K, Kobayashi T, Ueno F, Matsui T, Hirai F, Inoue N, et al. Evidence-based clinical practice guidelines for inflammatory bowel disease. J Gastroenterol 2018;53:305-353. https://doi.org/10.1007/s00535-018-1439-1.
Shin N, Kim YH, Xu H, Shi HB, Zhang QQ, Colon Pons JP, et al. Redefining Budd-Chiari syndrome: A systematic review. World J Hepatol 2016;8:691-702. https://doi.org/10.4254/wjh.v8.i16.691.
Hernández-Gea V, De Gottardi A, Leebeek FWG, Rautou PE, Salem R, Garcia-Pagan JC. Current knowledge in pathophysiology and management of Budd-Chiari syndrome and non-cirrhotic non-tumoral splanchnic vein thrombosis. J Hepatol 2019;71:175-199. https://doi.org/10.1016/j.jhep.2019.02.015.
Heit JA. Epidemiology of venous thromboembolism. Nat Rev Cardiol 2015;12:464-474. https://doi.org/10.1038/nrcardio.2015.83.
Gardiner KR, Halliday MI, Barclay GR, Milne L, Brown D, Stephens S, et al. Significance of systemic endotoxaemia in inflammatory bowel disease. Gut 1995;36:897-901. https://doi.org/10.1136/gut.36.6.897.
Talbot RW, Heppell J, Dozois RR, Beart RW, Jr. Vascular complications of inflammatory bowel disease. Mayo Clin Proc 1986;61:140-145. https://doi.org/10.1016/s0025-6196(12)65200-8.
Danese S, Papa A, Saibeni S, Repici A, Malesci A, Vecchi M. Inflammation and coagulation in inflammatory bowel disease: The clot thickens. Am J Gastroenterol 2007;102:174-186. https://doi.org/10.1111/j.1572-0241.2006.00943.x.
Solem CA, Loftus EV, Tremaine WJ, Sandborn WJ. Venous thromboembolism in inflammatory bowel disease. Am J Gastroenterol 2004;99:97-101. https://doi.org/10.1046/j.1572-0241.2003.04026.x.
Valla DC. Budd-Chiari syndrome and veno-occlusive disease/sinusoidal obstruction syndrome. Gut 2008;57:1469-1478. https://doi.org/10.1136/gut.2007.133637.
Correa-Gaviria S, Ramírez AC, Espinoza-Herrera YP, Restrepo-Gutiérrez JC. Síndrome de Budd Chiari: revisión de tema. Rev Colomb Gastroenterol 2016;31:242-252.
Grip O, Svensson PJ, Lindgren S. Inflammatory bowel disease promotes venous thrombosis earlier in life. Scand J Gastroenterol 2000;35:619-623. https://doi.org/10.1080/003655200750023589.
Palmer ED. Budd-Chiari syndrome (occlusion of the hepatic veins); seven cases. Ann Intern Med 1954;41:261-271. https://doi.org/10.7326/0003-4819-41-2-261.
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