Budd Chiari syndrome secondary to antiphospholipid syndrome and systemic lupus erythematosus in an adolescent: a case report

Budd-Chiari syndrome is caused by an obstruction of blood flow to the liver. Published cases of the antiphospholipid syndrome associated with BCS are limited in the pediatric population. We report a 15-year-old adolescent who presented with fever, ascites, and hepatosplenomegaly. Hepatic Doppler ult...

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Detalles Bibliográficos
Autores: Atamari-Anahui, Noé, Domínguez-Rojas, Jesús, Ruiz-Solsol, Luis, López-Turpo, Maryori, Castillo-Delgadillo, Amarilis, Quiñonez Saif, David, Campano, William
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2022
País:Perú
Institución:Sociedad de Gastroenterología del Perú
Repositorio:Revista de Gastroenterología del Perú
Idioma:español
OAI Identifier:oai:ojs.revistagastroperu.com:article/1333
Acceso en línea:https://revistagastroperu.com/index.php/rgp/article/view/1333
Access Level:acceso abierto
Palabra clave:Antiphospholipid syndrome
Child
Lupus erythematosus
systemic
Budd-Chiari syndrome
Síndrome Antifosfolípido
Niño
Lupus Eritematoso Sistémico
Síndrome de Budd-Chiari
Descripción
Sumario:Budd-Chiari syndrome is caused by an obstruction of blood flow to the liver. Published cases of the antiphospholipid syndrome associated with BCS are limited in the pediatric population. We report a 15-year-old adolescent who presented with fever, ascites, and hepatosplenomegaly. Hepatic Doppler ultrasound revealed no flow in the right and middle hepatic veins and in the inferior vena cava. Abdominal tomography revealed extensive thrombosis of the inferior vena cava. During hospitalization, she was diagnosed with antiphospholipid syndrome and systemic lupus erythematosus. She was given treatment with unfractionated heparin, low molecular weight heparin, and anticoagulants. Budd-Chiari syndrome secondary to the antiphospholipid syndrome is a life-threatening disease. Timely diagnosis and treatment improve the quality of life of the patient.