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Dr. Patrick S. Yachimski (Gastrointestinal Unit): A 46-year-old woman was admitted to this hospital because of rapidly increasing abdominal girth. She had been well until five weeks earlier, when increasing abdominal distention developed over a period of several days and was accompanied by a rapid increase in weight (from a baseline of 56.7 kg to 70.3 kg), right upper abdominal discomfort, nausea, and vomiting. She saw her primary care physician, who referred her to a gastroenterologist. Abdominal paracentesis was performed, and 3.3 liters of ascitic fluid was removed. The serumascites albumin gradient was reported to be 1.2 g per deciliter.
Differential Diagnosis
Causes of the BuddChiari Syndrome
Clinical Presentations of the BuddChiari Syndrome
Diagnosis of the BuddChiari Syndrome
Dr. Raymond T. Chung's and Dr. Philip C. Amrein's Diagnosis
Pathological Discussion
Management of the BuddChiari Syndrome
Anatomical Diagnosis
Source Information
From the Gastrointestinal Unit (R.T.C.) and the Departments of Pathology (A.J.I., J.M.), HematologyOncology (P.C.A.), and Radiology (D.V.S.), Massachusetts General Hospital; and the Departments of Medicine (R.T.C.), Pathology (A.J.I., J.M.), HematologyOncology (P.C.A.), and Radiology (D.V.S.), Harvard Medical School both in Boston.
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