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A correction has been published: N Engl J Med 2006;355(7):737.

Case Records of the Massachusetts General Hospital
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Volume 354:2166-2175 May 18, 2006 Number 20
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Case 15-2006 — A 46-Year-Old Woman with Sudden Onset of Abdominal Distention
Raymond T. Chung, M.D., A. John Iafrate, M.D., Ph.D., Philip C. Amrein, M.D., Dushyant V. Sahani, M.D., and Joseph Misdraji, M.D.

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-Related Article
 by Spivak, J. L.
-PubMed Citation
Presentation of Case

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 serum–ascites albumin gradient was reported to be 1.2 g per deciliter. . . . [Full Text of this Article]

Differential Diagnosis

Causes of the Budd–Chiari Syndrome

Clinical Presentations of the Budd–Chiari Syndrome

Diagnosis of the Budd–Chiari Syndrome

Dr. Raymond T. Chung's and Dr. Philip C. Amrein's Diagnosis

Pathological Discussion

Management of the Budd–Chiari Syndrome

Anatomical Diagnosis


Source Information

From the Gastrointestinal Unit (R.T.C.) and the Departments of Pathology (A.J.I., J.M.), Hematology–Oncology (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.), Hematology–Oncology (P.C.A.), and Radiology (D.V.S.), Harvard Medical School — both in Boston.


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