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Budd-Chiari syndrome — RACP Written MCQ

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HardGastroenterology/HepatologyBudd-Chiari syndromeRACP Written

A 29-year-old woman on oestrogen-containing contraception has painful hepatomegaly, ascites and jaundice. Doppler ultrasound shows absent hepatic venous flow and caudate lobe enlargement. What is the most likely diagnosis?

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Correct answer: D — Budd-Chiari syndrome

Hepatic venous outflow obstruction causing painful hepatomegaly, ascites and absent hepatic venous flow is Budd-Chiari syndrome.

Reference: Therapeutic Guidelines: Gastrointestinal; Gastroenterological Society of Australia guidance