Recurrent Diarrhea as a Rare Presentation of Budd-Chiari Syndrome: A Case-Based Insight into Hepatic Venous Outflow Obstruction (Case report)

Authors

  • Asadullah Soomro Ziauddin University Faculty of Nursing and Midwifery, Karachi, Pakistan
  • Suliman Jacob Ziauddin University Faculty of Nursing and Midwifery, Karachi, Pakistan
  • Amjad Hussain Shaikh Muhammad Bin Zayed Al Nahyan Institute of Cardiology Quetta Pakistan
  • Aftab Ahmed National institute of cardiovascular disease sukkur Pakistan
  • Mehtab Mehboob Ziauddin University Faculty of Nursing and Midwifery, Karachi, Pakistan

DOI:

https://doi.org/10.63163/jpehss.v3i2.310

Abstract

Budd-Chiari syndrome (BCS) is a hepatic disease of rare occurrence characterized by hepatic venous outflow obstruction, traditionally presenting with hepatomegaly, ascites, and liver dysfunction. Gastrointestinal manifestations like diarrhea are underdiagnosed and rare. Here we report a case of a 21-year-old male patient with the presenting complaints of abdominal pain, ascites, jaundice, and chronic diarrhea. Imaging showed hepatic venous outflow obstruction and laboratory findings showed a hypercoagulable state with positive lupus anticoagulant and factor V Leiden mutation. The patient was treated by having a Transjugular Intrahepatic Portosystemic Shunt (TIPS) procedure, with resolution of the diarrhea. Recurrence of the symptoms after shunt blockage and resolution after TIPS had been reevaluated only further established the association between hepatic congestion and symptoms. This situation does point to a possible pathophysiologic connection between hepatic congestion and abnormal gut motility and it does emphasize the necessity of heightened surveillance and investigation for gastrointestinal symptoms in BCS.

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Published

2025-05-02

How to Cite

Asadullah Soomro, Suliman Jacob, Amjad Hussain, Aftab Ahmed, & Mehtab Mehboob. (2025). Recurrent Diarrhea as a Rare Presentation of Budd-Chiari Syndrome: A Case-Based Insight into Hepatic Venous Outflow Obstruction (Case report). Physical Education, Health and Social Sciences, 3(2), 417–419. https://doi.org/10.63163/jpehss.v3i2.310

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