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What is A 25-year-old woman develops nausea, vomiting, and abdominal pain. On examination, she has tender hepatomegaly and ascites. She was recently started on oral contraceptives. The clinical diagnosis is? and explain in detail?
Ans. A Budd-Chiari syndromeRef: CMDT 2019 page 726Budd-Chiari syndrome occurs from thrombosis of the major hepatic veins and has been associated with oral contraceptives. The main diagnostic features are* Right upper quadrant pain and tenderness* Ascites* Imaging studies show occlusion/absence of flow in the hepatic vein(s) or inferior vena cava* Clinical picture is similar in sinusoidal obstruction syndrome but major hepatic veins are patent.