| Literature DB >> 25755508 |
Pooja D Amarapurkar1, Sunil J Parekh1, Punamiya Sundeep2, Deepak N Amarapurkar3.
Abstract
Patients with thrombophilic disorder while undergoing intra-abdominal surgery may develop splanchnic vein thrombosis which can have dire consequences. Here we report a case of a 38-year-old female who developed acute Budd-Chiari syndrome after a laparoscopic cholecystectomy. She had polycythemia vera which was not diagnosed before surgery. In this report we want to highlight presurgical evaluation of routine biochemical tests and ultrasonography suggestive of myeloproliferative disorders were missed which led to the Budd-Chiari syndrome. We recommend a meticulous look at the routine evaluation done prior to cholecystectomy is essential.Entities:
Keywords: ABC, acute Budd–Chiari; BCS, Budd–Chiari syndrome; Budd–Chiari syndrome; CT, computed tomography; ET, essential thrombocythemia; GB, gall bladder; IVC, inferior vena cava; JAK 2 mutation; LAP, leukocyte alkaline phosphatase score; MPD, myeloproliferative disorders; PMF, primary myelofibrosis; PNH, paroxysmal nocturnal hemoglobinuria; PV, polycythemia vera; PVT, portal venous thrombosis; RUQ, right upper quadrant; SAAG, serum ascites albumin gradient; TIPS, transjugular intrahepatic porta caval shunt; USG, ultrasonography; WBC, white blood cell; cholecystectomy; myeloproliferative disorder; polycythemia vera
Year: 2013 PMID： 25755508 PMCID： PMC4216828 DOI： 10.1016/j.jceh.2013.07.001
Source DB: PubMed Journal: J Clin Exp Hepatol ISSN： 0973-6883