Large-vein, thrombotic, hepatic venous outflow obstruction (Budd-Chiari syndrome). A case report.
A patient with Budd-Chiari syndrome caused by large-vein, thrombotic, hepatic venous outflow obstruction, who was initially treated conservatively, is presented. The hazards of this approach are emphasised. Accurate classification of Budd-Chiari syndrome and active treatment tailored to the site and nature of the hepatic venous outflow obstruction are indicated to prevent progressive hepatic damage leading to chronic liver failure, portal hypertension and eventual death.