{
  "abstract": "We report a case of a 27-year-old male patient without previously recognized liver disease who developed progressive abdominal distention, ascites, portal hypertensive physiology, and acute hepatic decompensation due to acute-on-chronic Budd-Chiari syndrome. Multimodality imaging demonstrated recanalization of the umbilical vein, abnormal portal venous flow, and severe hepatic venous outflow obstruction. The case highlights the importance of recognizing chronic imaging findings in patients with acute deterioration and the procedural challenges associated with chronic hepatic venous occlusion.",
  "abstract_shown": true,
  "affiliations": [
    "Internal Medicine, Community Health Systems - Tennova North Knoxville Medical Center, Knoxville, USA.",
    "Internal Medicine, Tennova North Knoxville Medical Center, Knoxville, USA.",
    "Gastroenterology and Hepatology, Community Health Systems - Tennova North Knoxville Medical Center, Knoxville, USA."
  ],
  "article_type": "case report",
  "arxiv": null,
  "author_total": 3,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Justin McClusky"
    },
    {
      "affs": [
        1
      ],
      "name": "Jasneet Gill"
    },
    {
      "affs": [
        2
      ],
      "name": "Chimezie Mbachi"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/6n236xfb65tcc.bib",
  "cited_by": 0,
  "doi": "10.7759/cureus.117029",
  "fulltext_url": "https://europepmc.org/articles/PMC13716143",
  "id": "6n236xfb65tcc",
  "issns": [
    "2168-8184"
  ],
  "landing_url": "https://europepmc.org/article/MED/42953839",
  "language": "eng",
  "licence": "CC-BY",
  "licence_label": "CC BY",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "heading",
      "Gastroenterology"
    ],
    [
      "heading",
      "Hematology"
    ],
    [
      "heading",
      "Internal Medicine"
    ],
    [
      "openalex",
      "2746|Vascular anomalies and interventions"
    ]
  ],
  "openalex": "W7214524639",
  "pdf_url": "https://europepmc.org/articles/PMC13716143?pdf=render",
  "pmcid": "PMC13716143",
  "pmid": "42953839",
  "published": "2026-09-27",
  "publisher": "Cureus Inc.",
  "ris": "https://research.draconitic.com/paper/6n236xfb65tcc.ris",
  "sources": [
    {
      "first_seen": "2026-10-31T00:20:41Z",
      "native_id": "MED:42953839",
      "source": "europepmc",
      "url": "https://europepmc.org/article/MED/42953839"
    },
    {
      "first_seen": "2026-11-01T12:23:12Z",
      "native_id": "PMC13716143",
      "source": "pmc",
      "url": "https://doi.org/10.7759/cureus.117029"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2746|Vascular anomalies and interventions",
      "subfield": "surgery"
    }
  ],
  "title": "Silent Congestion: Chronic Budd-Chiari Syndrome Unmasked by Acute Decompensation.",
  "title_text": "Silent Congestion: Chronic Budd-Chiari Syndrome Unmasked by Acute Decompensation.",
  "type": "peer-reviewed",
  "updated_at": "2026-11-01T12:23:12Z",
  "url": "https://research.draconitic.com/paper/6n236xfb65tcc",
  "venue": "Cureus",
  "versions": []
}