Skip to content
DraconiticResearch
Search Sources API
186,631 studies31 sourcesUpdated 28 min ago
Peer-reviewedCC BYCureus

Silent Congestion: Chronic Budd-Chiari Syndrome Unmasked by Acute Decompensation.

  • Justin McClusky1
  • Jasneet Gill2
  • Chimezie Mbachi3
  1. 1Internal Medicine, Community Health Systems - Tennova North Knoxville Medical Center, Knoxville, USA.
  2. 2Internal Medicine, Tennova North Knoxville Medical Center, Knoxville, USA.
  3. 3Gastroenterology and Hepatology, Community Health Systems - Tennova North Knoxville Medical Center, Knoxville, USA.
Read full textPDFDOICite

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.

Related

  1. P095 Acquired Bartter syndrome secondary to subclinical Sjögren’s disease with a positive anti-Ro antibody, unmasked during pregnancy: a case report
    Rheumatology advances in practicePeer-reviewedCC BYFull textGeneral medicineEurope PMC
  2. A Gallstone Masquerading as Hepatic Decompensation: A Case of Bouveret Syndrome.
    Likhitha Nadendla, Shanthi Vijayaraghavan
    CureusPeer-reviewedCC BYFull textGeneral medicineEurope PMC
  3. Renal Dysfunction and Cardiorenal Syndrome in Acute Heart Failure: A Systematic Review of Residual Congestion and Decongestion Response
    Abdul Hannan, Abul Kashem Himon, Sarah Singh +7
    CureusPeer-reviewedCC BYFull textGeneral medicineEurope PMC
  4. Urologically silent intravesical migration of a copper intrauterine device presenting as chronic pelvic pain: CT features and comparison with reported cases.
    Montacer Hafsi, Asma Zouaghi, Oumayma Yaich +3
    Radiology case reportsPeer-reviewedCC BYFull textMedical imaging & radiologyEurope PMC
  5. SCN5A mutation-associated atrial cardiomyopathy unmasked by atrial flutter.
    Judith Küpper, Christophe Scavée, Sébastien Marchandise +1
    HeartRhythm case reportsPeer-reviewedCC BY-NC-NDFull textCardiovascular medicineEurope PMC

Cite

BibTeXRIS
BibTeX
@article{mcclusky2026silent,
  title = {{Silent Congestion: Chronic Budd-Chiari Syndrome Unmasked by Acute Decompensation.}},
  author = {Justin McClusky and Jasneet Gill and Chimezie Mbachi},
  journal = {Cureus},
  year = {2026},
  month = sep,
  doi = {10.7759/cureus.117029},
  url = {https://europepmc.org/article/MED/42953839},
  note = {CC BY},
}
RIS
TY  - JOUR
TI  - Silent Congestion: Chronic Budd-Chiari Syndrome Unmasked by Acute Decompensation.
AU  - Justin McClusky
AU  - Jasneet Gill
AU  - Chimezie Mbachi
PY  - 2026
DA  - 2026/09/27
JO  - Cureus
DO  - 10.7759/cureus.117029
UR  - https://europepmc.org/article/MED/42953839
AB  - 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.
SN  - 2168-8184
ER  -