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Budd Chiari syndrome is an uncommon condition which occurs in individuals in the 3rd or 4th decade due to obstruction to the venous outflow in the hepatic vein. Patients present with ascites, abdominal pain more so in the right upper quadrant along with jaundice. Most of the patients have an underlying thrombotic pathology which leads to the obstruction. It must be distinguished from other conditions which present with similar symptoms of jaundice and upper abdominal pain. A thorough abdominal work up is needed so as to rule out other causes such as liver abscess, liver cirrhosis, liver metastasis and right heart failure. Prognosis is poor in cases where the cause of the obstruction is not determined and if life long anticoagulation is not provided. Younger patients have a better prognosis.
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