Also referred to as Budd-Chiai Syndrome
 
Anatomic and physiologic changes brought about by reduction of hepatic venous outflow

Can see a blockage in the Hepatic Vein – this takes blood from the liver and returns it to the heart.

The result of this blockage is damage to the liver

75% is associated with predisposing factors of hereditary and acquitted hypercoagulable states
25% have multiple disorders

Causes my be a tumor or a thrombi (blood clot)

 Symptoms:

   -  Painful abdomen
   -  Vomiting
   -  Jaundice
   -  Enlarged spleen
   -  Ascites.      
   -  In a more chronic form varices and hepatic coma may be possible.

Doppler Ultrasound can be helpful
Liver biopsy when appropriate

Treatment is dependant on cause

   -  Ascites – treat with fluid and salt retention and diuretic

   -  TIPS procedure placement in certain individuals

   -  Anticoagulation medication