Abstract
Budd-chiari syndrome is a condition caused by occlusion of the hepatic veins that drain the liver. It presents with the classical triad of abdominal pain, ascites and liver enlargement. The formation of a blood clot within the hepatic veins can lead to Budd-chiari syndrome. Though rare in incidence (1 in million) BCS can lead to significant morbidity and mortality. Any obstruction in the hepatic veins confirms its diagnosis through USG abdomen/CT abdomen. A 50 years old male patient presented with ascites, scrotal and lower extremities with pitting type of edema. Initial management was conservative with paracentesis and intravenous diuretics to reduce the accumulated fluid later anticoagulants were given to dissolve the any obstruction for the hepatic flow. Liver transplantation is the outcome management if all these gets fail to improve patient condition. To avoid this, early diagnosis helps to reduce the risk of morbidity and mortality.
