Budd-Chiari syndrome is a very rare disorder in paediatric age group, which is characterised by narrowing or obstruction of hepatic venous outflow. The obstruction might be thrombotic or non-thrombotic along the course of hepatic venules to junction of inferior vena cava to the right atrium, which leads to abdominal pain in right hypochondrium, hepatomegaly, ascites and portal hypertension. The cause of venous obstruction in children is mainly due to hypercoagulable state. The mean age of Budd-Chiari syndrome is 20-40 years, but here we can see that it occurs in paediatric age group, so good clinical suspicion is required along with investigation to confirm the diagnosis. Traditional approach to the treatment of Budd-Chiari syndrome is systemic thrombolysis or surgical Porto systemic shunt. Recently, successful treatment of Budd-Chiari syndrome is done by endovascular techniques, including angioplasty and stent placement. Here, in this case it shows a successful percutaneous recanalization of complete hepatic vein occlusion by angioplasty and stent placement.

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It's unusual to find a meconium cyst in a premature newborn. Meconium pseudo cyst is a consequence of meconium peritonitis, a sterile chemical peritonitis caused by a perforation of the uterine tract. When a puncture in the intestine does not heal and communication with the cyst continues after birth, the cyst can expand, the cyst can get infected, and the pseudo cyst can rupture. This is a case report of a newborn who developed perforated peritonitis due to the rupture of a meconium pseudo cyst [1]. Our patient was born prematurely at 34 weeks and had a caesarean procedure. She had a large abdominal distention that was later confirmed as a meconium cyst.