Bilateral pulmonary thromboembolism and Budd-Chiari syndrome in a patient with Crohn's disease on oral contraceptives

Mas, M. Valdés; Pascual, Cristina Martínez; Valenzuela, Juan Egea; Bonil, M. C. Martínez; Acosta, A. Vargas; Sánchez, Maria Luisa Ortiz; López, María Dolores; Álvarez, F. Carballo

doi:10.4321/s1130-01082009000900009

Cited by 4 publications

(2 citation statements)

References 44 publications

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“…The majority of these patients show no signs or symptoms. Patients who have had diagnostic imaging for unrelated reasons are frequently found to have Chiari malformations [8,9]. Type I Chiari malformation develops as the skull and brain mature [10].…”

Section: Introductionmentioning

confidence: 99%

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Case Report on Chiari Syndrome

Meshram

Tembhare

Singh

et al. 2021

JPRI

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Chiari Malformation is a rare condition. A condition known as Chiari malformation occurs when brain tissue spreads into the spinal canal. When a portion of your skull is excessively small or malformed, it presses on your brain and forces it downward. Chiari malformation is a rare occurrence, although the increased use of imaging testing has resulted in more diagnosis. Case Presentation: A 18-year-old boy was admitted to the hospital with the following symptoms: Tingling sensation, numbness over left hand since 2 to 3 months. Neck bend toward right side, pain in left hand since 6 month. Difficulty during eating by hand since 2 to 3 month. On physical examination, indicated a bright attentive person with pale conjunctiva and no symptoms of icterus. He had a tachycardia, bilateral pitting pedal edema and a swollen abdomen with shifting dullness, all of which pointed to as cites. He had a history of intermittent abdominal pain. On admission he complaint of new onset of dyspnea on exertion, fatigue and abdominal swelling. The rest of all physical examination was normal, with no skin changes and an intact arterial pulses in all four extremities. Conclusion: The primary focus of this case study is on professional management and outstanding nursing care, which may provide the holistic care that Chiari Syndrome necessitates while also effectively managing the challenging case. After a full recovery, the patient's comprehensive health care team collaborates to help the patient regain his or her previous level of independence and satisfaction.

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Section: Introductionmentioning

confidence: 99%

“…The cerebellum isn't developing properly [2]. Other abnormalities of the brain and brainstem may be present [8,12].…”

Section: Introductionmentioning

confidence: 99%

Case Report on Chiari Syndrome

Meshram

Tembhare

Singh

et al. 2021

JPRI

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An enigmatic case presentation of Budd-Chiari syndrome with pulmonary embolism: An unusual syndrome with an uncommon complication

Al-Sharydah

Al-Abdulwahhab

Alola

2018

International Journal of Surgery Case Reports

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Budd-Chiari syndrome: a rare and life-threatening complication of Crohn’s disease

et al. 2018

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Budd-Chiari syndrome (BCS) is characterised by obstruction of hepatic venous outflow and may be triggered by the prothrombotic state associated with inflammatory bowel disease (IBD). We reported a case of Crohn’s disease (CD) that presented with anasarca, ascites, symptomatic hepatomegaly, elevated liver enzymes, increased prothrombin time and low albumin. Oesophagogastroduodenoscopy and colonoscopy confirmed active CD. Abdominal CT showed hepatic vein thrombosis. Liver biopsy revealed severe perivenular sinusoidal dilation with areas of hepatocyte dropout, bands of hepatocyte atrophy and centrizonal fibrosis, suggestive of BCS. The patient was treated with steroids for CD and systemic anticoagulants for BCS. His liver function and enzymes normalised, and he reported symptomatic improvement. The precise mechanism responsible for increased hypercoagulability in IBD remains unclear. Early recognition and treatment for possible thrombotic complications of CD is critical to prevent potentially fatal events like pulmonary embolism or liver failure.

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Bilateral pulmonary thromboembolism and Budd-Chiari syndrome in a patient with Crohn's disease on oral contraceptives

Cited by 4 publications

References 44 publications

Case Report on Chiari Syndrome

Case Report on Chiari Syndrome

An enigmatic case presentation of Budd-Chiari syndrome with pulmonary embolism: An unusual syndrome with an uncommon complication

Budd-Chiari syndrome: a rare and life-threatening complication of Crohn’s disease

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