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Year : 2012  |  Volume : 16  |  Issue : 7  |  Page : 117-119

Budd-Chiari syndrome in a patient of diabetic ketoacidosis

1 Department of Endocrinology, Gauhati Medical College and Hospital, Guwahati, India
2 Department of Gastroenterology, Gauhati Medical College and Hospital, Guwahati, India

Correspondence Address:
Arundhati Dasgupta
Flat no. 503, A-14, Games Village, Beltola, Guwahati - 29
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/2230-8210.94252

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We report a rare case of Budd-Chiari syndrome developing in a patient undergoing treatment for diabetic ketoacidosis. A 27-year-old female presented with newly detected Type 1 diabetes with sepsis in ketoacidosis. During the process of treatment, she developed pain abdomen, ascites, and pedal edema. Investigations revealed an alteration of liver function and imaging characteristics of acute on chronic Budd-Chiari syndrome. All known etiological factors for Budd-Chiari syndrome were negative. Diabetic ketoacidosis, being a severely dehydrated state often associated with sepsis, may precipitate an acute presentation of previously asymptomatic Budd-Chiari syndrome.

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