Budd-Chiari syndrome after taking oral contraceptives

Abstract

A case of Budd-Chiari syndrome in a young woman taking oral contraceptives is described. Her main complaints were of abdominal pain and ascites without hepatosplenomegaly and the subsequent development of shock. Diagnosis was established by selective hepatic arteriogram and vena cavagram. She was treated with supportive measures, anticoagulants and neomycin. At the time of this report, the patient is slowly convalescing, taking coumadin, diuretics and Aldactone, as well as supplementary vitamins. Reviewed are 14 cases of Budd-Chiari syndrome occurring while patients weretaking oral contraceptives.