case_images: PMC11834072_01
case_images: The image appears to show a person's abdomen, which is notably distended.
case_images: gr1.jpg
case_images: PMC11834072_01_gr1.jpg
case_images: f0005
case_images: A CT costal margin, Inverted umbilicus, a sign commonly associated with prolonged ascites look Fig. 1.
case_images: CT findings: (A, B) Axial and coronal CT post contrast image shows non-opacified hepatic veins (black arrows in the image A and B) with mild splenomegaly and moderate ascites. C) axial post contrast image: Mildly enlarged liver with heterogeneous hypo attenuation and patchy enhancement (nutmeg liver) with minimal bilateral pleural effusion.. d) Sagittal post contrast images: focal intrahepatic IVC narrowing (double headed arrow on D).
case_images: gr2.jpg
case_images: PMC11834072_01_gr2.jpg
case_images: f0010
case_images: The patchy enhancement seen was due to the inconsistent perfusion within the liver parenchyma. as well as focal intrahepatic narrowing of the inferior vena cava (IVC), suggesting vascular obstruction. These imaging results collectively confirm the diagnosis of Budd-Chiari syndrome look Fig. 2.
case_images: Patient flow chart.
case_images: gr3.jpg
case_images: PMC11834072_01_gr3.jpg
case_images: f0015
case_images: During this hospitalization, percutaneous drainage of ascites was performed, and diuretics were initiated look Fig. 3.