SECOND OPINION: A surgeon’s view of healthcare and policy in India

Anticoagulation and Budd-Chiari syndrome
Academic Carl Noronha Academic Carl Noronha

Anticoagulation and Budd-Chiari syndrome

Technical difficulties usually arise in infants when the vein size is too small for stenting. In 14 children with Budd-Chiari syndrome, we could perform radiological intervention successfully in 11; the procedure failed due to small vessel size in 3 patients.

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An unusual cause of acute liver failure
Academic Carl Noronha Academic Carl Noronha

An unusual cause of acute liver failure

ALA presenting as liver failure is rare and is not because of hepatocyte dysfunction, but due to compromised blood flow either from portal vein, hepatic vein or IVC compression, as was seen in our patient. Literature is scarce in the form of clinical case reports or imaging studies, documenting portal vein thrombosis in an ALA as a cause of liver failure.

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