general aspect: 24 years old female is noticed to have rapidly developing diffuse abdominal distention within 20 days.on examination no jaundice ,no ll edema, no organomegally,just pallor and dullness allover the abdomen.
by investigations :
HB:10.2
prothrombin activity:92%
liver functions:billirubin D:0.2
IND:0.8
SGPT :22
SGOT :26
albumin:3.6gm
ascitic fluid :total protein 5 (normally no ascitic fluid or protein)and no RBCS, cells:50
U.S:hepatosplenomegally ,cirrhotic liver,patent portal vein
E.S.R:32,68
WHAT IS YOUR DIAGNOSIS
11 التعليقات:
بسم الله الرحمن الرحيم
it is acase of Budd chiari syndrome discovered later by Doppler on hepatic veins
rapidly accumulating asceites may be due to malignancy ,peritonitis and T.Bperitonitis portal thrombosis,budd chiari and veno occlusive disease ............
absence of RBCS in asceitic fluid is against TB and malignancy
presence of cirrhosis is due to chronicity of Budd chiari syndrome in hepatic veins
thank you all
it is realy a goog blog
but it is still in the shadow
but soon will have it's great effect
i try to follow up here but i don't answer
thanks
thanks for your sympathy .it made me more sad but im really working on to move from the shadow .thanks again
it is an intresting case
really i did not know it
thanx dr shady
keep in progress
No
no
i didn't mean in that way
it is realy agood one
go on
تمام والله يا شادى
أنا بصراحة مكنتش متوقع انى ألاقى فيها كل المجهود الجبار دا
بصراحة الفكرة والمدونة والحالات عجبونى جدا
ومن هنا وجاى هبدأ أتابعك
بس استنى عليه أما أفوق وأنا هجيبلك الحل
سامح هلال
أنا قلتلك ياعم شادى السكة دى جامدة
بس بالراحة علينا فى الحالات شوية
إحنا لسه أندر
وبعدين فين الاختيارات
أنا دماغى فيها حاجات كتير
لازم تحجمنى عشان المنهج سايح
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