Shahid Sarwar, Anwaar Ahmad Khan.
Budd Chiari syndrome: a rare complication of renal cancer.
J Coll Physicians Surg Pak Jan ;18(11):726-7.

A 52 years old lady was admitted with 2 weeks history of abdominal distension and drowsiness. Laboratory workup confirmed the presence of de-compensated liver disease with negative viral serology. Abdominal ultrasound and CT abdomen revealed tumour in right kidney with tumour thrombus extending in inferior vena cava and hepatic vein resulting in Budd Chiari syndrome and ascites. Patient was managed with medications only due to advanced liver disease.

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