{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T00:04:48Z","timestamp":1756339488670,"version":"3.44.0"},"reference-count":27,"publisher":"BMJ","issue":"7","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2021,6,24]]},"published-print":{"date-parts":[[2021,7]]},"abstract":"<jats:p>Persistent hiccups has not been reported previously with suprahepatic inferior vena cava (IVC) stenting. Persistent hiccups after palliative oesophageal stenting has been reported. We present a case of a 41-year-old male patient diagnosed with primary Budd-Chiari syndrome who underwent IVC stenting for suprahepatic IVC stenosis. Patient developed transient hiccups post procedure which settled immediately with medications. Patient developed a recurrence of symptoms after a year due to stent migration which led to redo stenting. Post-procedure, the patient developed persistent hiccups which could not be controlled by physiological methods or chlorpromazine and needed baclofen at a dose of 10\u2009mg three times a day. The patient has been symptom-free for the past 2\u2009years. Persistent hiccups may present as a rare complication of suprahepatic IVC stenting due to extrinsic phrenic nerve compression or by direct irritation of the diaphragm. Baclofen has been effective in terminating persistent hiccups in our case.<\/jats:p>","DOI":"10.1136\/bcr-2021-242707","type":"journal-article","created":{"date-parts":[[2021,7,20]],"date-time":"2021-07-20T11:59:55Z","timestamp":1626782395000},"page":"e242707","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Persistent hiccups \u2013 A rare complication of suprahepatic inferior vena cava stenting"],"prefix":"10.1136","volume":"14","author":[{"given":"Jithin Jagan","family":"Sebastian","sequence":"first","affiliation":[{"name":"Department of Vascular Surgery, Sri Ramachandra Institute of Higher Education and Research, Chennai, Tamil Nadu, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Radhakrishnan","family":"Raju","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery, Sri Ramachandra Institute of Higher Education and Research, Chennai, Tamil Nadu, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kapil","family":"Mathur","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery, Sri Ramachandra Institute of Higher Education and Research, Chennai, Tamil Nadu, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Makkathai Kanakasabai","family":"Ayyappan","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery, Sri Ramachandra Institute of Higher Education and Research, Chennai, Tamil Nadu, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2021,7,20]]},"reference":[{"doi-asserted-by":"publisher","key":"2025082708120576000_14.7.e242707.1","DOI":"10.1016\/S0168-8278(02)00434-8"},{"key":"2025082708120576000_14.7.e242707.2","doi-asserted-by":"crossref","first-page":"2587","DOI":"10.3748\/wjg.v9.i11.2587","article-title":"Long-term effect of stent placement in 115 patients with Budd-Chiari syndrome","volume":"9","author":"Zhang","year":"2003","journal-title":"World J Gastroenterol"},{"key":"2025082708120576000_14.7.e242707.3","doi-asserted-by":"crossref","first-page":"172","DOI":"10.1016\/j.jhep.2003.09.028","article-title":"Pharmacological thrombolysis in Budd Chiari syndrome: a single centre experience and review of the literature","volume":"40","author":"Sharma","year":"2004","journal-title":"J Hepatol"},{"doi-asserted-by":"publisher","key":"2025082708120576000_14.7.e242707.4","DOI":"10.1111\/j.1478-3231.2008.01684.x"},{"key":"2025082708120576000_14.7.e242707.5","doi-asserted-by":"crossref","first-page":"21","DOI":"10.1097\/00005792-199401000-00003","article-title":"Hepatic outflow obstruction (Budd-Chiari syndrome). experience with 177 patients and a review of the literature","volume":"73","author":"Dilawari","year":"1994","journal-title":"Medicine"},{"doi-asserted-by":"publisher","key":"2025082708120576000_14.7.e242707.6","DOI":"10.1055\/s-0028-1085094"},{"key":"2025082708120576000_14.7.e242707.7","doi-asserted-by":"crossref","first-page":"1577","DOI":"10.1111\/liv.14114","article-title":"Long\u2010term outcomes of individualized treatment strategy in treatment of type I Budd-Chiari syndrome in 456 patients","volume":"39","author":"Ding","year":"2019","journal-title":"Liver Int"},{"key":"2025082708120576000_14.7.e242707.8","doi-asserted-by":"crossref","first-page":"3988","DOI":"10.1007\/s00268-018-4722-7","article-title":"Stenting in palliation of unresectable esophageal cancer","volume":"42","author":"W\u0142odarczyk","year":"2018","journal-title":"World J Surg"},{"doi-asserted-by":"publisher","key":"2025082708120576000_14.7.e242707.9","DOI":"10.1016\/j.athoracsur.2007.07.059"},{"key":"2025082708120576000_14.7.e242707.10","first-page":"150","article-title":"Baclofen-responsive hiccups after esophageal stenting for malignancy-related dysphagia","volume":"29","author":"Sharma","year":"2016","journal-title":"Proc"},{"doi-asserted-by":"publisher","key":"2025082708120576000_14.7.e242707.11","DOI":"10.1016\/S0196-0644(05)81620-8"},{"key":"2025082708120576000_14.7.e242707.12","first-page":"173","article-title":"Persistent hiccup","volume":"150","author":"Bailey","year":"1943","journal-title":"Practitioner"},{"unstructured":"Steele RJ . 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