{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,10,22]],"date-time":"2023-10-22T14:15:40Z","timestamp":1697984140739},"reference-count":2,"publisher":"Universa BV","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["AGEB"],"published-print":{"date-parts":[[2023,9]]},"abstract":"<jats:p>A 59-year-old female presented to the emergency department with malaise, significant weight loss, abdominal discomfort, dyspnoea and severely swollen peripheral extremities. She had a past medical history of sickle cell anaemia, a latent tuberculosis infection and a chronic hepatitis B that was treated with PEG-interferon alpha-2 in 2008. Since 2018, she was lost to follow-up. The patient was critically ill, sarcopenic and lethargic. Clinical examination revealed icteric sclerae and a markedly distended and diffusely tender abdomen and peripheral oedemas. Her vital signs included a blood pressure of 105\/64 mmHg, tachycardia of 130 bpm, hypothermia of 35.6\u00b0C and a SpO2 of 100% in ambient air. Laboratory workup demonstrated a total bilirubin of 12.9 mg\/dL, AST 500 U\/L, ALT 218 U\/L, ALP 178 U\/L and GGT 126 U\/L, a thrombocytopenia of 34 x10E3\/ \u03bcL, 16,01 x10E3\/\u03bcL leukocytes, a CRP of 94.8 mg\/L and a lactate of 10,12 mmol\/L. The serum creatinine was 1.04 mg\/dL, eGFR 54.1 ml\/min. The INR was 2.77 and there was a severe hypoalbuminemia (22 g\/L). D-dimers were &gt;20 000 ng\/ml. The patient presented also with spontaneous hypoglycaemia. A multiphasic contrast-enhanced thoracic and abdominal computed tomography (CT) was performed (figure 1). Given the results of the CT, a 2D echocardiogram was urgently requested (figure 2).<\/jats:p>","DOI":"10.51821\/86.3.11994","type":"journal-article","created":{"date-parts":[[2023,10,21]],"date-time":"2023-10-21T17:26:27Z","timestamp":1697909187000},"page":"503-504","source":"Crossref","is-referenced-by-count":0,"title":["A remarkable presentation of a massive Budd-Chiari syndrome"],"prefix":"10.51821","volume":"86","author":[{"given":"K","family":"Ferdinande","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"H","family":"Degroote","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A","family":"Geerts","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"H","family":"Van Vlierberghe","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"X","family":"Verhelst","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S","family":"Raevens","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"27062","published-online":{"date-parts":[[2023,10]]},"reference":[{"key":"ref0","doi-asserted-by":"crossref","unstructured":"DE FRANCHIS R., BOSCH J., GARCIA-TSAO G., REIBERGER T., RIPOLL C. Baveno VII \u2013 Renewing consensus in portal hypertension. Journal of Hepatology., 2022, 76(4): 959-974.","DOI":"10.1007\/978-3-031-08552-9"},{"key":"ref1","doi-asserted-by":"publisher","unstructured":"REIG M., FORNER J., RIMOLA J., FERRER-FABREGA J., BURREL M., GARCIA-CRIADO A., et al. BCLC strategy for prognosis prediction and treatment recommendation: The 2022 update. Journal Of Hepatology., 2022, 76(3): 681-693.","DOI":"10.1016\/j.jhep.2021.11.018"}],"container-title":["Acta Gastro Enterologica Belgica"],"original-title":[],"language":"en","deposited":{"date-parts":[[2023,10,21]],"date-time":"2023-10-21T17:26:31Z","timestamp":1697909191000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ageb.be\/ageb-journal\/ageb-volume\/ageb-article\/2128\/A%20remarkable%20presentation%20of%20a%20massive%20Budd-Chiari%20syndrome\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,9]]},"references-count":2,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2023,10]]},"published-print":{"date-parts":[[2023,9]]}},"URL":"https:\/\/doi.org\/10.51821\/86.3.11994","relation":{},"ISSN":["1784-3227"],"issn-type":[{"value":"1784-3227","type":"print"}],"subject":[],"published":{"date-parts":[[2023,9]]}}}