Budd-Chiari Syndrome: A Case Report of a Rare Presentation of COVID-19

• Published in: Curēus (Palo Alto, CA) CA), 2021-01, Vol.13 (1), p.e12554
• Main Authors: Sh Hassan, Azhar A, Alsaleh, Mujtaba E, Alsaleh, Muntadher E, Al Zaher, Fatimah A, Almajed, Fatema A, Alkhudhair, Ahmed M, Alali, Maram M, Alzayer, Hassan A, Alolayan, Areej J
• Format: Article
• Language: English
• Subjects: Hematology; Infectious Disease; Internal Medicine
• ISSN: 2168-8184; 2168-8184
• DOI: 10.7759/cureus.12554

Coronavirus Disease 2019 (COVID-19) predominantly involves the respiratory system and shows a wide range of severity. There is a growing body of evidence about the occurrence of thromboembolic events in COVID-19. Case Report: We report the case of a 48-year-old female patient who presented with sudden-onset abdominal pain. Physical examination revealed ascites and tender hepatomegaly. Subsequently, abdominal computed tomography was performed which revealed thrombosis in the hepatic vein and inferior vena cava in keeping with Budd-Chiari Syndrome. The patient was started on low-molecular-weight heparin and supportive care. Clinical improvement was observed over the course of the treatment and the patient was discharged after 10 days from the presentation. Thromboembolic events could be the first manifestation of COVID-19. Early recognition of these complications is crucial for prompt management.