Budd-Chiari syndrome [BCS] is a rare, potentially
life-threatening condition characterized by the triad of
abdominal pain,
ascites, and
hepatomegaly (with or without
jaundice). There
will be an underlying disorder in most cases. The
diagnosis, as well as management of the case, requires a multidisciplinary approach. The
treatment should aim at reducing the presenting symptoms as well as removing the underlying
pathology. Here we explain a case
report of a 21-year-old
male patient in the subacute stage of BCS with its
complications and considered as a candidate for
liver transplantation. His
liver enzymes, PT/
INR, D- dimer, and
homocysteine values were above normal levels. The arterial
oxygen saturation level was subnormal, and he was on supportive
oxygen supplement. Inferior venacava [IVC] Doppler revealed a non-obstructive intrahepatic
thrombus. The
patient was treated with Homoeopathic
medicine Arsenicum album and
Arnica montana, given as an adjuvant to conventional
treatment.