Danalioğlu Ahmet, Poturoğlu Sule, Güngör Güllüoğlu Mine, Demir Kadir, Beşişik Fatih, Cakaloğlu Yilmaz, Cevikbaş Uğur, Okten Atilla
Istanbul University, Istanbul Medical Faculty, Gastroenterohepatology Department, Istanbul, Turkey.
Turk J Gastroenterol. 2003 Dec;14(4):262-5.
Budd-Chiari syndrome is thrombosis of the hepatic veins, and associated conditions vary. Budd-Chiari and celiac sprue association is a rare condition. A 24-year-old woman was admitted to the clinic with complaints of weakness, distended abdomen and weight loss for four months. Results of investigation showed Budd-Chiari syndrome and malabsorption with endomysial antibodies and intestinal villous atrophy. All known etiological factors for Budd-Chiari syndrome were negative. Three months after initiation of a gluten-free diet and replacement therapy, she died from infection of ascitic fluid and renal failure following umbilical hernia rupture. Celiac sprue must be remembered especially in the event of Budd-Chiari syndrome and malabsorption.
布加综合征是肝静脉血栓形成,其相关情况各不相同。布加综合征与乳糜泻的关联是一种罕见病症。一名24岁女性因虚弱、腹部膨隆和体重减轻4个月而入院。检查结果显示为布加综合征以及伴有肌内膜抗体和肠绒毛萎缩的吸收不良。所有已知的布加综合征病因学因素均为阴性。在开始无麸质饮食和替代疗法3个月后,她因腹水感染和脐疝破裂后肾衰竭而死亡。尤其是在出现布加综合征和吸收不良的情况下,必须要考虑到乳糜泻。