British Liver Trust

Tests which will conclude the reason of Budd chiari syndrome?

I am diagnosed with Advanced Liver Cirrhosis (Liver Biopsy) and Budd chiari syndrome (MRCP).

1) what are the tests, which will conclude the reason of Budd chiari syndrome.

2) According to MRCP report there are few veno-venous shunt noted large one measuring 3 x 2cm between L interior branch of portal and draning via a dilated tributary in to the intra hepatic portal of IVC in segment iv b of left lobe and another measurement 3.5 x 3 cm between the crimal terminal branch of portal vien in segment viii of R lobe of liver draining in to the R Suprarenal vein

Hepatic veins are not visualised.

No ascites.

No significant abdominal lymphadenopethy.

Spleenomegaly long axis 14cm.

3) what should be the next line of treatment.



1 Reply

Good Afternoon,

Unfortunately there is no one test that will conclude the reason behind the Budd-Chiari syndrome, this is because there can be many cause’s including; genetic or other causes for the blood clotting too easily, having a tumour, or chronic inflammatory disease such as IBS, pregnancy or a high dose of oestrogen from using an oral contraception. The doctors will have to do some further investigations to find the cause.

The treatment options will depend on the cause but its aim will be to keep your liver function stable and maintain the blood flow through the liver.

You can find out more on our website by looking at our Budd-Chiara syndrome leaflet:

Kind regards

Sandy Forsyth

Patient Support and Information Manager

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