A Case Report on Budd Chiari Syndrome in a 40 Years Women with Vitamin K Supplement Administration and Recurrent Oral Cavity Ulcers Pamu Sagar, Thakkalapally Lakshmi, Vuyyala Balakrishna School of Pharmacy, Guru Nanak Institutions Technical Campus, Ibrahimpatnam, Hyderabad. E-Mail: dr.sagar@live.com Online published on 27 September, 2019. Abstract Recurrent oral ulcers (Behcets syndrome) were known risk of causing Budd Chiari syndrome. Budd Chiari Syndrome caused by occlusion of the hepatic vein that drain the liver. Vitamin K, coagulant supplement worsens more of Budd Chiari syndrome. The purpose of this case report to present is an unusual case in India diagnosed with Budd Chiari Syndrome due to history of recurrent ulcers and Vitamin K administration due to past medical history of hemorrhagic anemia. The symptoms of Budd Chiari syndrome are abdominal pain, ascites, hepatomegaly, swelling of legs and ankles and itching. This disease with a sudden and severe onset may cause portal hypertension. Case Presentation: A female patient of 40 years age was reported with a Budd Chiari syndrome a severe vascular complication in liver. Her blood picture reports decreased in hemoglobin percentage, increased in WBC count and her liver function reports high levels of SGOT, high levels of SGPT and low levels of total proteins and albumins. Ascitic fluid examination of peritoneum reveals high levels of polymorphonuclear neutrophils and high levels of lymphocytes. Ultrasound, Doppler ultrasound and Liver Biopsy results with change of liver structure and functions. Conclusion: The patient suffers from anemia where Vitamin K supplements and her recurrent oral cavity ulcers makes the patient more worsening of Budd Chiari Syndrome. Although there is no known pathogenic mechanism but early diagnosis makes the less risk of severity of disease with an exact management. Top Keywords Budd Chiari Syndrome, Vitamin K, Behcets Syndrome, Hepatomegaly. Top |