Budd-Chiari Syndrome Presenting as a Chronic Lower Leg Ulcer : A Case Report

Abstract

 Budd-Chiari syndrome is a rare disorder characterized by hepatic vein or inferior vena cava obstruction, resulting in portal hypertension and varicose veins in the lower limbs. Herein, we report a 39-year-old male with a chronic lower-leg ulcer that was initially suspected to be a venous ulcer. Venous ultrasonography revealed central venous obstruction, based on which Budd-Chiari syndrome was diagnosed. Due to the complexity of revascularization, conservative management with compression bandaging was performed, which effectively controlled the patient's venous pressure. This case highlights the importance of a comprehensive examination of the ulcer, abdomen, and contralateral limb, as a localized approach may not always facilitate optimal healing.