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BMJ Case Rep. 2010; 2010: bcr0520102990.
Published online 2010 October 28. doi:  10.1136/bcr.05.2010.2990
PMCID: PMC3027716
Unusual association of diseases/symptoms

Membranous Budd–Chiari syndrome in a well-anticoagulated patient


We describe an unusual case of a 54-year-old woman who was diagnosed with a subacute Budd–Chiari syndrome due to membranous venous obstruction in the inferior vena cava. The unusual feature of this case was that she had been diagnosed with pulmonary emboli a few years earlier and was on lifelong warfarin with a therapeutic international normalised ratio. She was effectively treated by venoplasty.

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