Membranous budd-chiari syndrome in a well-anticoagulated patient

Abstract

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 embolia few years earlier and was on lifelong warfarin with a therapeutic international normalised ratio. She was effectively treated by venoplasty .