system
Medical AI Inquiry: You were designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.
user
A 40-year-old woman presents with abdominal pain and yellow discoloration of the skin for the past 4 days. She says that her symptoms onset gradually and progressively worsened. Past medical history is unremarkable. She has been taking oral contraceptive pills for 4 years. Her vitals include: pulse 102/min, respiratory rate 15/min, temperature 37.5°C (99.5°F), and blood pressure 116/76 mm Hg. Physical examination reveals abdominal pain on palpation, hepatomegaly 4 cm below the right costal margin, and shifting abdominal dullness with a positive fluid wave. Hepatitis viral panel is ordered which shows:
Anti-HAV IgM Negative
HBsAg Negative
Anti-HBs Negative
IgM anti-HBc Negative
Anti-HCV Negative
Anti-HDV Negative
Anti-HEV Negative
An abdominal ultrasound reveals evidence of hepatic vein thrombosis. A liver biopsy is performed which shows congestion and necrosis in the central zones. Which of the following is the most likely diagnosis in this patient?
assistant
Budd-Chiari syndrome