The hallmark of Budd-Chiari syndrome is a triad of right upper quadrant abdominal pain, ascites, and hepatomegaly. Symptoms of Budd-Chiari syndrome include fever, abdominal pain, abdominal distension from ascites, lower extremity edema, jaundice, gastrointestinal bleeding from varices, portal hypertensive gastropathy, hepatic encephalopathy. Patients with subacute or chronic Budd-Chiari syndrome may be asymptomatic.

History and symptoms of Budd-Chiari syndrome include the following:^[1][2][3]

The hallmark of Budd-Chiari syndrome is a triad of right upper quadrant abdominal pain, ascites, and hepatomegaly. A positive history of associated risk factors such as myeloproliferative disorders, malignancy, paroxysmal nocturnal hemoglobinuria, antiphospholipid syndrome, factor V Leiden mutation, infections and benign liver lesions, oral contraceptives and pregnancy, hypercoagulable states, Behçet’s syndrome, membranous webs may be associated with Budd-Chiari syndrome.

• Symptoms of Budd-Chiari syndrome include:
  • Fever
  • Abdominal pain
  • Abdominal distension from ascites
  • Lower extremity edema
  • Jaundice
  • Gastrointestinal bleeding from varices or portal hypertensive gastropathy
  • Hepatic encephalopathy.

• Patients with subacute or chronic Budd-Chiari syndrome may be asymptomatic.