Part 8 · The Gut and the Liver
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The blockage can involve small hepatic veins, large hepatic veins, the inferior vena cava or the route toward the right atrium, excluding heart and pericardial causes. Think of Budd-Chiari when abdominal pain, tender hepatomegaly and ascites appear together, especially with thrombophilia, myeloproliferative neoplasm, pregnancy/postpartum state, oral contraceptive exposure or unexplained clotting.
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