摘要
各种疾病均可引起腹水。作者报道了1例17岁的女性患者,表现为反复发作的腹痛、腹水和胸腔积液。采用很多检查方法都未发现病因。最后,内镜检查和肝活组织检查显示了门静脉高压征象的存在,通过MRI扫描诊断为可能由于I型C蛋白缺乏引起的Budd-Chiari 综合征。
Ascites is caused by heterogeneous disorders. We report on a 17-year-old female patient presenting with recurrent abdominal pain, ascites, and pleural effusions. Even with a wide range of diagnostic methods no etiology was found. Finally, endoscopy and liver biopsy showed signs of portal hypertension and MRI scans led to the diagnosis of Budd-Chiari syndrome probably due to protein C deficiency type I.