ABSTRACT Budd Chiari Syndrome (BCS) is characterised by obstruction of hepatic venous outflow and Inferior Vena Cava (IVC) causing portal hypertension.The gold standard imaging for such a case is Contrast Enhanced Computed Tomography (CECT).The conventional treatment of BCS involves systemic thrombolysis, surgical shunt (transjugular intrahepatic portosystemic shunt) or IVC venoplasty with stenting with or without hepatic Conditioner Additive venoplasty.A case of 60-year-old male who presented with complaints of 3 months history of right loin pain and nocturia, Gaming Chairs who was later diagnosed with BCS with IVC web is presented.The clinical history was atypical whilst the Imaging findings of multiple venous collaterals on CECT abdomen and echogenic IVC thrombus traced till Right Atrium (RA) on longitudinal grey scale Ultrasonogram (USG) aided in diagnosis.
The percutaneous interventional procedure of IVC venoplasty with stenting was done and patient recovered with good prognosis.