Budd Chiari Syndrome Revealed by Spinal Cord Compression

Budd-Chiari syndrome results from obstruction of hepatic venous drainage, from the hepatic venules to the terminal part of the inferior vena cava, whatever the cause of the obstruction. It may be of primary or secondary origin. In our case, we report a case of Budd-Chiari syndrome with thrombosis of the terminal part of the inferior vena cava extending to the right suprahepatic vein, revealed by an unusual picture of functional impotence of all 4 limbs due to spinal cord compression caused by collateral venous circulation. Etiological assessment for budd chiari syndrome revealed a protein C deficiency, for which the patient was put on lifelong anticoagulation.