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Budd Chiari, Pain, Depression and Suicidal Thoughts

Author(s): Konstantinos Kontoangelos, Marina Economou, Eleni Lazaratou, Melanie Deutsch, John Koskinas, Charalambos Papageorgiou

Budd–Chiari syndrome is caused by occlusion of the hepatic veins that drain the liver. It presents with abdominal pain, ascites, and liver enlargement.

Methods and findings
This is a case report of a female patient with depression, acute pain and suicidal thoughts treated with duloxetine and pregabalin before an invasive procedure to establish portosystemic shunt for the treatment of acute Budd Chiari syndrome.

Management of pain requires a comprehensive pain assessment and implement a multimodality treatment approach designed to address the pain and associated physical, psychosocial and behavioral problems of the patient.


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