A Case Report of Hepatic Venous Outflow Tract Obstruction in Patient with Ulcerative Colitis

We report a case of 23 year old female diagnosed as Hepatic Venous Outflow tract obstruction (HVOTO) with ulcerative colitis (UC) with Cytomegalovirus (CMV) Colitis. HVOTO with UC is a very rare entity, to the best of our knowledge there have been only few published case reports of HVOTO with UC. Our patient presented with fever, bloody stools with tenesmus, colicky abdominal pain from last 6 months, and pedal edema with abdominal distention from last 2 months. Sigmoidoscopy and biopsy was done on presentation which was suggestive of active ulcerative colitis with CMV colitis. Color Doppler of spleno-portal axis was done suggestive of HVOTO. Patient was started on Ganciclovir, Mesalamine, anticoagulants and was subjected to balloon angioplasty after which anticoagulants were continued. Patient is being followed up for 6 months now and is doing well.