31st July 2023

A 32-year-old woman has been diagnosed with Budd-Chiari syndrome. Due to features of developing portal hypertension

A 32-year-old woman has been diagnosed with Budd-Chiari syndrome. Due to features of developing portal hypertension, she underwent a transjugular intrahepatic portosystemic shunt. Two days postoperatively, she is reported to be confused and more sleepy. You noted the day before that she was very slow to respond to you and seemed forgetful.

What is the most likely diagnosis?

Select the SINGLE most appropriate option from the list below. Select ONE option only.