Budd-Chiari syndrome in a young adult: Failed hepatic venoplasty and refusal of liver transplantation.

This case report details the diagnostic workup, therapeutic interventions, and clinical decision-making in the management of a 23-year-old engineering student diagnosed with Budd-Chiari syndrome (BCS). This report highlights the use of advanced imaging studies and laboratory investigations, outlines the interventional approach, including an unsuccessful attempt at hepatic venoplasty, and discusses the patient's subsequent refusal of liver transplantation. The patient remained clinically stable for 2 years under anticoagulant therapy. Such refractory cases underscore the need for personalized and multidisciplinary treatment strategies for BCS management.