Abstract:
Polycythemia vera is a medical condition characterized by raised hematocrit. Owing to increased viscosity, the blood flow
in the vessels become sluggish leading to the clinical features of polycythemia such as headache, blurring of vision, red
skin, dizziness, raised blood pressure, itching and more serious medical events like vaso occlusion, thrombosis and strokes.
In this case report, polycythemia vera presenting unusually with heamatemesis, melena and abdominal distension. Physical
examination of this case revealed massive ascites with dilated veins around the umbilicus. The diagnosis of polycythemia
vera complicated by Budd Chiari Syndrome and Portal Vein Thrombosis was made. Patients with polycythemia vera are
at risk of vaso occlusive sequelea like portal vein thrombosis and Budd chiari syndrome.