We report the case of a 55-year-old man who developed heparin-induced throm
bocytopenia II after a vertebral fracture. Autopsy revealed segmental hepat
ic vein thrombosis, of the right lobe with subacute congestion and an activ
ation of hepatic stellate cells. This case shows that heparin-induced throm
bocytopenia II is a possible cause of the Budd-Chiari syndrome.