Introduction: Thromboses in the arterial and venous systems characterize the antiphospholipid syndrome (APS).in the arterial, venous, or minor artery. as well as pregnancy morbidity, when antiphospholipid antibody titers are chronically increased. Since virtually any organ can be involved, the clinical presentation of APS is very varied. Abdominal manifestations are rare but may be life-threatening, and include Budd-Chiari Syndrome.We discuss a 26- year-old lady with primary APS brought toIn March 2017, the Bangabandhu Sheikh Mujib Medical University (BSMMU) in Dhaka, Bangladesh, was established., on aspirin medicationwith ascites for which she had been receiving treatment for abdominal tuberculosis. Following clinical and laboratory evaluation, she was diagnosed as a case of Budd-Chiari Syndrome with portal hypertension and initiated treatment with warfarin. Main Symptom and/ or important clinical finding:25-year-old female admitted in Acharya vinobaBhave Rural hospital on date 7-07-21 with the chief complaint of excessive breathing, weakness, fatigue, high blood pressure, headache blood clot etc. After physical examination & investigation doctor diagnose a case of Antiphospholipid antibody syndrome. The main diagnoses, therapeutic interventions, and outcome: After physical examination and investigation doctor diagnose a case antiphospholipid antibody syndrome medical management was provided to the patient calcium &multivitaminsupplementary was given for 7 days to enhance immune function. Tab. Valproate 1.5 mg. Anticoagulant.Tab. Atenolol 50mg.beta blocker. Tab. Vit. B12 for supplementary he was taking all treatment and outcome was good. Conclusion: She was response to all medication as well as doctor treatment and her recovery was good.

Aortic Thrombosis, Cerebral Infarcts, 2 Glycoprotein 1 antibodies, Ascherson’s syndrome.