Spontaneous resolution of splenic infarcts after distal splenorenal shunt in children with extra hepatic portal venous obstruction: Our experience

Portal hypertension is a known cause of morbidity and mortality in children. With a paucity of data and no standardized algorithm for treatment, a comprehensive understanding of this disease process is necessary for pediatric interventional radiologists, hepatologists, and surgeons who collaborate to care for these patients. While associations can be drawn to adult disease, the specifics of pediatric portal hypertension necessitate a separate, multidisciplinary approach. This review provides a summary and update on the evaluation, management, and treatment of pediatric portal hypertension.

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Pediatric Portal Hypertension: Etiology and Management

Shah

Krndzija

Hawkins

2022

Digestive Disease Interventions

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Massive Splenic Infarction in a Child. Literature Review and Comparative Observations

Olkhova

Sholokhova

Mukaseeva

et al. 2022

jour

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Massive splenic infarction (SI) is an extremely rare disease in childhood, the genesis of which is not always clear. Most often in children, SI develops against the background of oncohematological (in particular, myeloid leukemia), hematological (sickle cell anemia) and infectious (malaria, mononucleosis, cytomegalovirus infection) diseases and is small in size. Two own observations are presented, unique in the absence of a clear cause of SI and the massiveness of the lesion. In the first case, a 10yearold girl was admitted to the hospital on about the 10th day of illness with complaints of undefined abdominal pain, about which she had already twice applied to other hospitals in Moscow. SI was suspected on ultrasound and confirmed on CT, and then the echographic dynamics of SI was followed for more than 2 months. Against the background of anticoagulant, antibacterial and symptomatic therapy, recovery was achieved. In the second case, total SI was observed in a premature infant with severe multiple organ failure. The publication is extensively illustrated and contains a brief review of the literature.

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Spontaneous resolution of splenic infarcts after distal splenorenal shunt in children with extra hepatic portal venous obstruction: Our experience

Abstract: Spleen-preserving distal splenorenal shunt can be considered as a viable option in the management of cases with mild and carefully selected moderate splenic infarcts.

Cited by 2 publications

References 12 publications

Pediatric Portal Hypertension: Etiology and Management

Pediatric Portal Hypertension: Etiology and Management

Massive Splenic Infarction in a Child. Literature Review and Comparative Observations

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