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Portal Hypertension of a Delayed Onset Following Liver Abscesses in a 12-Month-Old Infant: A Case Report and Review of the Literature

 ( Al-Qurashi Faisal Othman ) - Imam Abdulrahman Bin Faisal University College of Medicine Department of Pediatrics

 ( Aladsani Ahmed Abdullah ) - Imam Abdulrahman Bin Faisal University College of Medicine Department of Pediatrics
 ( Al Qanea Fatema Khalil ) - Imam Abdulrahman Bin Faisal University College of Medicine Department of Pediatrics
 ( Faisal Sarah Yousef ) - Imam Abdulrahman Bin Faisal University College of Medicine Department of Radiology

Abstract


We report a 12-month-old female infant who had a history of neonatal sepsis with liver micro-abscesses that resolved with intravenous antibiotics during neonatal period. During her neonatal admission period, no umbilical vein catheter was inserted. Also, she did not undergo any abdominal surgeries or had a postnatal history of necrotizing enterocolitis. However, the child developed upper gastrointestinal bleeding in form of hematemesis and melena secondary to esophageal varices at the age of 12 months with an extra-hepatic portal vein obstruction with cavernous transformation and portal hypertension subsequently. The child underwent a successful endoscopic injection sclerotherapy. She is now 20-month-old and has portal hypertension but otherwise asymptomatic. We are proposing the possibility of a delayed-onset portal hypertension as a complication of liver abscess and neonatal sepsis.

키워드

Portal hypertension; Esophageal and gastric varices; Liver abscess; Neonatal sepsis; Venous thrombosis
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