Congenital portosystemic venous shunt in a preterm Rh-isoimmunized infant.

Abstract:

:The authors report a preterm infant with Rh-isoimmunization, who had persistent hepato-splenomegaly with conjugated hyperbilirubinemia, transaminitis, and hyperammonemia. Ultrasound abdomen revealed an intrahepatic portosystemic venous shunt (PSVS). The child was managed conservatively. On follow up at 2.4 y of age, the child is having normal growth and development, but with persisting shunt. Severe Rh-isoimmunisation in a neonate can sometimes share some of the features of congenital PSVS and delay the diagnosis of the latter. The index case had shunt ratio >80 % during the neonatal period but did not require any intervention.

journal_name

Indian J Pediatr

authors

Thukral A,Arora K,Das RR,Arora A,Gamanagatti S,Agarwal RK

doi

10.1007/s12098-013-0972-4

subject

Has Abstract

pub_date

2013-12-01 00:00:00

pages

1053-5

issue

12

eissn

0019-5456

issn

0973-7693

journal_volume

80

pub_type

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