An intrahepatic Portal Vein Aneurysm Presenting with Esophageal Variceal Bleeding in a Pediatric Patient: A Rare Clinical Entity

An 11-month-old girl suffering from hematemesis was referred to our hospital. She had a past history of recurrent bleeding that occurred four times, which was accompanied by melena during hospitalization. The patient’s history was unremarkable for trauma, surgical intervention, or liver disease. Phy...

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Bibliographic Details
Published in:Balkan medical journal 2018-01, Vol.35 (6), p.442-444
Main Authors: Güngör, Şükrü, Varol, Fatma İlknur, Kutlu, Ramazan, Yılmaz, Sezai, Selimoğlu, Mukadder Ayşe
Format: Article
Language:English
Subjects:
Aneurysm
Anticoagulants
Ascites
Blood tests
Care and treatment
Case studies
Child health
Clinical Image
Complications and side effects
Development and progression
Edema
Endoscopy
Esophagus
Gastrointestinal hemorrhage
Hematemesis
Hemorrhage
Liver
Liver diseases
Medical examination
Medical imaging
Medical research
Medical schools
Medical tests
Pediatric diseases
Pediatrics
Surgery
Thrombosis
Tıp
Ultrasonic imaging
Varicose veins
Veins & arteries
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Summary:An 11-month-old girl suffering from hematemesis was referred to our hospital. She had a past history of recurrent bleeding that occurred four times, which was accompanied by melena during hospitalization. The patient’s history was unremarkable for trauma, surgical intervention, or liver disease. Physical examination revealed normal findings. There were no ascites, dilated abdominal wall veins, spider nevi, organomegaly, peripheral edema, and finger clubbing that are suggestive of chronic liver disease. Coagulation tests and platelet levels were normal. Upper gastrointestinal endoscopic examination revealed grade 3 esophageal and fundal varices (Figure 1a, 1b).
ISSN:2146-3123
2146-3131
DOI:10.4274/balkanmedj.2017.1776