Congenital intrahepatic portosystemic shunt diagnosed during intrauterine life

Abstract Objective: To report a patient with prenatal diagnosis of portosystemic shunt; a rare condition in humans. Case description: 17-Day-old female infant admitted for investigation of suspected diagnosis of portosystemic shunt, presumed in obstetric ultrasound. The hypothesis was confirmed after abdominal angiography and liver Doppler. Other tests such as echocardiography and electroencephalogram were performed to investigate possible co-morbidities or associated complications, and were normal. We chose conservative shunt treatment, as there were no disease-related complications and this was intrahepatic shunt, which could close spontaneously by the age of 2 years. Comments: Portosystemic shunt can lead to various complications such as hepatic encephalopathy, hypergalactosemia, liver tumors, and hepatopulmonary syndrome. Most diagnoses are done after one month of age, after such complications occur. The prenatal diagnosis of this patient provided greater security for the clinical picture management, as well as regular monitoring, which allows the anticipation of possible complications and perform interventional procedures when needed.

Saved in:
Bibliographic Details
Main Authors: Bellettini,Camila Vieira, Wagner,Rafaela, Balzanelo,Aleocídio Sette, Andretta,André Luis de Souza, Moura,Arthur Nascimento de, Fabris,Catia Carolina, Gubert,Eduardo Maranhão
Format: Digital revista
Language:English
Published: Sociedade de Pediatria de São Paulo 2016
Online Access:http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0103-05822016000300384
Tags: Add Tag
No Tags, Be the first to tag this record!
id oai:scielo:S0103-05822016000300384
record_format ojs
spelling oai:scielo:S0103-058220160003003842016-09-08Congenital intrahepatic portosystemic shunt diagnosed during intrauterine lifeBellettini,Camila VieiraWagner,RafaelaBalzanelo,Aleocídio SetteAndretta,André Luis de SouzaMoura,Arthur Nascimento deFabris,Catia CarolinaGubert,Eduardo Maranhão Prenatal diagnosis Congenital abnormalities CT scan Doppler ultrasound Abstract Objective: To report a patient with prenatal diagnosis of portosystemic shunt; a rare condition in humans. Case description: 17-Day-old female infant admitted for investigation of suspected diagnosis of portosystemic shunt, presumed in obstetric ultrasound. The hypothesis was confirmed after abdominal angiography and liver Doppler. Other tests such as echocardiography and electroencephalogram were performed to investigate possible co-morbidities or associated complications, and were normal. We chose conservative shunt treatment, as there were no disease-related complications and this was intrahepatic shunt, which could close spontaneously by the age of 2 years. Comments: Portosystemic shunt can lead to various complications such as hepatic encephalopathy, hypergalactosemia, liver tumors, and hepatopulmonary syndrome. Most diagnoses are done after one month of age, after such complications occur. The prenatal diagnosis of this patient provided greater security for the clinical picture management, as well as regular monitoring, which allows the anticipation of possible complications and perform interventional procedures when needed.info:eu-repo/semantics/openAccessSociedade de Pediatria de São PauloRevista Paulista de Pediatria v.34 n.3 20162016-09-01info:eu-repo/semantics/reporttext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0103-05822016000300384en10.1016/j.rppede.2016.03.016
institution SCIELO
collection OJS
country Brasil
countrycode BR
component Revista
access En linea
databasecode rev-scielo-br
tag revista
region America del Sur
libraryname SciELO
language English
format Digital
author Bellettini,Camila Vieira
Wagner,Rafaela
Balzanelo,Aleocídio Sette
Andretta,André Luis de Souza
Moura,Arthur Nascimento de
Fabris,Catia Carolina
Gubert,Eduardo Maranhão
spellingShingle Bellettini,Camila Vieira
Wagner,Rafaela
Balzanelo,Aleocídio Sette
Andretta,André Luis de Souza
Moura,Arthur Nascimento de
Fabris,Catia Carolina
Gubert,Eduardo Maranhão
Congenital intrahepatic portosystemic shunt diagnosed during intrauterine life
author_facet Bellettini,Camila Vieira
Wagner,Rafaela
Balzanelo,Aleocídio Sette
Andretta,André Luis de Souza
Moura,Arthur Nascimento de
Fabris,Catia Carolina
Gubert,Eduardo Maranhão
author_sort Bellettini,Camila Vieira
title Congenital intrahepatic portosystemic shunt diagnosed during intrauterine life
title_short Congenital intrahepatic portosystemic shunt diagnosed during intrauterine life
title_full Congenital intrahepatic portosystemic shunt diagnosed during intrauterine life
title_fullStr Congenital intrahepatic portosystemic shunt diagnosed during intrauterine life
title_full_unstemmed Congenital intrahepatic portosystemic shunt diagnosed during intrauterine life
title_sort congenital intrahepatic portosystemic shunt diagnosed during intrauterine life
description Abstract Objective: To report a patient with prenatal diagnosis of portosystemic shunt; a rare condition in humans. Case description: 17-Day-old female infant admitted for investigation of suspected diagnosis of portosystemic shunt, presumed in obstetric ultrasound. The hypothesis was confirmed after abdominal angiography and liver Doppler. Other tests such as echocardiography and electroencephalogram were performed to investigate possible co-morbidities or associated complications, and were normal. We chose conservative shunt treatment, as there were no disease-related complications and this was intrahepatic shunt, which could close spontaneously by the age of 2 years. Comments: Portosystemic shunt can lead to various complications such as hepatic encephalopathy, hypergalactosemia, liver tumors, and hepatopulmonary syndrome. Most diagnoses are done after one month of age, after such complications occur. The prenatal diagnosis of this patient provided greater security for the clinical picture management, as well as regular monitoring, which allows the anticipation of possible complications and perform interventional procedures when needed.
publisher Sociedade de Pediatria de São Paulo
publishDate 2016
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0103-05822016000300384
work_keys_str_mv AT bellettinicamilavieira congenitalintrahepaticportosystemicshuntdiagnosedduringintrauterinelife
AT wagnerrafaela congenitalintrahepaticportosystemicshuntdiagnosedduringintrauterinelife
AT balzaneloaleocidiosette congenitalintrahepaticportosystemicshuntdiagnosedduringintrauterinelife
AT andrettaandreluisdesouza congenitalintrahepaticportosystemicshuntdiagnosedduringintrauterinelife
AT mouraarthurnascimentode congenitalintrahepaticportosystemicshuntdiagnosedduringintrauterinelife
AT fabriscatiacarolina congenitalintrahepaticportosystemicshuntdiagnosedduringintrauterinelife
AT guberteduardomaranhao congenitalintrahepaticportosystemicshuntdiagnosedduringintrauterinelife
_version_ 1756401240072257536