Portal vein thrombosis in a 10-month-old infant as a complication of neonatal umbilical catheterization: a case report

Annals of Medicine and Surgery · 6 authors, 6 centres

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This case report describes a 10-month-old female infant who presented with melena, bloody vomitus, fever, and dehydration.

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This case report describes a 10-month-old female infant who presented with melena, bloody vomitus, fever, and dehydration. Medical history included neonatal sepsis treated via umbilical catheter exchange transfusion. Anticoagulation with low-molecular-weight heparin and propranolol were prescribed at discharge. Symptoms regressed with conservative treatment and the spleen size decreased, eliminating the need for surgery.

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case_report

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pediatrics

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ORIGINAL PAPER

PMC10553039

Portal vein thrombosis in a 10-month-old infant as a complication of neonatal umbilical catheterization: a case report

Annals of Medicine and Surgery

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ABSTRACT

Abstract Introduction: Esophageal varices bleeding after portal hypertension is a rare condition in children but is associated with significant morbidity and mortality. Neonatal umbilical catheterization is one of the risk factors for the development of portal vein thrombosis (PVT) and portal hypertension. Case presentation: Neonatal umbilical catheterization was used here to provide appropriate treatment for postpartum sepsis. Color Doppler revealed an approximate total obstruction of the portal vein, and endoscopy showed esophageal varices. The patient was sequentially managed with endoscopic sclerotherapy. Discussion: The manifestations associated with PVT (like splenomegaly and bleeding esophageal varices) have been detected in a 10-month-old, which is considered a relatively young age according to the medical literature review. Conclusion: Using umbilical vein catheterization in neonates may be associated with several complications, including PVT. This case report describes a rare instance of portal hypertension complicated by bleeding esophageal varices in a 10-month-old infant who had undergone newborn umbilical catheterization. Keywords: case report, esophageal varices, octreotide, portal vein thrombosis, sclerotherapy, umbilical catheterization

CITATION EXPORT

Sultaneh Haddad, Salim Haddad, Komait Swaid et al.. Portal vein thrombosis in a 10-month-old infant as a complication of neonatal umbilical catheterization: a case report. Annals of Medicine and Surgery. (2023). https://doi.org/10.1097/MS9.0000000000001173

AUTHORS

6 · 6 CENTRES

Sultaneh Haddad, Salim Haddad, Komait Swaid, Nafiza Martini, Marah Mansour, Lina Alkouri

aFaculty of Medicine, Aleppo University, Aleppo
bFaculty of Medicine, Damascus University
cStemosis for Scientific Research
dDamascus University, Pediatric University Hospital, Damascus
eFaculty of Medicine, Tartous University, Tartous, Syrian Arab Republic.
fDepartment of Surgery, Division of Colon and Rectal Surgery, Mayo Clinic, Rochester, Minnesota, USA