[Extrahepatic stenosis of the portal vein after infection or catheterization of the umbilical vein during the neonatal period (author's transl)].
147 children with high risk of developing a prehepatic portal vein obstruction were reexamined. The children had survived during their neonatal period:--Serious umbilical infection and sepsis (n=33)--Multiple exchange transfusion (n=55)--Long-term umbilical vein catheter treatment for at least 24 hrs (n=59). The reexamination at the age of 2--4 years revealed one case of total occlusion of the vena lienalis with partial obstruction of the vena portae in a child with former umbilical sepsis. Even though the etiologic relation of neonatal umbilical disorders and prehepatic portal obstruction is evident, the risk for the individual case seems to be low.
D002404:Catheterization; D002675:Child, Preschool; D005078:Exchange Transfusion, Whole Blood / Q000009:adverse effects; D005500:Follow-Up Studies; D006801:Humans; D006975:Hypertension, Portal / Q000209:etiology*; D007223:Infant; D007231:Infant, Newborn; D007232:Infant, Newborn, Diseases / Q000150:complications*; D008297:Male; D018805:Sepsis / Q000150:complications*; D013997:Time Factors; D014471:Umbilical Veins; D014652:Vascular Diseases / Q000150:complications
Extrahepatische Pfortaderstenose nach neonatalen Nabelprozessen. Eine Nachuntersuchung