Successful splenorenal shunt for emergent control of variceal bleeding in a small child.
A 8.6-kg, 10-month-old boy with idiopathic cavernous transformation of the portal vein developed variceal hemorrhage refractory to nonoperative management. A distal splenorenal shunt was performed while the bleeding was controlled with balloon tamponade. Hemorrhage was successfully controlled with no recurrent bleeding and the shunt remains patent at 1 year of follow-up.
Marmon
L M
LM
Department of Surgery, Georgetown University School of Medicine, Washington, DC.
Dunn
S P
SP
Vinocur
C D
CD
Billmire
D
D
Weintraub
W H
WH
D004932:Esophageal and Gastric Varices / Q000601:surgery*; D006471:Gastrointestinal Hemorrhage / Q000601:surgery*; D006801:Humans; D007223:Infant; D008297:Male; D011169:Portal Vein / Q000002:abnormalities; D013164:Splenorenal Shunt, Surgical / Q000379:methods