Splenic vein thrombosis with oesophageal varices: a late complication of umbilical vein catheterization.
On the basis of observations made on three infants, a description is given of a late complication of umbilical vein catheterization not hitherto reported. The children showed the symptoms of thrombosis of the splenic vein with secondary splenomegaly and marked gastric and/or esophageal varices, while the portal vein showed no abnormality. The diagnosis was preoperatively established by means of selective angiography of the superior mesenteric artery and the splenic artery. Treatment in these three cases consisted of splenectomy, with good clinical and radiological results.
D002404:Catheterization / Q000009:adverse effects*; D002675:Child, Preschool; D004932:Esophageal and Gastric Varices / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D008638:Mesenteric Arteries / Q000000981:diagnostic imaging; D011859:Radiography; D013156:Splenectomy; D013157:Splenic Artery / Q000000981:diagnostic imaging; D013162:Splenic Vein; D013163:Splenomegaly / Q000209:etiology / Q000601:surgery; D013270:Stomach / Q000098:blood supply; D013924:Thrombophlebitis / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D013997:Time Factors; D014471:Umbilical Veins; D014648:Varicose Veins / Q000209:etiology / Q000601:surgery