[Portal vein thrombosis after splenectomy in childhood: report of 4 cases].
Portal vein thrombosis is a major complication of splenectomy. Its frequency is underestimated because of asymptomatic cases. Mesenteric occlusion with intestinal infarcts is the first cause of mortality. Secondarily, in the absence of repermeabilisation, a portal hypertension can occur. We present in this study 4 cases of portal vein thrombosis in childhood. Portal vein thrombosis is frequent (8% of splenectomies) and may be asymptomatic. Doppler postoperative surveillance is justified. Thrombocytosis seems to be a determinant factor. Early diagnosis and treatment may reduce lethal outcome.
Hafid
M
M
Clinique chirurgicale A, hôpital d'Enfants, CHU Ibn Sina, quartier Souissi, Rabat, Morocco. monios@hotmail.com
Kaddouri
N
N
Abdelhak
M
M
Benhmamouch
M N
MN
Barahioui
M
M
D002648:Child; D005260:Female; D005343:Fibrinolytic Agents / Q000627:therapeutic use; D006392:Hemangioma, Cavernous / Q000097:blood / Q000150:complications / Q000175:diagnosis; D006493:Heparin / Q000627:therapeutic use; D006801:Humans; D008297:Male; D017538:Mesenteric Artery, Superior; D008641:Mesenteric Vascular Occlusion / Q000097:blood / Q000175:diagnosis / Q000188:drug therapy; D010976:Platelet Count; D011169:Portal Vein; D011183:Postoperative Complications / Q000097:blood / Q000175:diagnosis* / Q000188:drug therapy; D012008:Recurrence; D012307:Risk Factors; D013156:Splenectomy; D013162:Splenic Vein; D013922:Thrombocytosis / Q000097:blood / Q000150:complications; D013927:Thrombosis / Q000097:blood / Q000175:diagnosis* / Q000188:drug therapy; D018608:Ultrasonography, Doppler; D019043:Vascular Neoplasms / Q000097:blood / Q000150:complications / Q000175:diagnosis
D005343:Fibrinolytic Agents; D006493:Heparin