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Embolization of congenital intrahepatic porto-systemic shunt by n-butyl cyanoacrylate.

Authors :
Gupta V
Kalra N
Vyas S
Sodhi KS
Thapa BR
Khandelwal N
Source :
Indian journal of pediatrics [Indian J Pediatr] 2009 Oct; Vol. 76 (10), pp. 1059-60. Date of Electronic Publication: 2009 Nov 12.
Publication Year :
2009

Abstract

Congenital intrahepatic portosystemic venous shunt (IHPSVS) is rare vascular anomaly. We present one case of a 14-month male child who presented with global developmental delay. Child had high ammonia levels with low glutamine and high bile salts on the previous investigations and had history of neonatal seizures since day 13 of life. On admission, serum ammonia levels were elevated to 112micromol/L. Other laboratory investigations including liver and renal function test, and electrolytes were normal. He was, diagnosed to have IHPSVS on the basis of Doppler and CT, and treated by embolization with n-butyl cyanoacrylate (glue). A brief review of diagnostic modalities and endovascular management for the IHPSVS is presented including the present case.

Details

Language :
English
ISSN :
0973-7693
Volume :
76
Issue :
10
Database :
MEDLINE
Journal :
Indian journal of pediatrics
Publication Type :
Academic Journal
Accession number :
19907942
Full Text :
https://doi.org/10.1007/s12098-009-0202-2