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Case Report

Case Report on Extrahepatic Portal Venous Obstruction

Nagalakshmi E., Stephina Immaculate V., Tamizharasi K.

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International Journal of Pediatric Nursing 10(1):p 37-40, January – April 2024. | DOI: https://doi.org/10.21088/ijpen.2454.9126.10124.6

How Cite This Article:

Stephina Immaculate V., Nagalakshmi E., Tamizharasi K. Case Report on Extrahepatic Portal Venous Obstruction. Int J Pediatr Nurs. 2024;10(1):37–40.

Timeline

Received : November 08, 2023         Accepted : January 02, 2024          Published : April 30, 2024

Abstract

Extra Hepatic Portal Venous Obstruction (EHPVO) is an major cause of Portal Hypertension. Pediatric EHPVO is idiopathic in most of the cases. A child who had normal growth and development, having complaints similar to upper GI bleeding underwent video Oesophago Gastro Duodenoscopy (VOGD Scopy) and was found having sclerosed Oesophageal varices in the form of snake like pattern over the entire mucosa. Child was treated with Sclerotherapy. Clinical Report of Patient: An 8 year old child admitted to hospital with complaints of hematemesis, sudden in onset, consistent blood clots, in large bouts. Child had melena episode, low grade fever, and per abdomen no organomegaly found. Child is diagnosed as a case of Grade II Esophageal varices, Extrahepatic portal venous obstruction with Portal Hypertension. On Physical examination had a soft non tender abdomen with significant splenomegaly. Child was treated with Inj. Octreotide infusion 1mcg/kg bolus, then IV infusion 1mcg/kg/hour for 24 hours according to body weight, Tab. Proponolol 40 mg ¼ Bd, Tab. Rantac ½ Bd, and child got sclerosed of esophageal varices for the entire mucosa. After sclerotic therapy child had no evidence of bleeding. But child was advised to continue sclerotherapy once in every 3 months till gets relieved from variceal recurrences.

References

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Data Sharing Statement

There are no additional data available. All raw data and code are available upon request.

Funding

This research received no funding.

Author Contributions

All authors contributed significantly to the work and approve its publication.

Ethics Declaration

This article does not involve any human or animal subjects, and therefore does not require ethics approval.

Acknowledgements

We would like to express our gratitude to the patients, their families, and all those who have contributed to this study.

Conflicts of Interest

No conflicts of interest in this work.

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Cite this article

Stephina Immaculate V., Nagalakshmi E., Tamizharasi K. Case Report on Extrahepatic Portal Venous Obstruction. Int J Pediatr Nurs. 2024;10(1):37–40.

Licence:

Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)

This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.

Received Accepted Published
November 08, 2023 January 02, 2024 April 30, 2024
DOI: https://doi.org/10.21088/ijpen.2454.9126.10124.6

Keywords

EHPVOPortal hypertensionEsophageal varicesSclerotherapy

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Timeline

Received November 08, 2023
Accepted January 02, 2024
Published April 30, 2024

licence

Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)

This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.


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