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Titolo:
HEPATIC-ARTERY LIGATION FOR HEPATIC VASCULAR TUMORS WITH ARTERIOVENOUS AND ARTERIOPORTAL VENOUS SHUNTS IN THE NEWBORN - SUCCESSFUL MANAGEMENT OF 2 CASES AND REVIEW OF THE LITERATURE
Autore:
HAZEBROEK FWJ; TIBBOEL D; ROBBEN SGF; BERGMEYER JHLJ; MOLENAAR JC;
Indirizzi:
SOPHIA CHILDRENS UNIV HOSP,DEPT PEDIAT SURG,DR MOLEWATERPL 60 3015 GJROTTERDAM NETHERLANDS SOPHIA CHILDRENS UNIV HOSP,DEPT PEDIAT RADIOL 3015 GJ ROTTERDAM NETHERLANDS ERASMUS UNIV ROTTERDAM,SCH MED ROTTERDAM NETHERLANDS
Titolo Testata:
Journal of pediatric surgery
fascicolo: 8, volume: 30, anno: 1995,
pagine: 1127 - 1130
SICI:
0022-3468(1995)30:8<1127:HLFHVT>2.0.ZU;2-S
Fonte:
ISI
Lingua:
ENG
Soggetto:
FISTULA; HEMANGIOMAS; CHILDHOOD; DIAGNOSIS; INFANCY;
Keywords:
HEMANGIOMA, HEPATIC; LIGATION, HEPATIC ARTERY; SHUNT, ARTERIOVENOUS, ARTERIOPORTAL;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Science Citation Index Expanded
Citazioni:
15
Recensione:
Indirizzi per estratti:
Citazione:
F.W.J. Hazebroek et al., "HEPATIC-ARTERY LIGATION FOR HEPATIC VASCULAR TUMORS WITH ARTERIOVENOUS AND ARTERIOPORTAL VENOUS SHUNTS IN THE NEWBORN - SUCCESSFUL MANAGEMENT OF 2 CASES AND REVIEW OF THE LITERATURE", Journal of pediatric surgery, 30(8), 1995, pp. 1127-1130

Abstract

The authors report their experience with hepatic artery ligation in two newborns, as well as relevant findings from a literature review. A 2-day-old boy had progressive cardiac and respiratory difficulty. A firm liver was palpable, with an overlying thrill. Sonography and arteriography showed diffuse arteriovenous shunting in both liver lobes. Hepatic artery ligation provided remarkable hemodynamic and clinical improvement. Another boy was admitted 3 weeks after birth because of bilious vomiting with abdominal distension and bloody stools. Abdominal examination showed a large liver with a systolic bruit and thrill. X-raysshowed cardiac enlargement and dilated bower loops with air-fluid levels. Arteriography and sonography showed arteriovenous and arterioportal venous shunting. Laparotomy was performed, and a large vascular malformation was palpated in both liver lobes. The entire bower was congested and cyanotic, but there were no signs of obstruction. This patient had acute portal hypertension imitating intestinal obstruction. Ligation of the hepatic artery improved the color of the bowel, and the thrill disappeared. Five and nearly 4 years after the operation, both boys are growing normally without medication or diet. Sonography showed almost complete resolution of the hemangiomas. Copyright (C) 1995 by W. B. Saunders Company

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 05/08/20 alle ore 04:15:50