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两名新生儿脐静脉插管后发生肝脓肿、门静脉血栓形成及海绵状血管瘤。

Liver abscess, portal vein thrombosis and cavernoma formation following umbilical vein catherisation in two neonates.

作者信息

Sethi Sidharth Kumar, Dewan Pooja, Faridi M M A, Aggarwal Anju, Upreti L

机构信息

Department of Pediatric, University College of Medical Sciences, Guru Tegh Bahadur Hospital, Delhi-110095, India.

出版信息

Trop Gastroenterol. 2007 Apr-Jun;28(2):79-80.

Abstract

Liver abscess is a rare condition in neonates and its diagnosis requires a high degree of suspicion. CT scan and ultrasound are the most sensitive diagnostic modalities for detecting hepatic abscess. Portal vein thrombosis and cavernoma formation are rare complications following neonatal liver abscess and sepsis. We describe the case of two neonates with hepatic abscess following umblical vein catheterisation, with rare complications of portal vein thrombosis and portal vein cavernoma formation. Therefore, unreserved caution should be exercised in performing umbilical cannulation in neonates due to the inherent risks involved with this procedure.

摘要

肝脓肿在新生儿中是一种罕见疾病,其诊断需要高度怀疑。CT扫描和超声是检测肝脓肿最敏感的诊断方法。门静脉血栓形成和海绵状血管瘤形成是新生儿肝脓肿和败血症后的罕见并发症。我们描述了两例脐静脉置管后发生肝脓肿的新生儿病例,伴有门静脉血栓形成和门静脉海绵状血管瘤形成的罕见并发症。因此,由于该操作存在固有风险,在对新生儿进行脐静脉插管时应格外谨慎。

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