Document Detail

Atypical manifestation of patent ductus venosus in a child: intervening against a paradoxical presentation.
MedLine Citation:
PMID:  19250842     Owner:  NLM     Status:  MEDLINE    
A 6-year-old boy with massive gastrointestinal bleeding was found to have a large patent ductus venosus (PDV). Systemic symptoms of PDV (eg, hypergalactosemia and hepatic, pulmonary, and cardiac dysfunction) are frequent. However, gastrointestinal bleeding with the presence of a large portosystemic shunt is not a known complication of this anomaly. The shunt was successfully treated with embolization by using the Amplatzer vascular plug, with immediate cessation of bleeding. The authors propose that relative ischemia of the bowel, rather than portal hypertension, was the cause of the gastrointestinal bleeding in this child.
Ahmad I Alomari; Gulraiz Chaudry; Victor L Fox; Steven J Fishman; Terry L Buchmiller
Publication Detail:
Type:  Case Reports; Journal Article     Date:  2009-02-27
Journal Detail:
Title:  Journal of vascular and interventional radiology : JVIR     Volume:  20     ISSN:  1535-7732     ISO Abbreviation:  J Vasc Interv Radiol     Publication Date:  2009 Apr 
Date Detail:
Created Date:  2009-03-30     Completed Date:  2009-07-17     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9203369     Medline TA:  J Vasc Interv Radiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  537-42     Citation Subset:  IM    
Division of Vascular and Interventional Radiology, Department of Radiology, Children's Hospital Boston and Harvard Medical School, Boston, MA 02115, USA.
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MeSH Terms
Diagnosis, Differential
Gastrointestinal Hemorrhage / etiology*,  radiography*
Intestines / blood supply*,  radiography
Ischemia / complications,  radiography*
Portal Vein / abnormalities*,  radiography*

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