Isolated splenic vein thrombosis as a complication of abdominal trauma in a 3-month-old girl
-
Published:2021-09-30
Issue:3
Volume:17
Page:275-278
-
ISSN:1734-1531
-
Container-title:Pediatria i Medycyna Rodzinna
-
language:
-
Short-container-title:Pediatr Med Rodz
Author:
Szmigielska Agnieszka, ,Krzemień Grażyna,Rogala Magdalena Maria,Jakimów-Kostrzewa Aleksandra, , ,
Abstract
Falls from heights and traffic accidents are the most common causes of splenic damage. Abdominal trauma can cause splenic rupture or splenic vein thrombosis. About 11–55% of children with splenic vein thrombosis develop collateral circulation, leading to gastric and/or oesophageal varicose veins. Venous thrombosis in children can be also caused by congenital factors associated with coagulation disorders. The paper describes a case of a 3-month-old girl who developed isolated splenic vein thrombosis after a fall from height. Laboratory and genetic findings excluded thrombophilia. A 3-month anticoagulant treatment was administered. Gradual reduction in splenic size and the development of collateral circulation were observed in subsequent ultrasound scans. The girl remains under the care of a surgical clinic. The presented case of an infant with splenic vein thrombosis draws attention to possible complications of abdominal trauma after a fall from height.
Publisher
Medical Communications Sp. z.o.o.
Subject
Family Practice,Pediatrics, Perinatology, and Child Health