Surgically Correctable Central Cyanosis: Congenital Extrahepatic Portosystemic Shunt in a Child

Author:

Bade Ramyasree1,Peters Nitin James1,Mathew Joseph L2,Sen Indu Mohini3,Mahajan Jai K.1

Affiliation:

1. Department of Pediatric Surgery, Post Graduate Institute of Medical Education and Research, Chandigarh, India

2. Department of Pediatrics, Pediatric Pulmonology Unit, Post Graduate Institute of Medical Education and Research, Chandigarh, India

3. Department of Anesthesia and Critical Care, Division of Pediatric Anesthesia, Post Graduate Institute of Medical Education and Research, Chandigarh, India

Abstract

ABSTRACT Congenital extrahepatic portosystemic shunts (CEPS) are rare anomalies connecting the portal system to the inferior vena cava. This report discusses a 10-year-old boy with Type II c CEPS, presenting cyanosis and dyspnea. Surgical ligation resulted in significant improvement in symptoms. Early identification and intervention are crucial, necessitating a protocolized approach.

Publisher

Medknow

Reference5 articles.

1. Management and classification of type II congenital portosystemic shunts;Lautz;J Pediatr Surg,2011

2. Congenital portosystemic shunts in children:A new anatomical classification correlated with surgical strategy;Blanc;Ann Surg,2014

3. Account of two instances of uncommon formation in the viscera of the human body:From the philosophical transactions of the royal society of London;Abernethy;Med Facts Obs,1797

4. Developmental basis of the portal venous system;Marks;Am J Surg,1969

5. Polysplenia with pulmonary arteriovenous malformations;Papagiannis;Pediatr Cardiol,1993

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