Abstract
We report a functioning ductus venosus with hypoplasia of the right hepatoportal system in a 2-year-old child born with asymmetric intra-uterine growth retardation. Postprandial galactosaemia and hyperammonaemia were clues to diagnosis of portal-systemic shunt through the patent ductus venosus, which was confirmed by ultrasonography and angiography.
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Abbreviations
- AST:
-
asparate aminotransferase
- IUGR:
-
intra-uterine growth retardation
References
Adams FH (1978) Fetal circulation and alterations at birth. In: Moss AJ, Adams FH, Emmanouilides GC (eds) Heart disease in infants, children and adolescents, 2nd edn. Williams and Wilkins Co., Baltimore, pp 11–17
Avery ME, Taeusch WH (1984) Schaffer's disease of the newborn. WB Saunders, Philadelphia, pp 92–100
Barjon P, Lamarque JL, Michel H, Fourcade J, Mimran A, Ginestie JF (1972) Persistent ductus venosus without portal hypertension in a young alcoholic man. Gut 13:982–985
Barsky MF, Rankin RN, Wall WJ, Ghent CN, Garcia B (1989) Patent ductus venosus: problems in assessment and management. CJS 32:271–275
Botti JJ, Edelstone DI, Caritis SN, Mueller-Heubach E (1982) Portal venous blood flow distribution to liver and ductus venosus in newborn lambs. Am J Obstet Gynecol 144:303–308
Carter AM, Detmer A (1990) Blood flow to the placenta and lower body in the growth-retarded guinea pig fetus. J Dev Physiol 13:261–269
Creasy RK, Barrett CT, Swiet M, Kahanpaa KV, Rudolph AM (1972) Experimental intrauterine growth retardation in the sheep. Am J Obstet Gynecol 112:566–567
Kramer MS, Olivier M, McLean FH, Dougherty GE, Willis DM, Usher RH (1990) Determinants of fetal growth and body proportionality. Pediatrics 86:18–26
Nishida H, Sakamoto S, Sakanoue M (1985) New fetal growth curves for Japanese. Acta Paediatr Scand [Suppl] 319:62–67
Hassall E, Benson L, Hart M, Krieger DE (1984) Hepatic encephalopathy after portacaval shunt in a noncirrhotic child. J Pediatr 105:439–441
Zink J, Van Petten GR (1980) Time course of closure of the ductus venosus in the newborn lamb. Pediatr Res 14:1–3
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Maisawa, S., Takasago, Y., Oyake, Y. et al. Patent ductus venosus with hypoplastic right hepatoportal system in a young child born with asymmetric intra-uterine growth retardation. Eur J Pediatr 151, 569–571 (1992). https://doi.org/10.1007/BF01957722
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DOI: https://doi.org/10.1007/BF01957722