A case of hepatopulmonary syndrome in a child with cirrhotic portal hypertension
- Author:
Vo Thi Diem Hanh
- Publication Type:Journal Article
- Keywords:
Hepatopulmonary syndrome, cirrhosis
- MeSH:
Hepatopulmonary Syndrome;
Child;
Hypertension
- From:Ho Chi Minh city Medical Association
2005;10(2):77-78
- CountryViet Nam
- Language:Vietnamese
-
Abstract:
Report a case of 4 years old girl lived in Gia Lai province, admitted Hospital of Pediatrics No 2 at December 6th 2004. 3 days before admitting hospital, she had some symptoms including hemorrhagic vomiting, melena, and then was admitted Gia Lai Hospital. She was diagnosed with upper digestive hemorrhage, and treated by hypodermoclysis and fresh blood transfusion. Hemogram test discovered anemia. Pulmonary X ray had no abnormal image. Abdominal color Doppler ultrasound revealed images of cirrhosis and portal hypertension, large spleen. The spiral chest CT scan found that no abnormal pulmonary vessel. Patient was treated by endoscopic sclerosis of esophageal varices, and administration of Axepim and gentamycine based on antibiotic susceptibility test. Results of microbiological test after treatment was negative