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Cavernous Transformation and Portal Vein Obstruction, Pediatric

Richard A. Lirio, MD Reviewed 10/2018
 


BASICS

DESCRIPTION

  • Cavernous transformation

    • Is a term used to describe the collection of collaterals that develop around an obstructed vessel

    • Often develops with obstruction of the portal vein

  • Portal vein...

DIAGNOSIS

HISTORY

  • Often asymptomatic

  • Acutely, can present as sudden onset hematemesis from bleeding varices

  • Clinical history and examination should concentrate on identifying possible causes predisposing...

TREATMENT

  • General goals of therapy are (1) to manage variceal hemorrhage and (2) to identify an underlying cause and/or determine if the patient is at risk for additional venous thrombosis or malignan...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Focus on growth parameters, early detection of malabsorption, presence of GI hemorrhage, and indications for nutritional intervention 
  • Aggressive contact sports sh...

ADDITIONAL READING

  • Fuchs J, Warmann S, Kardorff R, et al. Mesenterico—left portal vein bypass in children with congenital extrahepatic portal vein thrombosis: a unique curative approach. J Pediatr Gas...

CODES

ICD9

  • 452 Portal vein thrombosis

  • 572.3 Portal hypertension

  • 747.40 Anomaly of great veins, unspecified

ICD10

  • I81 Portal vein thrombosis

  • K76.6 Portal hypertension

  • Q26.9 Congenital malformation of great ve...

FAQ

  • Q: In a patient with cavernous transformation of the portal vein, should I recommend restriction of activities and avoidance of certain medications?

  • A: Contact sports should be limited or a spleen ...

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