పీడియాట్రిక్స్ & థెరప్యూటిక్స్
అందరికి ప్రవేశం

నైరూప్య

Congenital Portosystemic Shunts in Neonate: A Case Report

Boshra Nasser, Michael Jerdev, Haia Nasser, Wael Nasser

A healthy newborn baby girl was born with caesarean section due to fetal bradycardia around the time of delivery and aspiration of meconium and amniotic fluid into the lungs was detected and tracheal suction was used to clear the airways of meconium in addition supplemental oxygen was needed. The portosystemic shunt problem was detected and congenital portosystemic venous shunts are rare vascular anomalies that occurred to be a secondary abnormal development or involution of fetal vasculature. At week 36 the mother underwent amniocentesis which was normal. After birth the neonate transferred to the nursery to be under observation due to events of hypoglycemia and hyperbilirubinemia. Normal ammonia and normal coagulation functions was detected. Radiological finding were postpartum ultrasound of the liver and bile ducts of upper abdomen showed evidence of liver and gallbladder with normal dimensions and epigyny and normal bile ducts. Laboratory findings were glucose was 50 mg/dL at first and later ranged from 75 to 100 mg%, blood gases were normal PH 7.3-7.4, Normal Bicarbonate 22-24, O₂ saturation were 96%, normal electrolytes including normal calcium potassium and sodium normal thyroid function, normal Blood Proteins Albumin 4.2 mg/dL, CPK was 200 (mcg/L).