• Niger J Clin Pract · Mar 2020

    Case Reports

    Bleeding oesophageal varices in a 9 -year old girl as a late complication of neonatal umbilical catheterization.

    • J O Ugwu, C D Emegoako, C A Ugwunne, T O Ulasi, and N O Ugwu.
    • Paedaitric Surgery Unit, Department of Surgery, Nnamdi Azikiwe University Teaching Hospital, Nnewi, Anambra State, Nigeria.
    • Niger J Clin Pract. 2020 Mar 1; 23 (3): 429-433.

    AbstractBleeding oesophageal varices is a rare condition in children and most of them are usually of extrahepatic causes. Neonatal umbilical catheterization even though safe has been identified as a cause of portal vein thrombosis and oesophaeal varices. We report a 9-year old Nigerian girl who had massive upper gastrointestinal bleeding from oesophageal varices secondary to pulmonary vein stenosis. She had umbilical catheterization for exchange blood transfusion as a neonate. She was sequentially managed with endoscopic sclerotherapy and band ligation We seek to highlight the need for a high index of suspicion of oesophageal varices in children with upper gastrointestinal bleeding who had neonatal umbilical catheterization.">.

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