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Portal hypertension following exchange blood transfusion with complications of listeria meningitis

✍ Scribed by Kobayashi, Yohnosuke ;Akaishi, Kyoji ;Nishio, Toshikazu ;Kobayashi, Yutaka ;Maetani, Shunzo


Publisher
Springer-Verlag
Year
1975
Weight
333 KB
Volume
119
Category
Article
ISSN
0044-2917

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✦ Synopsis


A male infant, 17 months, developed portal hypertension after two exchange blood transfusions and a prolonged umbilical vein catheterization during the neonatal period. Clinical course was characterized by an early onset of splenomegMy and after a latent period of time by a massive melena and hematemesis precipitated by Listeria meningitis. Treatment for portal hypertension consisted of splenectomy and proximal gastric devascularization. The importance of proper positioning of the catheter and avoidance of extended catheterization is recommended.


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Hemodynamic effects of blood volume rest
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The present study investigated whether, in rats with portal hypertension due to cirrhosis of the liver induced by carbon tetrachloride, blood volume restitution following a hemorrhage produces an increase of portal pressure beyond control values, as observed in rats with prehepatic portal hypertensi