Hepatic encephalopathy induced by small bowel obstruction in a noncirrhotic child with portal vein thrombosis

J Pediatr Surg. 1990 Dec;25(12):1276-7. doi: 10.1016/0022-3468(90)90530-m.

Abstract

A case of hepatic encephalopathy in a noncirrhotic child, who has undergone a previous mesocaval shunt for extrahepatic portal vein thrombosis, is presented. Hepatic encephalopathy developed 5 years after the operation and is believed to have been precipitated by the presence of small bowel obstruction. Exploratory laparotomy and lysis of an adhesion relieved the obstruction and led to the resolution of the encephalopathy.

Publication types

  • Case Reports

MeSH terms

  • Adolescent
  • Ammonia / blood
  • Graft Occlusion, Vascular / complications
  • Hepatic Encephalopathy / blood
  • Hepatic Encephalopathy / etiology*
  • Humans
  • Intestinal Obstruction / complications*
  • Intestine, Small
  • Male
  • Portacaval Shunt, Surgical / adverse effects*
  • Portal Vein* / surgery
  • Postoperative Complications / etiology*
  • Thrombosis / surgery*

Substances

  • Ammonia