RESUMEN
Congenital portosystemic shunts (CPSS) are rare malformations, which connect the portal venous system and the systemic circulation. The disorder is discovered at prenatal screening, neonatal cholestasis as an incidental finding or by systemic complications such as pulmonary hypertension, encephalopathies or liver nodules. CPSS are associated to cardiac malformations and several syndromes. Intervention radiology plays a key role in treatment by closure of the shunt, which is indicated, if the patient has complications, the shunt is extrahepatic, or it is still persistent at two years of age, using a two-step approach, as summarised and discussed in this review.
Asunto(s)
Cardiopatías Congénitas , Hipertensión Pulmonar , Derivación Portosistémica Intrahepática Transyugular , Malformaciones Vasculares , Niño , Femenino , Humanos , Recién Nacido , Vena Porta/diagnóstico por imagen , Vena Porta/cirugía , EmbarazoRESUMEN
A common complaint from children is growing pains: a mild to severe pain located primarily in the legs and being most intense in evenings and during sleep. The diagnosis is based on the characteristics of the pain and careful clinical examination. The pain disappears as the child grows up. Research has suggested that the pain occurs more often in children who suffer from vitamin D deficiency, low bone density, low pain threshold, restless legs syndrome and in children who were breastfed for less than 40 days from birth. There are not yet any firm conclusions about the aetiology.