Clinical Report: Neonatal Presentation of Congenital Portosystemic Shunt
Background
Congenital portosystemic shunt (CPSS) is a rare vascular malformation with an incidence estimated at 1 in 30,000 to 50,000 live births. Clinical manifestations during the neonatal period can be vague and non-specific.
Data Highlights
No numerical data or trial data are presented in the article.
Key Findings
Case 1 presented with respiratory distress, diffuse ecchymosis, and petechial hemorrhages, leading to progressive liver dysfunction and DIC.
Case 2 exhibited respiratory distress and multiple cutaneous hemangiomas, progressing to severe pulmonary hypertension.
Clinical manifestations of CPSS in neonates may include abnormal liver function, hyperammonemia, and hypoglycemia.
CPSS is associated with conditions such as congenital heart disease, Down syndrome, and pulmonary hypertension.
Early prenatal ultrasound screening is important for the diagnosis of CPSS.
Clinical Implications
Healthcare professionals should be aware of the atypical presentations of CPSS in neonates to ensure timely diagnosis.
