Resumen

REYES PUENTES, Lourdes Milagros; CABRERA HERNANDEZ, Maiteé; RODRIGUEZ RAMIREZ, Emilio  y  REYES PUENTES, Teresa. Abdominal Sonography: its use in a comprehensive imaging study in pediatric patients suffering from Portal Hypertension. Rev Ciencias Médicas [online]. 2010, vol.14, n.1, pp.104-114. ISSN 1561-3194.

Pediatric Portal Hypertension (PPH) is a health problem in Cuba; that is why an applied, descriptive, explanatory, longitudinal and prospective research was carried out at "Pepe Portilla" Children Teaching Hospital during 2006-2007.  Objective: To demonstrate the usefulness of the abdominal Sonography in the diagnosis, natural history and prognosis of these patients. The universe and sample was comprised of both-sexes, and all ethnic patients having a confirmed diagnosis of PPH. Age, sex, pathological records, most frequent symptoms, signs, findings through conventional abdominal ultrasound, Doppler Sonography and sonographic evolution were the variables analyzed. Results showed: male sex prevailed, homogeneous distribution among the group of ages, more than the half of patients presented history of umbilical catheterization during neonatal period, among the symptoms: abdominal pain, upper digestive bleeding and spleen enlargement stood out; the most frequent findings were: splanchnomegaly,  alterations of the liver echostructure, collateral circulation and alterations of the portal system, which was notable with Doppler ultrasound; the group of patients presenting stable conditions prevailed regarding sonographic progress.

Palabras clave : ultrasonography; Portal hypertension.

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