Hypertension portale chez l'enfant. [a propos de 75 cas]

ABSTRACT

This study had based on 75 cases of the portal hypertension [PHT] at the children's hospital of Casablanca at the Pediatry 3, during a period of 12 years [January 85 to December 97]. The age of our patients varies from 4 months to 16 years. The patients had presented a splenomegaly in 69 cases [92%], a digestive haemorrhage in 42 cases [56%], a collateral venous circulation in 46 cases [68%], an ascites in 40 cases [53%] and a hepatomegaly in 20 cases [27%]. In 58 fibroscopy examinations, the esophageal varices were found in 52 cases [89%]. The echography objectived PHT's signs in all the cases. The etiology was the cirrhosis [37 cases] post-hepatitis [16 cases], metabolic [12 cases] and biliary [6 cases]. The portal venous obstruction was observed in 15 cases. The authors wanted to emphasize the management's difficulties of variceal bleeding in our context