Table 1.
Characteristics of the patients in both cases
| Clinical characteristic | Case 1 | Case 2 |
|---|---|---|
| Patient characteristics (at surgery) | ||
| Age (y) | 9 | 11 |
| Sex | Female | Male |
| Weight (kg) | 40 | 39.9 |
| Height (cm) | 140 | 165.9 |
| BMI (kg/m2) | 20.4 | 13.4 |
| Weight percentile by age | 90th percentile | 50th percentile |
| BMI percentile by age | 85th percentile | <3rd percentile |
| Symptoms and signs | ||
| Abdominal pain | Yes | No |
| Gastrointestinal bleeding | Yes | Yes |
| Varices | Yes | Yes |
| Splenomegaly | Yes | Yes |
| Spleen size (cm) | 13.4 | 16.6 |
| Thrombocytopenia | No | Yes |
| Platelet count (/μL) | 131,000 | 62,000 |
| Cause of PVT | Choledochal cyst surgery | Idiopathic |
| Operation | ||
| Inflow | SMV | Coronary vein |
| Conduit | IJV | GSV |
| Outflow | LPV, mild sclerotic | LPV |
| Intraoperative liver biopsy | No | Yes, no cirrhosis on biopsy |
| Intraoperative DUS | No, only handheld Doppler | Yes |
| Intraoperative portography | Yes, after thrombectomy | No |
| Postoperative results | ||
| Graft patency | Thrombosed graft | Good patency |
| Clinical outcome | No variceal bleeding | No variceal bleeding |
| Worsening liver cirrhosis | Improved hypersplenism |
BMI, body mass index; PVT, portal vein thrombosis; SMV, superior mesenteric vein; IJV, internal jugular vein; GSV, great saphenous vein; LPV, left portal vein; DUS, duplex ultrasonography.