Hepatoportal sclerosis is the term used to name a clinicopathological
condition responsible for non-chirrotic portal hypertension. A three cases
report of children with hepatoportal sclerosis is presented associated
with portal vein thrombosis. The first two patients presented as main complaint
upper digestive hemorrhage and the third one was admitted for investigation
of hepatosplenomegaly. The ultrasonographic exam revealed alterations indicative
of extrahepatic portal vein thrombosis in the three cases. The patients
underwent liver biopsy for they had presented altered liver enzymes. The
main histological findings were: subintimal sclerosis, portal fibrosis
and telangiectases of the intrahepatic venous branches, consistent
with the diagnosis of hepatoportal sclerosis. The three patients showed
good evolution, being the hemorrhage controlled in the first two cases
through esclerotherapy of esophageal varices.
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