Abstract
The Journal is the primary organ of Continuing Paediatric Medical Education in Sri Lanka. The journal also has a website. Free full text access is available for all readers.The Sri Lanka Journal of Child Health is now indexed in SciVerse Scopus (Source Record ID 19900193609), Index Medicus for South-East Asia Region (IMSEAR), CABI (Centre for Agriculture and Bioscience International Global Health Database), DOAJ and is available in Google, as well as Google Scholar.The policies of the journal are modelled on the Committee on Publication Ethics (COPE) Guidelines on Principles of Transparency and Best Practice in Scholarly Publishing. Sri Lanka Journal of Child Health is recognised by the International Committee of Medical Journal Editors (ICMJE) as a publication following the ICMJE Recommendations.
Highlights
Congenital portosystemic shunts (CPSS) are rare vascular abnormalities characterized by complete or partial shunting of portal blood into systemic veins bypassing the liver[1]
CPSS was first described by John Abernethy in 1793 and can be intrahepatic or extrahepatic[5]
Extrahepatic CPSS is further subdivided into types 1 and 2 based on the patency or apparent non patency of the portal trunk and intrahepatic portal system[6]
Summary
Congenital portosystemic shunts (CPSS) are rare vascular abnormalities characterized by complete or partial shunting of portal blood into systemic veins bypassing the liver[1]. CPSS are classified into extra- and intra-hepatic shunts based on their location[2] Some of these shunts are asymptomatic and resolve spontaneously whereas others cause marked metabolic abnormalities affecting a variety of organ systems[3]. Case report An 8-year old Sri Lankan boy presented with epistaxis and ecchymosis of 3 days duration. He started to have a few ecchymotic patches on the back which progressed throughout the body during the past three days. There was no haematemesis, melaena, haematuria or evidence of bleeding into any other organs He complained of unsteady gait and excessive sleepiness which lasted 24 hours before resolving spontaneously.
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