{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T16:33:00Z","timestamp":1787070780321,"version":"build-2736575974"},"reference-count":6,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","license":[{"start":{"date-parts":[[2026,2,16]],"date-time":"2026-02-16T00:00:00Z","timestamp":1771200000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:title>\n                    A\n                    <jats:sc>BSTRACT<\/jats:sc>\n                  <\/jats:title>\n                  <jats:p>Chronic pancreatitis in children is uncommon but may be complicated by portal vein (PV) thrombosis and extrahepatic portal hypertension (EPH). This association poses significant diagnostic and therapeutic challenges. We report a 12-year-old boy with chronic calcific pancreatitis complicated by EPH secondary to PV thrombosis. He presented with recurrent abdominal pain, nonbilious vomiting, hypersplenism, and variceal bleeding. Imaging revealed a portal cavernoma with thrombosed PV, dilated splenic vein, atrophic pancreas, and ductal calculi. The patient underwent splenectomy with proximal splenorenal shunt and lateral pancreaticojejunostomy in a single sitting. Postoperative recovery was uneventful. At 8 months follow-up, the shunt remained patent, and the patient was asymptomatic apart from one self-limiting pain episode. Recurrent pancreatitis with EPH in children is rare. A multidisciplinary, individualized approach with careful preoperative optimization and tailored surgery can achieve good outcomes.<\/jats:p>","DOI":"10.4103\/jiaps.jiaps_303_25","type":"journal-article","created":{"date-parts":[[2026,2,16]],"date-time":"2026-02-16T13:00:09Z","timestamp":1771246809000},"page":"301-303","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Chronic Pancreatitis with Portal Venous Thrombosis in a Child: Difficult Scenario for Surgery"],"prefix":"10.4103","volume":"31","author":[{"given":"Basant","family":"Kumar","sequence":"first","affiliation":[{"name":"Departments of Paediatric Surgical Superspecialties, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rajneesh Kumar","family":"Singh","sequence":"additional","affiliation":[{"name":"Surgical Gastroenterology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rohit","family":"Kapoor","sequence":"additional","affiliation":[{"name":"Departments of Paediatric Surgical Superspecialties, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nishant","family":"Agarwal","sequence":"additional","affiliation":[{"name":"Departments of Paediatric Surgical Superspecialties, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,2,16]]},"reference":[{"key":"R1-20260311","doi-asserted-by":"crossref","first-page":"177","DOI":"10.1177\/1457496919857260","article-title":"Pancreatic surgery in chronic pancreatitis complicated by extrahepatic portal hypertension or cavernous transformation of the portal vein: A systematic review","volume":"109","author":"Latorre Fragua","year":"2020","journal-title":"Scand J Surg"},{"key":"R2-20260311","doi-asserted-by":"crossref","first-page":"321","DOI":"10.1016\/j.surg.2010.06.011","article-title":"Chronic pancreatitis complicated by cavernous transformation of the portal vein: Contraindication to surgery?","volume":"149","author":"Bockhorn","year":"2011","journal-title":"Surgery"},{"key":"R3-20260311","doi-asserted-by":"crossref","first-page":"162462","DOI":"10.1016\/j.jpedsurg.2025.162462","article-title":"Unconventional alternative shunts in pediatric extrahepatic portal vein obstruction \u2013Experience with satisfactory outcome","volume":"60","author":"Gupta","year":"2025","journal-title":"J Pediatr Surg"},{"key":"R4-20260311","doi-asserted-by":"crossref","first-page":"565","DOI":"10.1016\/j.jpedsurg.2014.11.039","article-title":"Pancreatitis and portal vein thrombosis in children: The chicken or the egg causality dilemma","volume":"50","author":"di Francesco","year":"2015","journal-title":"J Pediatr Surg"},{"key":"R5-20260311","doi-asserted-by":"crossref","first-page":"e94","DOI":"10.1097\/MPG.0000000000003218","article-title":"Vascular complications in pediatric pancreatitis: A case series","volume":"73","author":"Dike","year":"2021","journal-title":"J Pediatr Gastroenterol Nutr"},{"key":"R6-20260311","doi-asserted-by":"crossref","first-page":"2657","DOI":"10.3748\/wjg.v22.i9.2657","article-title":"Outcomes of abdominal surgery in patients with liver cirrhosis","volume":"22","author":"Lopez-Delgado","year":"2016","journal-title":"World J Gastroenterol"}],"container-title":["Journal of Indian Association of Pediatric Surgeons"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/jiaps.jiaps_303_25","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T15:36:28Z","timestamp":1787067388000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/jiaps.jiaps_303_25"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,2,16]]},"references-count":6,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.4103\/jiaps.jiaps_303_25","relation":{},"ISSN":["0971-9261","1998-3891"],"issn-type":[{"value":"0971-9261","type":"print"},{"value":"1998-3891","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,2,16]]},"assertion":[{"value":"2025-08-30","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-11-10","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}