Diagnosis and management of extrahepatic portal vein aneurysm: a case report
- PMID: 16698599
Diagnosis and management of extrahepatic portal vein aneurysm: a case report
Abstract
Background: Extrahepatic portal vein aneurysm is a rare clinical entity with no more than 50 reported cases in the English literature. This study was to elucidate the procedures used in the diagnosis and management of portal vein aneurysm.
Method: The clinical data of a patient with extrahepatic portal vein aneurysm were analyzed.
Results: Extrahepatic portal vein aneurysm associated with portal hypertension and splenomegaly was diagnosed by color Doppler ultrasonography (US), computed tomography (CT), magnetic resonance angiography (MRA) and angiography (indirect portography). Splenectomy and surgical shunt (splenorenal shunt) were performed. No hepatic encephalopathy and variceal bleeding occurred after the operation except mild pancreatic leakage caused by partial pancreatic tail resection. The patient recovered well.
Conclusions: Extrahepatic portal vein aneurysm can be evaluated by US, CT, MRA, and angiography for optimum conservative or surgical management.
Similar articles
-
Splenic-intrahepatic left portal shunt in an adult patient with extrahepatic portal vein obstruction without recurrence after pancreaticoduodenectomy.J Hepatobiliary Pancreat Surg. 2009;16(1):86-9. doi: 10.1007/s00534-008-0002-5. Epub 2008 Dec 19. J Hepatobiliary Pancreat Surg. 2009. PMID: 19096753
-
Mesogonadal shunts for extrahepatic portal vein thrombosis and variceal hemorrhage.Liver Transpl. 2005 Nov;11(11):1389-94. doi: 10.1002/lt.20487. Liver Transpl. 2005. PMID: 16237690
-
Mesenterico left portal bypass for variceal bleeding owing to extrahepatic portal hypertension caused by portal vein thrombosis.J Pediatr Surg. 2006 Jul;41(7):1259-63. doi: 10.1016/j.jpedsurg.2006.03.043. J Pediatr Surg. 2006. PMID: 16818059
-
Living donor liver transplantation for idiopathic portal hypertension with extrahepatic portal vein stenosis and splenic artery aneurysms: a case report and review of the literature.BMC Surg. 2020 Oct 29;20(1):257. doi: 10.1186/s12893-020-00921-6. BMC Surg. 2020. PMID: 33121468 Free PMC article. Review.
-
Portal vein aneurysm: What to know.Dig Liver Dis. 2015 Nov;47(11):918-23. doi: 10.1016/j.dld.2015.06.003. Epub 2015 Jun 19. Dig Liver Dis. 2015. PMID: 26188840 Review.
Cited by
-
Extrahepatic portal vein aneurysm--report of six patients and review of the literature.J Gastrointest Surg. 2008 Jan;12(1):145-52. doi: 10.1007/s11605-007-0313-x. Epub 2007 Sep 11. J Gastrointest Surg. 2008. PMID: 17851722
-
Review.Gastroenterol Hepatol (N Y). 2007 Apr;3(4):299-300. Gastroenterol Hepatol (N Y). 2007. PMID: 21960845 Free PMC article. No abstract available.
-
Ultrasonography and 3D-CT Follow-Up of Extrahepatic Portal Vein Aneurysm: A Case Report.Case Rep Med. 2010;2010:560495. doi: 10.1155/2010/560495. Epub 2010 Jun 14. Case Rep Med. 2010. PMID: 20593038 Free PMC article.
-
Enlarged extrahepatic portal vein aneurysm in a non-cirrhotic patient: a therapeutic dilemma.BMJ Case Rep. 2011 Oct 28;2011:bcr0620114317. doi: 10.1136/bcr.06.2011.4317. BMJ Case Rep. 2011. PMID: 22675088 Free PMC article.
-
Portal vein pseudoaneurysm with portoenteric fistula: an unusual cause for massive gastrointestinal hemorrhage.Semin Intervent Radiol. 2007 Sep;24(3):341-5. doi: 10.1055/s-2007-985748. Semin Intervent Radiol. 2007. PMID: 21326482 Free PMC article.
Publication types
MeSH terms
LinkOut - more resources
Medical