Extrahepatic portal vein aneurysm identification during cholecystectomy

2021 ◽  
Author(s):  
Siavash Mortazavi ◽  
Matthew Trinder ◽  
Ran Li ◽  
Farah Abdul Aziz
Keyword(s):  
Portal Vein ◽  
Portal Vein Aneurysm

Congenital Hepatoportal Arteriovenous Fistula associated with Intrahepatic Portal Vein Aneurysm and Portohepatic Venous Shunt: Case Report

2005 ◽  
Vol 53 (2) ◽  
pp. 103
Author(s):  
Jin Hwa Lee ◽  
Tae Beom Shin ◽  
Myong Jin Kang ◽  
Seong Kuk Yoon ◽  
Jong Young Oh ◽  
...  
Keyword(s):  
Case Report ◽  
Portal Vein ◽  
Arteriovenous Fistula ◽  
Portal Vein Aneurysm ◽  
Venous Shunt ◽  
Portohepatic Venous Shunt

scholarly journals Portal vein aneurysm with acute portal vein thrombosis masquerading as a pancreatic mass

2020 ◽  
Author(s):  
Zachary Field ◽  
Mario Madruga ◽  
Steve J. Carlan ◽  
Reem Abdalla ◽  
Jordan Carbono ◽  
...  
Keyword(s):  
Portal Vein ◽  
Portal Vein Thrombosis ◽  
Pancreatic Mass ◽  
Vein Thrombosis ◽  
Portal Vein Aneurysm

scholarly journals Repeated Plastic Stentings of Common Hepatic Duct for Portal Vein Aneurysm Compression in a Patient Unsuitable for Surgery

2018 ◽  
Vol 12 (3) ◽  
pp. 570-577 ◽  
Author(s):  
Jeffrey Sun ◽  
Cheuk-Kwan Sun ◽  
Cheuk-Kay Sun
Keyword(s):  
Portal Vein ◽  
Surgical Intervention ◽  
Vascular Malformations ◽  
Imaging Modality ◽  
Hepatic Duct ◽  
Therapeutic Option ◽  
Clinical Signs ◽  
Common Hepatic Duct ◽  
Low Grade ◽  
Portal Vein Aneurysm

Portal vein aneurysms are rare vascular malformations with unclear etiologies and optimal treatment guidelines. Although Doppler ultrasonography is the most commonly used diagnostic tool, there is no gold standard imaging modality. Despite recommendations of surgical treatment for symptomatic aneurysms, there are limited options in the management of portal vein aneurysm-related complications in patients unfit for surgical intervention. We describe an 85-year-old man who presented with abdominal pain and low-grade fever with clinical signs consistent with cholangitis. Endoscopic retrograde cholangiopancreatography revealed a common hepatic duct stricture and concomitant intraductal ultrasonography identified adjacent aneurysmal portal vein dilatation. The final diagnosis of portal vein aneurysm was made using contrast computerized tomography scan. The patient was considered unsuitable for surgery due to his advanced age and multiple comorbidities. Instead, an endoscopic biliary plastic stent was inserted as a therapeutic alternative, which successfully achieved complete resolution of symptoms 3 days after the procedure. The patient was regularly followed at the outpatient clinic with repeated stent replacements every 3 to 4 months. After a follow-up of over 3.5 years, the patient remained symptom-free without signs of portal vein aneurysm compression. The result suggests that repeated stent replacements may be a therapeutic option for biliary compression by portal vein aneurysm in patients contraindicated for surgical intervention.

CT Findings of Portal Vein Aneurysm

1999 ◽  
Vol 40 (5) ◽  
pp. 901 ◽  
Author(s):  
Dal Mo Yang ◽  
Mi Son Chang ◽  
Myung Hwan Yoon ◽  
Hak Woo Kim ◽  
Hyung Sik Kim ◽  
...  
Keyword(s):  
Portal Vein ◽  
Portal Vein Aneurysm ◽  
Ct Findings

scholarly journals Portal Vein Aneurysm: A Case Report and Review of the Literature

2009 ◽  
Vol 17 (1) ◽  
pp. 57-62 ◽  
Author(s):  
Ta-Pin Lee ◽  
Huei Chun Lu ◽  
Yi-Hong Chou ◽  
Chui-Mei Tiu ◽  
See-Ying Chiou ◽  
...  
Keyword(s):  
Case Report ◽  
Portal Vein ◽  
Review Of The Literature ◽  
Portal Vein Aneurysm

scholarly journals Ultrasonography and 3D-CT Follow-Up of Extrahepatic Portal Vein Aneurysm: A Case Report

2010 ◽  
Vol 2010 ◽  
pp. 1-6 ◽  
Author(s):  
Norio Yukawa ◽  
Makoto Takahashi ◽  
Kazuyoshi Sasaki ◽  
Takuma Mori ◽  
Ayumi Matsuo ◽  
...  
Keyword(s):  
Portal Vein ◽  
English Language ◽  
Color Doppler ◽  
Diagnostic Techniques ◽  
3D Ct ◽  
Portal Vein Aneurysm ◽  
Hepatic Hilum ◽  
Color Doppler Us ◽  
Abdominal Fullness

Extrahepatic portal vein aneurysm is a rare disorder. From 1956 to 2008, we found only 43 published English-language reports, including 67 cases, using Pub Med. We report a case of a 77-year-old woman who had complaints of lower abdominal fullness and residual urine. We performed ultrasonography (US), which demonstrated a congenital extrahepatic portal vein aneurysm. She had no obvious symptoms of the extrahepatic portal vein aneurysm. She had undergone gastrectomy without blood transfusion for gastric ulcer more than 20 years ago. Physical examination revealed no abnormal findings. US revealed a2.2×1.8 cm, round shaped hypoechogenic lesion at the hepatic hilum. Color Doppler US showed bidirectional colors due to circular flow within this lesion. 3D-CT and CT angiography demonstrated that the saccular aneurysm at the hepatic hilum was 3.0 cm in diameter and was enhanced equal to that of portal vein.Twenty-six months after the diagnosis, the aneurysm had not grown in size. Since our patient had no serious complaints or liver disease, surgical procedures had not been employed. US and 3D-CT are noninvasive diagnostic techniques and are helpful in the diagnosis and follow-up of extrahepatic portal vein aneurysms.

scholarly journals Thrombosis of a portal vein aneurysm: a case report with literature review

2018 ◽  
Vol 74 (2) ◽  
pp. 115-120 ◽  
Author(s):  
Charlotte De Vloo ◽  
Tom Matton ◽  
Wouter Meersseman ◽  
Geert Maleux ◽  
Sabrina Houthoofd ◽  
...  
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Portal Vein ◽  
Portal Vein Aneurysm

scholarly journals The Management of Extrahepatic Portal Vein Aneurysms: Observe or Treat?

HPB Surgery ◽  
1996 ◽  
Vol 10 (2) ◽  
pp. 113-116 ◽  
Author(s):  
Philip D. Feliciano ◽  
Joseph J. Cullen ◽  
John D. Corson
Keyword(s):  
Portal Hypertension ◽  
Liver Disease ◽  
Portal Vein ◽  
Process Management ◽  
Asymptomatic Patient ◽  
Underlying Liver Disease ◽  
Surgical Exploration ◽  
Portal Vein Aneurysm

A case of a 70 year old man who was found to have an extrahepatic portal vein aneurysm during an evaluation for hematuria is reported. Extrahepatic portal vein aneurysms are rare with only twenty cases reported in the literature. Typically, patients present with hemorrhage requiring surgical exploration or the aneurysm is discovered during evaluation of another abdominal process. Management includes careful follow-up in the asymptomatic patient without underlying liver disease or portal hypertension.

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