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| Diagnosis and management of extrahepatic portal vein aneurysm: a case report |
| Hai-Feng Luo, Hong-Jiang Wang, Bing Li and Zhong-Yu Wang |
Dalian, China
Author Affiliations: Department of General Surgery, First Affiliated Hospital, Dalian Medical University, Dalian 116011, China (Luo HF, Wang HJ, Li B and Wang ZY)
Corresponding Author: Hai-Feng Luo, PhD, MD, Department of General Surgery, First Affiliated Hospital, Dalian Medical University, Dalian 116011, China (Tel: 86-13942892928; Fax: 86-411-86800410; Email: luohaifeng75@yahoo.com.cn) |
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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.
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2006, Vol. 5 
