Document Detail

Diagnosis and management of extrahepatic portal vein aneurysm: a case report.
MedLine Citation:
PMID:  16698599     Owner:  NLM     Status:  MEDLINE    
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.
Hai-Feng Luo; Hong-Jiang Wang; Bing Li; Zhong-Yu Wang
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Hepatobiliary & pancreatic diseases international : HBPD INT     Volume:  5     ISSN:  1499-3872     ISO Abbreviation:  HBPD INT     Publication Date:  2006 May 
Date Detail:
Created Date:  2006-05-15     Completed Date:  2006-07-19     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101151457     Medline TA:  Hepatobiliary Pancreat Dis Int     Country:  China    
Other Details:
Languages:  eng     Pagination:  311-3     Citation Subset:  IM    
Department of General Surgery, First Affiliated Hospital, Dalian Medical University, Dalian 116011, China.
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MeSH Terms
Aneurysm / complications,  diagnosis*,  surgery
Bile Ducts, Extrahepatic*
Follow-Up Studies
Hypertension, Portal / complications,  diagnosis*,  surgery
Magnetic Resonance Angiography
Middle Aged
Portal Vein*
Portasystemic Shunt, Surgical / methods
Risk Assessment
Severity of Illness Index
Splenectomy / methods
Splenomegaly / complications,  diagnosis*,  surgery
Tomography, X-Ray Computed
Treatment Outcome
Ultrasonography, Doppler, Color

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