Document Detail

Giant extra-hepatic thrombosed portal vein aneurysm: a case report and review of the literature.
MedLine Citation:
PMID:  24795777     Owner:  NLM     Status:  PubMed-not-MEDLINE    
BACKGROUND: Extrahepatic Portal vein aneurysm (EPVA) is a rare finding that may be associated with different complications, e.g. thrombosis, rupture, portal hypertension and compression of adjacent structures. It is being diagnosed more frequently with the advent of modern cross-sectional imaging. Our review of the English literature disclosed 13 cases of thrombosed EPVA.
CASE PRESENTATION: A 50-years-old woman presented with acute abdominal pain but no other symptom. She had no relevant medical history. Palpation of the right upper quadrant showed tenderness. Laboratory tests were unremarkable. A computed tomography showed portal vein aneurysm measuring 88 × 65 mm with thrombosis extending to the superior mesenteric and splenic vein. The patient was treated conservatively with anticoagulation therapy. She was released after two weeks and followed on an outpatient basis. At two months, she reported decreased abdominal pain and her physical examination was normal. A computed tomography was performed showing a decreased thrombosis size and extent, measuring 80 × 55 mm.
CONCLUSIONS: Although rare, surgeons should be made aware of this entity. Complications are various. Conservative therapy should be chosen in first intent in most cases. We reported the case of the second largest thrombosed extra-hepatic PVA described in the literature, treated by anticoagulation therapy with a good clinical and radiological response.
Ismaïl Labgaa; Yann Lachenal; Pierre Allemann; Nicolas Demartines; Markus Schäfer
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Publication Detail:
Type:  Journal Article; Review     Date:  2014-04-29
Journal Detail:
Title:  World journal of emergency surgery : WJES     Volume:  9     ISSN:  1749-7922     ISO Abbreviation:  World J Emerg Surg     Publication Date:  2014  
Date Detail:
Created Date:  2014-05-05     Completed Date:  2014-06-24     Revised Date:  2014-06-24    
Medline Journal Info:
Nlm Unique ID:  101266603     Medline TA:  World J Emerg Surg     Country:  England    
Other Details:
Languages:  eng     Pagination:  35     Citation Subset:  -    
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