An intrahepatic Portal Vein Aneurysm Presenting with Esophageal Variceal Bleeding in a Pediatric Patient: A Rare Clinical Entity

Güngör, Şükrü; Varol, Fatma İlknur; Kutlu, Ramazan; Yılmaz, Sezai; Selimoğlu, Mukadder Ayşe

doi:10.4274/balkanmedj.2017.1776

Cited by 2 publications

(4 citation statements)

References 3 publications

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“…In this case, the PVA and portal hypertension were presumed to be secondary to the pressure effect from the splenic artery aneurysm. Güngör et al [ 21 ] presented an 11-mo-old girl with a congenital PVA, and oesophageal and fundal varices with bleeding. This was the only case in our review where PVA caused portal hypertension complications.…”

Section: Etiology Multimodal Imaging and Current Managementmentioning

confidence: 99%

“…In our review, thrombosis occurred in 12 (19.35%) patients (six of whom were female), with a median age of 38.33 years. Abdominal pain was reported in 10 of 12 patients; in a one-year-old girl, the symptoms manifested as haematemesis and melena[ 21 ]; a 69-year-old female with a congenital PVA followed by thrombosis did not experience any symptoms[ 5 ]. In five patients, treatment was based on anticoagulation medication; seven patients underwent open surgery or invasive radiology procedures.…”

Section: Etiology Multimodal Imaging and Current Managementmentioning

confidence: 99%

“…Aiming to clarify novelty as regards this visceral vascular abnormality, we performed a literature search of the PubMed database for all articles relating to PVA between January 2015 and July 2022[ 12 - 68 ]. We collected 57 reports, involving 62 patients with a PVA[ 3 - 7 , 12 - 16 , 19 , 21 - 25 , 27 , 29 - 68 ]; we also found one retrospective study with 18 PVA patients[ 2 ], and three cases of PV pseudoaneurysm[ 69 - 71 ].…”

Section: Introductionmentioning

confidence: 99%

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Portal vein aneurysm-etiology, multimodal imaging and current management

Kurtcehajic¹,

Zerem²,

Alibegovic³

et al. 2023

World J Clin Cases

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Portal vein aneurysm (PVA) is a rare vascular abnormality, representing 3% of all venous aneurysms in the human body, and is not well understood. It can be congenital or acquired, located mainly at the level of confluence, main trunk, branches and bifurcation. A PVA as an abnormality of the portal venous system was first reported in 1956 by Barzilai and Kleckner. A review from 2015 entitled “Portal vein aneurysm: What to know” considered fewer than 200 cases. In the last seven years, there has been an increase in the number of PVAs diagnosed thanks to routine abdominal imaging. The aim of this review is to provide a comprehensive update of PVA, including aetiology, epidemiology, and clinical assessment, along with an evaluation of advanced multimodal imaging features of aneurysm and management approaches.

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Section: Etiology Multimodal Imaging and Current Managementmentioning

confidence: 99%

Section: Etiology Multimodal Imaging and Current Managementmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Portal vein aneurysm-etiology, multimodal imaging and current management

Kurtcehajic¹,

Zerem²,

Alibegovic³

et al. 2023

World J Clin Cases

View full text Add to dashboard Cite

show abstract

“…P ortal vein aneurysm (PVA) was fi rst described by Barzilai and Kleckner Jr [1] in 1956 and since then only 190 cases have been reported in the literature [2][3][4] . Portal vein aneurysm accounts for 3% [3][4][5][6][7] of all visceral aneurysms, with an incidence of 0.06% [5,7] , which has increased to 0.43% in recent years [3,4,6,8] with improved imaging procedures and incidental fi ndings. Portal vein aneurysms usually remain stable in size and do not progress [6] , 63% of them being extrahepatic.…”

Section: Introductionmentioning

confidence: 99%