Embolisation of an enlarging paraumbilical vein aneurysm

Abstract

Whilst recanalised Paraumbilical Veins (PUVs) are common pathways for decompression in patients with portal hypertension, aneurysmal change is rare, with only a handful of previously reported cases. A 47-year-old man with cirrhosis and portal hypertension was found to have an asymptomatic, but rapidly enlarging PV aneurysm. This was successfully treated with embolisation and this is the first time that this has been described.