Hepatobiliary and pancreatic: Portal vein aneurysm

Önbaş, Ömer; Kantarcı, Mecit; Alper, Fatih; Erdoğmuş, Beşir; Altınkaynak, Mustafa

doi:10.1111/j.1440-1746.2004.03598.x

Cited by 5 publications

(3 citation statements)

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“…This case report describes patients who presented to institution with complain of abdominal pain and vomiting and was diagnosed with pseudocyst of pancreas with portal vein thrombosis and complete CBD compression with icterus. 1 CBD obstruction was due to small bleeding veins in wall of pseudo cyst which subsided dramatically after angioembolization. The current treatment options for obstructive jaundice include surgical, interventional therapy and endoscopic therapy.…”

Section: Discussionmentioning

confidence: 98%

“…There are various complications associated with pancreatitis such as strictures, pancreatic necrosis, pseudo-cyst of pancreas, pancreato-cutaneous fistulas, venous thrombosis, arterial aneurysm in various arteries around pancreas etc. 1 In presenting case, patient developed pseudocyst of pancreas with portal vein thrombosis which causes complete CBD obstruction. 2 There are multiple options available to treat complications of pancreatitis but here as the patient is old and general condition is poor, minimal options are tried for patients benefit and good health.…”

Section: Introductionmentioning

confidence: 96%

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A case report of portal vein thrombosis and common bile duct compression in the patient having pseudocyst of pancreas and its management by percutaneous trans-hepatic biliary drainage

Baldiwala

Chandnani

2021

Int Surg J

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Pancreatitis is a systemic disease owing to release of inflammatory mediators and digestive enzymes. Acute pancreatitis is sudden inflammation of the pancreas. Alcohol and gallstones are main cause of acute pancreatitis. Chronic pancreatitis is the persistent inflammation and irreversible fibrosis associated with atrophy of pancreatic parenchyma. There are various complications associated with pancreatitis such as strictures, pancreatic necrosis, pseudo-cyst of pancreas, pancreato-cutaneous fistulas, venous thrombosis, arterial aneurysm in various arteries around pancreas etc. Common bile duct (CBD) strictures are a common complication in patients with advanced chronic pancreatitis and have a variable clinical presentation ranging from an incidental finding to overt jaundice and cholangitis. CBD strictures occur as a consequence of recurrent acute inflammatory episodes which may ultimately result in a periductal fibrotic stricture. CBD can be compressed as a result of extrinsic compression by large pseudocyst or aneurysm. The diagnosis is mostly made during investigations for abdominal pain but jaundice may be the initial clinical presentation. The jaundice is typically transient but may be recurrent with a small risk of secondary biliary cirrhosis in longstanding cases. Vascular complications in chronic pancreatitis are rare. Venous thrombosis is the most common complication of pancreatitis affecting venous system. It occurs as consequences of an inflammatory mass in head of pancreas, and splenic vein thrombosis occurs in association with chronic pancreatitis in 4-8% cases. Present case is a case of acute pancreatic collection in head of pancreas with aneurysmal small bleeding causing complete CBD compression and extensive venous thrombosis involving superior mesenteric vein, portal vein, splenic.

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Section: Discussionmentioning

confidence: 98%

Section: Introductionmentioning

confidence: 96%

A case report of portal vein thrombosis and common bile duct compression in the patient having pseudocyst of pancreas and its management by percutaneous trans-hepatic biliary drainage

Baldiwala

Chandnani

2021

Int Surg J

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“…Similar to this case, the main portal vein diameter in our patient increased from 12 to 34 mm over 6 years and then remained stable for 3 years. We further reviewed 13 PVA cases without OLT that showed size changes during follow-up [16][17][18][19][20][21][22][23][24][25][26]. The average diameter in the 13 PVA cases was 37.6 mm, and the average follow-up time was 21 months.…”

Section: Discussionmentioning

confidence: 99%

Extrahepatic portal vein aneurysm after orthotopic liver transplantation: a case with 9-year ultrasound observations

Quan

Ling

et al. 2012

J Med Ultrasonics

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We report a case of extrahepatic portal vein aneurysm (PVA) in the late postoperative period after orthotopic liver transplantation (OLT). A 46-year-old man underwent OLT in 2001 for treatment of hepatitis B virus-induced cirrhosis and received ultrasound follow-up for 9 years. The long-term ultrasound observations showed that the diameter of the main portal vein had progressively increased from 12 mm in 2001 to 34 mm in 2007, and then remained at 34 mm from 2007 to 2010. The patient did not show any symptoms or complications that required surgical treatment during the clinical follow-up. Our case suggests that PVA after OLT can remain without a sign of deterioration for a long time, and careful observation by ultrasound may be one of the options in the clinical management.

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Extrahepatic Portal Vein Aneurysm—Report of Six Patients and Review of the Literature

Cho

Marsh

Fontes

et al. 2008

Journal of Gastrointestinal Surgery

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Extrahepatic portal vein aneurysm is a rare condition. We report six patients with extrahepatic portal vein aneurysm, four of whom were surgically treated. In addition, a review of the literature was performed to examine natural history, management, and outcomes regarding portal vein aneurysm. Patients seen at our institution with extrahepatic portal vein aneurysm greater than 1.9 cm in diameter were reviewed (1998 to 2006). There were five females and one male; median age was 66.5 (30-77). Computed tomography (CT) scan was utilized for diagnosis in all cases. The median diameter of the aneurysm was 4.7 cm (2.7-6.0). Indications for surgery included gallstone pancreatitis, mass effect on the adjacent duodenum, a peripancreatic mass, and liver cirrhosis. Three patients underwent aneurysm resection, and one patient had an orthotropic liver transplant. Two patients were managed with observation. The median follow-up from first presentation and surgery was 50 months (9-181) and 5 months (2-73), respectively. At last follow-up, five patients were alive with radiologically proven portal vein patency. One patient died 2 months after liver transplantation. There was no case of aneurysmal rupture. One patient had intramural thrombus at presentation that resolved with conservative treatment. This report suggests that symptomatic aneurysms can be safely resected with excellent patency.

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Hepatobiliary and pancreatic: Portal vein aneurysm

Cited by 5 publications

References 0 publications

A case report of portal vein thrombosis and common bile duct compression in the patient having pseudocyst of pancreas and its management by percutaneous trans-hepatic biliary drainage

A case report of portal vein thrombosis and common bile duct compression in the patient having pseudocyst of pancreas and its management by percutaneous trans-hepatic biliary drainage

Extrahepatic portal vein aneurysm after orthotopic liver transplantation: a case with 9-year ultrasound observations

Extrahepatic Portal Vein Aneurysm—Report of Six Patients and Review of the Literature

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