Congenital Portal Vein Aneurysm: A case report.
- Author:
Hee Chul YU
1
;
Ick Gang RIM
;
Baik Hwan CHO
Author Information
1. Department of Surgery, School of Medicine, Chonbuk National University.
- Publication Type:Case Report
- Keywords:
Portal Vein Aneurysm;
Congenital
- MeSH:
Aneurysm*;
Diagnosis;
Dilatation;
Hemodynamics;
Humans;
Liver Diseases;
Male;
Mesenteric Veins;
Middle Aged;
Pancreatitis;
Phlebography;
Portal Vein*;
Ultrasonography
- From:Korean Journal of Hepato-Biliary-Pancreatic Surgery
1999;3(1):117-120
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Aneurysm of the portal venous system is extremely rare and its etiology is controversial. In the following study, a case congenital aneurysm of the portal vein is reported. A 47-year-old male had a one-year history of generalized weakness. During routine evaluation, an ultrasound examination showed a masslike dilatation of the portal vein near the porta hepatis and its distal portion was communicating with the normal-sized superior mesenteric vein. The diagnosis was confirmed by dynamic computed tomography and portal venography as portal vein aneurysm and an unusually tortuous portal vein. The patient had no history or clinical evidence of underlying liver disease, pancreatitis, or other disease states that would predispose development of an aneurysm. It was speculated that this portal vein aneurysm may have been congenital and that the associated tortuous portal vein may have been secondary to hemodynamic changes in the portal vein system.