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Portal vein aneurysm presenting with obstructive jaundice
Chandana Lall1, Sadhna Verma, Rajesh Gulati
1Abdominal Imaging, Clinical Radiology, University of California, Irvine, Orange CA, USA.
Journal of Clinical Imaging Science
|October 3, 2012
Summary
A rare case of portal vein aneurysm causing obstructive jaundice was successfully managed with an endoscopic biliary stent. This minimally invasive approach resolved symptoms, offering an alternative to surgery in elderly patients.
Area of Science:
- Vascular Surgery
- Gastroenterology
- Hepatology
Background:
- Portal vein aneurysms are rare vascular malformations.
- Obstructive jaundice secondary to portal vein aneurysm is an unprecedented presentation.
- Surgical intervention is the standard treatment for portal vein aneurysms, especially with portal hypertension.
Observation:
- A case of portal vein aneurysm presenting with obstructive jaundice is described.
- The patient was elderly with significant co-morbidities, making surgical intervention high-risk.
- Portal hypertension was a consideration due to the aneurysm's presence.
Findings:
- An endoscopic biliary stent placement was performed.
- The procedure successfully resolved the obstructive jaundice symptoms.
- This represents a non-surgical management option for this rare condition.
Implications:
- Endoscopic biliary stenting can be a viable alternative to surgery for obstructive jaundice caused by portal vein aneurysms in select patients.
- This approach may be particularly beneficial for elderly patients or those with co-morbidities.
- Further research is warranted to evaluate the long-term efficacy and safety of non-surgical management for portal vein aneurysms.
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