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Asymptomatic portal vein aneurysm: Three case reports.
Kateryna Priadko1, Marco Romano2, Luigi Maria Vitale2
1Department of Precision Medicine and Hepato-Gastroenterology Unit, University Hospital and Università degli Studi della Campania Luigi Vanvitelli, Naples 80138, Italy. kateryna.priadko@unicampania.it.
World Journal of Hepatology
|May 7, 2021
Summary
Portal vein aneurysms (PVA) are rare vascular dilatations. Conservative management is effective for asymptomatic cases, with imaging recognition being crucial for favorable outcomes.
Area of Science:
- Vascular Surgery
- Radiology
- Gastroenterology
Background:
- Portal vein aneurysm (PVA) is a rare vascular dilatation with no clear sex or age predilection.
- Limited published cases and lack of management guidelines present treatment challenges.
Observation:
- Three cases of asymptomatic PVA are presented: two extrahepatic (48 mm, 42.3 mm) and one intrahepatic (27 mm).
- Diagnosis was incidental via ultrasonography during routine check-ups.
- All patients were asymptomatic, leading to a conservative treatment strategy.
Findings:
- Follow-up imaging revealed no progression in aneurysm dimensions for any of the three cases.
- Conservative management proved effective in stabilizing asymptomatic PVAs.
Implications:
- Early recognition of PVA imaging features is vital for favorable patient outcomes.
- Conservative management is a viable option for asymptomatic portal vein aneurysms.
Keywords:
AsymptomaticCase reportColour DopplerExtrahepatic portal vein aneurysmIntrahepatic portal vein aneurysmUltrasonography imagingMore Related Videos
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