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Superior mesenteric venous aneurysm.

J V Cholankeril

The American Journal of Gastroenterology

|August 1, 1985

Summary

This summary is machine-generated.

Recurrent gastrointestinal bleeding was linked to a rare superior mesenteric vein aneurysm causing portal hypertension. This case highlights venous aneurysms as a cause of altered blood flow and high blood pressure in the portal system.

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Area of Science:

Vascular Surgery
Gastroenterology
Radiology

Background:

Portal hypertension is a serious condition often associated with liver disease.
Gastrointestinal bleeding, particularly esophageal varices, can be a severe manifestation of portal hypertension.
The causes of portal hypertension are diverse, including liver cirrhosis and vascular abnormalities.

Observation:

A patient presented with recurrent upper gastrointestinal bleeding and esophageal varices.
Angiography revealed a superior mesenteric venous aneurysm, splenomegaly, and normal liver size.
The patient had no history of hepatitis or alcoholism, suggesting an alternative cause for portal hypertension.

Findings:

The superior mesenteric venous aneurysm was identified as the cause of portal hypertension.

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This vascular anomaly altered blood flow, leading to increased pressure in the portal system.

This represents the second reported case of a superior mesenteric venous aneurysm in the English literature.

Implications:

Superior mesenteric venous aneurysms are a rare but significant cause of non-cirrhotic portal hypertension.
Recognition of this condition is crucial for accurate diagnosis and management of gastrointestinal bleeding.
Further research into the etiology and optimal treatment of venous aneurysms is warranted.