Abstract
Portal vein aneurysm (PVA) includes focal dilatation of the portal vein, and was formerly thought to be a rare disease. We report a 46-year-old man with chronic aggressive hepatitis and intrahepatic portal vein ancurysm communicating with the hepatic vein. Hemangiomas in the liver and intracranial arteriovenous malformation (AVM) were also found. To our knowledge, this is the first report of a case of PVA in a patient with congenital intracranial AVM. As the PVA in this patient communicated with the hepatic vein, and as hemangiomas in the liver and intracranial AVM were also present, the pathogenesis in this patient seems to have been congenital anomaly of the vasculature.
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References
Barzilai R, Kleckner MS. Hemocholecysts following ruptured aneurysm of portal vein. Arch Surg 1956;72:725–727.
Thomas TV. Aneurysm of the portal vein: Report of two cases, one resulting in thrombosis and spontaneous rupture. Surgery 1967;61:550–555.
Hermann RE, Shafer WH. Aneurysm of the portal vein and portal hypertension: First reported case. Ann Surg 1965;162:1101–1104.
Vine HS, Sequeira JC, Widrich WC, et al. Portal vein aneurysm. AJR 1979;132:557–560.
Bozez M, Fourcade Y, Sebag A, et al. Aneurysmal dilatation by realtime ultrasonography. Gastrointest Radio. 1986;11:319–321.
Ishikawa T. Venous abnormalities in portal hypertension demonstrated by CT. Am J Radiol 1980;134:271–276.
Fanny D, Cestillo M, Montalvo B, et al. Sonographic diagnosis of aneurysm of the right portal vein. J Ultrasound Med 1987; 6:605–607.
Sernagor M, Lemone M. Ultrasound and CT studies of an aneurysm of the left portal vein branch. JBR-BTR 1985;68:464–465.
Saito Y, Mariya Y, Nakamura Y, et al. Image diagnosis of portal vein aneurysm. J Med Imag 1988;8:203–208.
Bezzi M, Mitchell DG. latrogenic aneurysmal portal hepatic venous fistula: Diagnosis by color Doppler imaging. J Ultrasound Med 1988;7:457–461.
Andoh K, Tanohata K, Asakura K, et al. OT demonstration of portal vein aneurysm J Comput Assist Tomogr 1988;12(2): 325–327.
Hirch R, Liebowitz, Lous M, et al. Saccular aneurysm of portal wein with agnogenic myeloid metaplasia. NY State J Med 1967;7:1443–1447.
Schild H, Schweden F, Braun B, et al. Aneurysm of the superior mesenteric vein. Radiology 1982;145:641–642.
Kubota A, Nakamura T, Han N, et al. A case report of intrahepatic portal vein aneurysm: Demonstration by angiography, US, and CT examination (In Japanese). Rinsho Hoshasen 1983;28:499–502.
Takayasu K, Moriyama N, Shima Y, et al. Spontaneous portal hepatic venous shunt via intrahepatic portal vein aneurysm. Gastroenterology 1984;86:945–948.
Tsukuda M, Yokomizo Y, Nanbu T, et al. Intrahepatic portal vein aneurysm with portal hepatic venous shunt: Case report. Nipp Acta Radiol 1988;48(3):304–307.
Takeuchi K, Imai Y, Kamiidani T, et al. A case of intrahepatic portal vein aneurysm with porto-hepatic vein shunt (in Japanese). Shindan-to-Chiryo 1987;75:1362–1366.
Chagnon SF, Vallee CA, Barge J. Aneurysmal porthepatic venous fistula: Report of two cases. Radiology 1986;159(3):693–695.
Ohtomo K, Furui S, Sato M, et al. Aneurysmal portohepatic communication between the portal vein and the hepatic vein. Clin Radiol 1986;37:513–514.
Leonsins AJ. Fusilorm aneurysmal dilation of the portal vein. Postgrad Med J 1960;36:570–574.
Dühmke VE. Aneurysma der vena portal. Fortschr Röntgenstr 1976;125:473–474.
Yamashita S, Nakata K, Muro T, et al. A case of hepatic encephalopathy due to diffuse intrahepatic porto-systemic shunts. J Jpn Soc Intern Med 1982;71:844–850.
Babington BG. Hereditary epistaxis. Lancet 1965;II:362.
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Ito, Y., Tarao, K., Tamai, S. et al. Portal vein aneurysm in the liver associated with multiple vascular malformations. J Gastroenterol 29, 776–781 (1994). https://doi.org/10.1007/BF02349287
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DOI: https://doi.org/10.1007/BF02349287