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Portal vein aneurysm associated with Budd-Chiari syndrome treated with transjugular intrahepatic portosystemic shunt: a case report.
- Source :
-
World journal of gastroenterology [World J Gastroenterol] 2015 Mar 07; Vol. 21 (9), pp. 2858-61. - Publication Year :
- 2015
-
Abstract
- A 65-year-old woman with Budd-Chiari syndrome (BCS) presented with right upper quadrant pain. A computed tomography (CT) scan showed a saccular aneurysm located at the extrahepatic portal vein main branch measuring 3.2 cm in height and 2.5 cm × 2.4 cm in diameter. The aneurysm was thought to be associated with BCS as there was no preceding history of trauma and it had not been present on Doppler ultrasound examination performed 3 years previously. Because of increasing pain and concern for complications due to aneurysm size, the decision was made to relieve the hepatic venous outflow obstruction. Transjugular intrahepatic portosystemic shunt (TIPS) was created without complications. She had complete resolution of her abdominal pain within 2 d and remained asymptomatic after 1 year of follow-up. CT scans obtained after TIPS showed that the aneurysm had decreased in size to 2.4 cm in height and 2.0 cm × 1.9 cm in diameter at 3 mo, and had further decreased to 1.9 cm in height and 1.6 cm × 1.5 cm in diameter at 1 year.
- Subjects :
- Abdominal Pain etiology
Aged
Aneurysm diagnosis
Aneurysm etiology
Aneurysm physiopathology
Budd-Chiari Syndrome complications
Budd-Chiari Syndrome diagnosis
Budd-Chiari Syndrome physiopathology
Female
Hemodynamics
Humans
Liver Circulation
Phlebography methods
Portal Vein diagnostic imaging
Portal Vein physiopathology
Portography methods
Tomography, X-Ray Computed
Treatment Outcome
Aneurysm surgery
Budd-Chiari Syndrome surgery
Portal Vein surgery
Portasystemic Shunt, Transjugular Intrahepatic
Subjects
Details
- Language :
- English
- ISSN :
- 2219-2840
- Volume :
- 21
- Issue :
- 9
- Database :
- MEDLINE
- Journal :
- World journal of gastroenterology
- Publication Type :
- Academic Journal
- Accession number :
- 25759562
- Full Text :
- https://doi.org/10.3748/wjg.v21.i9.2858