Extrahepatic portal vein aneurysm.

Giovanni Battista Levi Sandri (1) , Laurent Sulpice (2) , Michel Rayar (1) , Elise Bosquet , Karim Boudjema (2) , B. Meunier (1)

1 Service de Chirurgie Hépatobiliaire et Digestive [Rennes] = Hepatobiliary and Digestive Surgery [Rennes]
2 Foie, métabolismes et cancer

Portal vein aneurysms (PVAs) are usually incidental on imaging and asymptomatic. If it is symptomatic or associated with a pathologic finding, a treatment is recommended. We report a case of a 75-year-old Caucasian man presenting with symptomatic and size-increasing portosplenomesenteric aneurysms. Interventional radiology was not indicated because of the large size. A surgical approach was chosen for the patient. Surgical technique consists of an aneurysmorrhaphy in the first time and in the second time, a Goretex prosthesis placement involving the vein. Early complication was treated with a radiologic approach. Six months after surgery, patient had no more symptoms. PVA management remains a surgical challenge for surgeon, for timing and type of treatment.

Domaines: Sciences du Vivant [q-bio]

Giovanni Battista Levi Sandri, Laurent Sulpice, Michel Rayar, Elise Bosquet, Karim Boudjema, et al.. Extrahepatic portal vein aneurysm.. Annals of Vascular Surgery, 2014, 28 (5), pp.1319.e5-7. ⟨10.1016/j.avsg.2013.11.018⟩. ⟨hal-01132705⟩