A Case of Congenital Portal Vein Aneurysm-Few and Far between

  • Rajiv MaharajEmail author
  • Balbir Singh
  • C. Sridhar
  • K. Venugopal
Images in Surgery


Portal vein aneurysm is an unusual vascular dilatation of the portal vein, which was first described by Barzilai and Kleckner in 1956, and since then, less than 200 cases have been reported. So, we would like to present our case, a 27-year-old male who presented with left lumbar pain diagnosed with left lower ureteric calculus and had an incidental finding of portal vein aneurysm. It required no treatment, and he was followed up with serial abdominal ultrasound every 6 months, and the patient is doing well without any complications. Hence, conservative management is the best option in the majority of patients. Surgical indication is currently reserved in 10% of cases, which are complicated by rupture, increase in size on surveillance scan, or are otherwise symptomatic; however, post-operative mortality remains extremely elevated.


Portal vein aneurysm Duodenal compression IVC compression Biliary tract obstruction Portal hypertension 



Portal vein aneurysm


Main portal vein


Right portal vein


Portal hypertension



The research was performed at the Department of Surgical gastroenterology and liver transplant, Global hospitals, Hyderabad.

Contribution Details

All authors contributed almost equally in preparing this case report starting from concept, design, data collection, literature search to manuscript preparation.

Compliance with Ethical Standards

Conflict of Interest

The authors declare that they have no conflict of interest.


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Copyright information

© Association of Surgeons of India 2020

Authors and Affiliations

  1. 1.Department of Surgical gastroenterology and Liver TransplantGlobal HospitalHyderabadIndia
  2. 2.Department of RadiologyGlobal Hospital, lakdikapulHyderabadIndia

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