Abstract
An otherwise healthy 32-year-old woman had unspecific upper abdominal complaints. Diagnostic workup, including a helical computed tomography (CT) scan and indirect splenoportography, revealed a giant extrahepatic portal vein aneurysm (PVA) extending to the central part of the splenic vein. On laparotomy, a thrombectomy and creation of a portocaval side-to-side shunt were performed. Thirteen days later, she was readmitted for re-thrombosis of the aneurysm. She underwent another laparotomy with thrombectomy and tapering of the portal venous wall (aneurysmorrhaphy) by vascular staplers. On followup 25 months after the operation, full relief of symptoms was noted. She was on warfarin therapy. Her portal venous system waspatent.
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Wolff, M., Schaefer, N., Schmidt, J. et al. Thrombosis of a large portal vein aneurysm: Treatment by thrombectomy, aneurysmorrhaphy, and portocaval shunt. J Gastrointest Surg 10, 128–131 (2006). https://doi.org/10.1016/j.gassur.2005.04.002
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DOI: https://doi.org/10.1016/j.gassur.2005.04.002