Aneurysm of the portal vein confluence diagnosed by endoscopic ultrasound

Abstract

Therefore, a right thoracoscopic approach in the prone position with establishment of pneumothorax was selected. 2 A long esophagomyotomy was created without perforation of the mucosa (Fig. 1b), as confirmed by intraoperative endoscopy. The total length of the myotomy was 15 cm, the operation took 138 min and blood loss was approximately 25 mL. The patient experienced no postoperative complications, and the symptoms related to jackhammer esophagus were considerably improved. The hypercontractile segment was not detectable by HRM after the operation (Fig. 2b).Thirty two months after the operation, the surgery was proven effective without the need for additional treat-ment. To our knowledge, this is the first report to describe successful surgical treatment, using thoracoscopic esophageal long myotomy in the prone position, for a patient with jackhammer esophagus.

Pyloric gland adenoma with low-grade intraepithelial neoplasia

“…The lesions were located in the superficial layer of the mucosa; even in the submucosa, there were isoechoic patterns, and some areas showed nonechoic patterns under endoscopic ultrasonography. [ 11 , 16 ]…”

Extra-hepatic portal vein aneurysm diagnosed by EUS

“…[ 3 ] EUS has been rarely used to diagnose PVA, and its detailed findings have not been described in the literature. [ 4 ] The natural history of PVA is unclear, and therefore, there is no consensus of its management. Currently, asymptomatic PVA is managed conservatively with serial monitoring, and interventional surgical or endovascular treatment is offered to patients with complicated PVA.…”