Treatment by splenectomy of a portal vein aneurysm in hepatosplenic schistosomiasis

Abstract

SUMMARYPortal vein aneurysm is a rare medical entity that can be caused by chronic hepatic diseases with portal hypertension. We describe a 45-year-old man with variceal bleeding from hepatosplenic schistosomiasis and an incidentally found intrahepatic aneurysm. Diagnosis was confirmed with non-invasive imaging exams, arteriography and liver biopsy. Following splenectomy, the aneurysm diameter decreased substantially.

Visceral Venous Aneurysms: Clinical Presentation, Natural History and Their Management: A Systematic Review

“…94 The clinical importance of a portal vein aneurysm is related to its size. A small aneurysm usually does not show symptoms, while large ones are described as the cause Visceral Venous Aneurysms: A Systematic Review of duodenal compression, 43,80 inferior vena cava compression, 43 biliary tract obstruction 33 and portal vein thrombosis 1,5,19,24,31,46,55,57,61,62,66,74,75,77,81 Rupture of a portal venous aneurysm is reported in four patients, 1,59,61,86 one of whom died. A case of splenic vein aneurysm rupture is described in a young woman a few hours after delivery.…”

Congenital Portal Vein Aneurysm Associated with Peliosis Hepatis and Intestinal Lymphangiectasia

“…Two forms, congenital and acquired, have been described. Congenital PVA is suspected in patients with no history of trauma, pancreatitis, liver biopsy, hepatic tumor, arterioportal fistula, or cirrhosis [3]. Congenital PVAs are mostly extrahepatic.…”

Portal Vein Aneurysm

“…2 Barzilai and Kleckner were the first to report a portal vein aneurysm , in 1956. The authors described the necropsy of a cirrhotic patient with a portal vein aneurysm and thrombus that ruptured into the biliary system.…”