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Case Reports in MedicineVolume 2010 2010, Article ID 560495, 6 pages

Case Report

Kamishirane Hospital, 2-65-1 Kamishirane, Asahi-ku, Yokohama 241-0002, Japan

Department of Surgery, Yokohama City University, 3-9 Fukuura, Kanazawa-ku, Yokohama 236-0004, Japan

Department of Gastroenterology, Yokohama City University, Yokohama 236-0004, Japan

Received 11 March 2010; Accepted 28 April 2010

Academic Editor: Peter M. Van Ooijen

Copyright © 2010 Norio Yukawa et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Extrahepatic portal vein aneurysm is a rare disorder. From 1956 to 2008, we found only 43 published English-language reports, including 67 cases, using Pub Med. We report a case of a 77-year-old woman who had complaints of lower abdominal fullness and residual urine. We performed ultrasonography US, which demonstrated a congenital extrahepatic portal vein aneurysm. She had no obvious symptoms of the extrahepatic portal vein aneurysm. She had undergone gastrectomy without blood transfusion for gastric ulcer more than 20 years ago. Physical examination revealed no abnormal findings. US revealed a 2 . 2 × 1 . 8  cm, round shaped hypoechogenic lesion at the hepatic hilum. Color Doppler US showed bidirectional colors due to circular flow within this lesion. 3D-CT and CT angiography demonstrated that the saccular aneurysm at the hepatic hilum was 3.0 cm in diameter and was enhanced equal to that of portal vein.Twenty-six months after the diagnosis, the aneurysm had not grown in size. Since our patient had no serious complaints or liver disease, surgical procedures had not been employed. US and 3D-CT are noninvasive diagnostic techniques and are helpful in the diagnosis and follow-up of extrahepatic portal vein aneurysms.





Autor: Norio Yukawa, Makoto Takahashi, Kazuyoshi Sasaki, Takuma Mori, Ayumi Matsuo, Kuniyasu Ito, Hiroyuki Kirikoshi, Kiyoshi Ohya

Fuente: https://www.hindawi.com/



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