Operative management of an incidental portal vein aneurysm in the setting of an incarcerated congenital diaphragmatic hernia

Tej A Sura; Mina L Boutrous; Miriam I Ruiz; Michael S Williams

doi:10.1016/j.jvscit.2020.10.009

Operative management of an incidental portal vein aneurysm in the setting of an incarcerated congenital diaphragmatic hernia

J Vasc Surg Cases Innov Tech. 2020 Oct 27;7(1):64-67. doi: 10.1016/j.jvscit.2020.10.009. eCollection 2021 Mar.

Authors

Tej A Sura¹, Mina L Boutrous¹, Miriam I Ruiz¹, Michael S Williams¹

Affiliation

¹ Division of Vascular and Endovascular Surgery, Department of Surgery, Saint Louis University School of Medicine, St Louis, Mo.

Abstract

Portal vein aneurysms are rare pathologic entities. A 3.7-cm portal vein aneurysm was incidentally discovered in an 80-year-old male patient on imaging for acute abdominal pain secondary to an incarcerated diaphragmatic hernia. The aneurysm was resected, and primary repair of the portal vein was performed during a second-look operation after repair of the incarcerated hernia. Operative intervention was chosen for this patient because of the aneurysm's size and the additional indication for abdominal exploration.

Keywords: Aneurysm; Endovascular repair; Portal vein aneurysm; Venous aneurysm.

Publication types

Case Reports