Research: 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. https://pubmed.ncbi.nlm.nih.gov/33665534/

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

Tej A Sura 1Mina L Boutrous 1Miriam I Ruiz 1Michael S Williams 1Affiliations expand

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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.

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