A rare case of congenital aneurysm of the portal system at level of spleno-porto-mesenteric confluence complicated by massive thrombosis

Valerio D'Agostino, MD; Stefano Genovese, MD; Alessandro Monaci, MD; Arnaldo Stanzione, PhD Student; Mario Magliulo, PhD; Stefania Daniele, MD; Mariagiovanna di Palo, MD; Simone Maurea, Prof., MD; Pier Paolo Mainenti, Prof., MD

Radiology Case Reports (Nov 2021)

A rare case of congenital aneurysm of the portal system at level of spleno-porto-mesenteric confluence complicated by massive thrombosis

Valerio D'Agostino, MD,
Stefano Genovese, MD,
Alessandro Monaci, MD,
Arnaldo Stanzione, PhD Student,
Mario Magliulo, PhD,
Stefania Daniele, MD,
Mariagiovanna di Palo, MD,
Simone Maurea, Prof., MD,
Pier Paolo Mainenti, Prof., MD

Affiliations

Valerio D'Agostino, MD: Department of Advanced Biomedical Sciences, University of Naples ''Federico II'', Via S. Pansini, 5, 80131 Naples, Italy; Corresponding author
Stefano Genovese, MD: Department of Advanced Biomedical Sciences, University of Naples ''Federico II'', Via S. Pansini, 5, 80131 Naples, Italy
Alessandro Monaci, MD: Department of Advanced Biomedical Sciences, University of Naples ''Federico II'', Via S. Pansini, 5, 80131 Naples, Italy
Arnaldo Stanzione, PhD Student: Department of Advanced Biomedical Sciences, University of Naples ''Federico II'', Via S. Pansini, 5, 80131 Naples, Italy
Mario Magliulo, PhD: IBB CNR Naples, Via De Amicis, 95, 80145 Naples, Italy
Stefania Daniele, MD: Department of Emergency and Acceptance, ''Antonio Cardarelli'' Hospital, Via A. Cardarelli 9, 80131, Naples, Italy
Mariagiovanna di Palo, MD: Department of Emergency and Acceptance, ''Antonio Cardarelli'' Hospital, Via A. Cardarelli 9, 80131, Naples, Italy
Simone Maurea, Prof., MD: Department of Advanced Biomedical Sciences, University of Naples ''Federico II'', Via S. Pansini, 5, 80131 Naples, Italy
Pier Paolo Mainenti, Prof., MD: IBB CNR Naples, Via De Amicis, 95, 80145 Naples, Italy

Journal volume & issue: Vol. 16, no. 11
pp. 3369 – 3373

Abstract

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Portal venous aneurysm is a rare and potential dangerous vascular pathology, which can result in thrombosis or rupture. It may be congenital or acquired. Acquired form can be related mainly to portal hypertension, chronic hepatic disease, and trauma. We present a peculiar case of a congenital aneurysm involving the hepatic portal system in nearly all its extra-hepatic components: the main portal trunk, the spleno-porto-mesenteric confluence and the distal segment of splenic, superior, and inferior mesenteric veins, in a 20-year-old male patient. The aneurysm was complicated by massive thrombosis in absence of further predisposing factors.

Published in Radiology Case Reports

ISSN: 1930-0433 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Medicine (General): Medical physics. Medical radiology. Nuclear medicine
Website: https://www.sciencedirect.com/journal/radiology-case-reports

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