Delamarre J, Fabre V, Remond A, Sevenet F, Tossou H, Capron J P
Service de Radiologie A, Centre Hospitalier Universitaire, Amiens.
Gastroenterol Clin Biol. 1991;15(3):254-60.
Three cases of calcifications of the portal system are reported in men aged 42, 53 and 40 years old. Two patients had alcoholic cirrhosis, and one had familial congenital hepatic fibrosis, respectively. Calcifications were discovered fortuitously on plain abdominal films. Ultrasound and computed tomography studies, and in two cases, angiography, confirmed that calcifications were located within the vein walls. The veins involved were the portal vein in 3 cases, the splenic vein in 2 cases, and the superior mesenteric and left gastric veins in one case each. Investigations demonstrated splenoportal and splenic thrombosis in 2 cases, whereas the portal vein system was patent in the other. In two cases, the splenic artery was aneurysmal, associated with several intrasplenic arterial aneurysms in one. Based on these three cases, combined with a review of the literature of 123 previous reports, the features of this rare entity are described with emphasis placed on the value of computed tomography studies.
报告了3例门静脉系统钙化病例，患者分别为42岁、53岁和40岁男性。其中2例患有酒精性肝硬化，1例患有家族性先天性肝纤维化。钙化是在腹部平片检查时偶然发现的。超声和计算机断层扫描检查，其中2例还进行了血管造影，证实钙化位于静脉壁内。受累静脉包括门静脉3例、脾静脉2例、肠系膜上静脉和胃左静脉各1例。检查发现2例存在脾门静脉和脾静脉血栓形成，而另1例门静脉系统通畅。2例患者的脾动脉呈瘤样扩张，其中1例还伴有多个脾内动脉瘤。基于这3例病例，并结合对之前123篇文献报告的回顾，描述了这种罕见疾病的特征，重点强调了计算机断层扫描检查的价值。
