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脾门-门静脉-肠系膜汇合处水平的门静脉系统先天性动脉瘤并发大量血栓形成的罕见病例。

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

作者信息

D'Agostino Valerio, Genovese Stefano, Monaci Alessandro, Stanzione Arnaldo, Magliulo Mario, Daniele Stefania, Giovanna di Palo Maria, Maurea Simone, Mainenti Pierpaolo

机构信息

Department of Advanced Biomedical Sciences, University of Naples "Federico II", Via S. Pansini, 5, 80131 Naples, Italy.

IBB CNR Naples, Via De Amicis, 95, 80145 Naples, Italy.

出版信息

Radiol Case Rep. 2021 Aug 30;16(11):3369-3373. doi: 10.1016/j.radcr.2021.08.010. eCollection 2021 Nov.

DOI:10.1016/j.radcr.2021.08.010
PMID:34484547
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8408572/
Abstract

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.

摘要

门静脉瘤是一种罕见且具有潜在危险的血管病变，可导致血栓形成或破裂。它可能是先天性的，也可能是后天获得性的。后天获得性形式主要与门静脉高压、慢性肝病和创伤有关。我们报告了一例特殊的先天性动脉瘤病例，该动脉瘤几乎累及肝门系统所有肝外组成部分：主要门静脉主干、脾门静脉肠系膜汇合处以及脾静脉、肠系膜上静脉和肠系膜下静脉的远端，患者为一名20岁男性。该动脉瘤在没有其他诱发因素的情况下并发了大量血栓形成。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/afbd/8408572/3833d09f3e34/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/afbd/8408572/936623950cb7/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/afbd/8408572/16710f4c5b9d/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/afbd/8408572/3833d09f3e34/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/afbd/8408572/936623950cb7/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/afbd/8408572/16710f4c5b9d/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/afbd/8408572/3833d09f3e34/gr3.jpg

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