Feliciano P D, Cullen J J, Corson J D
Department of Surgery, University of Iowa College of Medicine, Iowa City 52242, USA.
HPB Surg. 1996;10(2):113-6. doi: 10.1155/1996/37169.
A case of a 70 year old man who was found to have an extrahepatic portal vein aneurysm during an evaluation for hematuria is reported. Extrahepatic portal vein aneurysms are rare with only twenty cases reported in the literature. Typically, patients present with hemorrhage requiring surgical exploration or the aneurysm is discovered during evaluation of another abdominal process. Management includes careful follow-up in the asymptomatic patient without underlying liver disease or portal hypertension.
报告了一例70岁男性患者,其在血尿评估过程中被发现患有肝外门静脉瘤。肝外门静脉瘤罕见,文献中仅报道过20例。通常,患者会出现需要手术探查的出血情况,或者在评估其他腹部病变时发现动脉瘤。对于没有潜在肝脏疾病或门静脉高压的无症状患者,管理措施包括密切随访。