Asymptomatic Portal Vein Aneurysm Uncovered During the Evaluation of a Gastrointestinal Hemorrhage: A Rare Clinical Case.

Autor:	Kim HU; General Surgery, Western Reserve Health Education/NEOMED, Warren, USA., Mateja HL; General Surgery, American University of Antigua, Osbourn, ATG.; Vascular Surgery, Western Reserve Health Education/NEOMED, Warren, USA., Neris R; General Surgery, Western Reserve Health Education/NEOMED, Warren, USA., Kimyaghalam A; Vascular Surgery, Western Reserve Health Education/NEOMED, Warren, USA., DeVito PM; General Surgery, Western Reserve Health Education/NEOMED, Warren, USA.
Jazyk:	angličtina
Zdroj:	Cureus [Cureus] 2024 Sep 01; Vol. 16 (9), pp. e68388. Date of Electronic Publication: 2024 Sep 01 (Print Publication: 2024).
DOI:	10.7759/cureus.68388
Abstrakt:	Portal vein aneurysms (PVAs) are rare vascular anomalies that are most often discovered incidentally during imaging for unrelated conditions. Their management remains controversial due to the limited data available. Here, we report the case of a 72-year-old male who presented with gastrointestinal bleeding and was found to have an incidental 4.9 cm PVA on abdominal computed tomography angiography (CTA), managed conservatively with regular follow-up imaging and monitoring. PVAs, while rare, present a significant clinical challenge due to the lack of consensus on their management. Treatment strategies range from conservative monitoring to surgical intervention, depending on the presence of symptoms, aneurysm size, and underlying etiology. This case highlights the importance of a multidisciplinary approach in managing PVAs, particularly when they are discovered incidentally. Further research is needed to develop standardized guidelines that address the nuances of treating both congenital and acquired PVAs. Competing Interests: Human subjects: Consent was obtained or waived by all participants in this study. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work. (Copyright © 2024, Kim et al.)
Databáze:	MEDLINE
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