Posttraumatic Aneurysm of a Patent Umbilical Vein: Diagnosis and Specific Treatment
| Autor: | Micha Löbermann, Joachim Conrad Arnold, Thomas Vestring, Siegfried Krishnabhakdi, Matthias Grade |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
patent paraumbilical vein Cirrhosis liver cirrhosis medicine.medical_treatment lcsh:Surgery tips posttraumatic aneurysm Umbilical vein 03 medical and health sciences 0302 clinical medicine Esophageal varices medicine business.industry fungi food and beverages lcsh:RD1-811 medicine.disease Surgery medicine.anatomical_structure Abdominal trauma Blunt trauma 030220 oncology & carcinogenesis Portal hypertension Abdomen 030211 gastroenterology & hepatology Radiology business Transjugular intrahepatic portosystemic shunt |
| Zdroj: | The Surgery Journal, Vol 03, Iss 03, Pp e113-e116 (2017) |
| ISSN: | 2378-5136 2378-5128 |
| DOI: | 10.1055/s-0037-1604075 |
| Popis: | A patent umbilical vein is a rare condition in healthy volunteers, but can be detected in up to 11% of patients with liver cirrhosis as a consequence of portal hypertension.We report the case of a 52-year-old woman who was admitted to our department with acute abdominal pain after blunt trauma to her forehead and abdomen. She had a history of alcohol abuse with liver cirrhosis that had been classified as Child–Pugh stage C 5 years earlier. Signs of portosystemic shunting had been present at an earlier endoscopy, and esophageal varices were found.Clinical examination revealed typical signs of liver cirrhosis, and ultrasound examination showed an aneurysm of 6 cm of the umbilical vein, which had not been present at earlier examinations. After lowering portal hypertension by inserting a transjugular intrahepatic portosystemic shunt, an open surgical resection of the aneurysmal umbilical vein was performed without complications. The patient recovered well and was discharged from the hospital 10 days later.We hypothesize that the abdominal trauma prompted or aggravated umbilical vein aneurysm in this patient with liver cirrhosis and portal hypertension. Due to the risk of rupture, a surgery-based resection is a valuable treatment option. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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