A rare pediatric case of portal vein aneurysm thrombosis
Portal vein aneurysm (PVA) is rarely encountered, and published papers describing this etiology in adults and children typically include only case reports or small case series. We present a clinical case of PVA in a child associated with severe complications, including diffuse thrombosis of the port...
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Elsevier
2022
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oai:doaj.org-article:8e89bc36804b45e9b414bac224a501142021-11-26T04:26:33ZA rare pediatric case of portal vein aneurysm thrombosis1930-043310.1016/j.radcr.2021.10.065https://doaj.org/article/8e89bc36804b45e9b414bac224a501142022-02-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S1930043321007846https://doaj.org/toc/1930-0433Portal vein aneurysm (PVA) is rarely encountered, and published papers describing this etiology in adults and children typically include only case reports or small case series. We present a clinical case of PVA in a child associated with severe complications, including diffuse thrombosis of the portal venous system. A 10-year-old boy presented with abdominal pain and vomiting, resulting in an initial diagnosis of pancreatic head tumor based on suspicious images on abdominal grayscale ultrasound. Contrast-enhanced computed tomography confirmed a diagnosis of occlusive PVA thrombosis (36 × 37 × 95 mm). Lacking drastic symptoms, the patient was treated with conservative anticoagulant therapy. On follow-up, the thrombosis appeared to shrink gradually and disappeared at 6 months based on Doppler ultrasound imaging. The PVA was reduced in size, and hepatopetal flow was restored. Surgeons and radiologists should be aware of this rare entity to ensure that a precise diagnosis can be established and to provide suitable treatment.Tran Thanh Tri, MD, PhDHo Phi Duy, MDBui Hai Trung, MDLuu-Nguyen An Thuan, MDPham Ngoc Thach, MD, PhDNguyen Xuan Hien, MD, PhDNguyen Minh Duc, MD, MScElsevierarticlePortal vein aneurysmThrombosisAnticoagulant therapyMedical physics. Medical radiology. Nuclear medicineR895-920ENRadiology Case Reports, Vol 17, Iss 2, Pp 286-289 (2022) |
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DOAJ |
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DOAJ |
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EN |
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Portal vein aneurysm Thrombosis Anticoagulant therapy Medical physics. Medical radiology. Nuclear medicine R895-920 |
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Portal vein aneurysm Thrombosis Anticoagulant therapy Medical physics. Medical radiology. Nuclear medicine R895-920 Tran Thanh Tri, MD, PhD Ho Phi Duy, MD Bui Hai Trung, MD Luu-Nguyen An Thuan, MD Pham Ngoc Thach, MD, PhD Nguyen Xuan Hien, MD, PhD Nguyen Minh Duc, MD, MSc A rare pediatric case of portal vein aneurysm thrombosis |
| description |
Portal vein aneurysm (PVA) is rarely encountered, and published papers describing this etiology in adults and children typically include only case reports or small case series. We present a clinical case of PVA in a child associated with severe complications, including diffuse thrombosis of the portal venous system. A 10-year-old boy presented with abdominal pain and vomiting, resulting in an initial diagnosis of pancreatic head tumor based on suspicious images on abdominal grayscale ultrasound. Contrast-enhanced computed tomography confirmed a diagnosis of occlusive PVA thrombosis (36 × 37 × 95 mm). Lacking drastic symptoms, the patient was treated with conservative anticoagulant therapy. On follow-up, the thrombosis appeared to shrink gradually and disappeared at 6 months based on Doppler ultrasound imaging. The PVA was reduced in size, and hepatopetal flow was restored. Surgeons and radiologists should be aware of this rare entity to ensure that a precise diagnosis can be established and to provide suitable treatment. |
| format |
article |
| author |
Tran Thanh Tri, MD, PhD Ho Phi Duy, MD Bui Hai Trung, MD Luu-Nguyen An Thuan, MD Pham Ngoc Thach, MD, PhD Nguyen Xuan Hien, MD, PhD Nguyen Minh Duc, MD, MSc |
| author_facet |
Tran Thanh Tri, MD, PhD Ho Phi Duy, MD Bui Hai Trung, MD Luu-Nguyen An Thuan, MD Pham Ngoc Thach, MD, PhD Nguyen Xuan Hien, MD, PhD Nguyen Minh Duc, MD, MSc |
| author_sort |
Tran Thanh Tri, MD, PhD |
| title |
A rare pediatric case of portal vein aneurysm thrombosis |
| title_short |
A rare pediatric case of portal vein aneurysm thrombosis |
| title_full |
A rare pediatric case of portal vein aneurysm thrombosis |
| title_fullStr |
A rare pediatric case of portal vein aneurysm thrombosis |
| title_full_unstemmed |
A rare pediatric case of portal vein aneurysm thrombosis |
| title_sort |
rare pediatric case of portal vein aneurysm thrombosis |
| publisher |
Elsevier |
| publishDate |
2022 |
| url |
https://doaj.org/article/8e89bc36804b45e9b414bac224a50114 |
| work_keys_str_mv |
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| _version_ |
1718409914606419968 |