Aneurisma da veia porta

Rita Augusto , Ricardo Gouveia , Pedro Sousa , Jacinta Campos , Andreia Coelho , Daniel Brandão , Alexandra Canedo
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Abstract

Portal venous aneurysms are a rare condition characterized by dilatation of the portal venous system. These aneurysms can be congenital or acquired and usually do not require any treatment unless they are symptomatic–symptoms depend on the aneurysm size, location and complications, such as thrombosis.

We report a case of a 68 year‐old man, who was incidentally diagnosed with an asymptomatic 37 mm portal vein aneurysm, with the involvement of the splenic vein confluence with the superior mesenteric vein. A conservative approach with annual monitoring by Doppler ultrasound was recommended.

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门静脉动脉瘤
门静脉动脉瘤是一种罕见的疾病,其特征是门静脉系统扩张。这些动脉瘤可以是先天性的,也可以是获得性的,通常不需要任何治疗,除非它们有症状——症状取决于动脉瘤的大小、位置和并发症,如血栓形成。我们报告一个68岁男性的病例,他偶然被诊断为无症状的37毫米门静脉动脉瘤,并累及脾静脉与肠系膜上静脉的汇合处。保守治疗建议每年进行多普勒超声监测。
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