Presentation
Epigastric pain. Incidentally noted epigastric vascular lesion on ultrasound.
Patient Data
Focal dilatation of the junction of the main portal vein and the confluence of the splenic and superior mesenteric veins, reflecting venous aneurysm of the splenomesenteric portal venous confluence.
Subdiaphragmatic location of the left kidney, suggestive of subdiaphragmatic ectopic kidney.
Appendicolith is noted.
Complete sacralized L5 vertebra (Castellvi IIIb) with L4-5 degenerative disc bulge with Vacuum phenomenon.
Case Discussion
Portal venous system aneurysm is rare 1, representing 3% of all venous aneurysms in the body 2. It is located mainly at the level of confluence, main trunk, branches, and bifurcation. It may be congenital, due to failure of closure of the right vitelline vein, or secondary to portal hypertension 3.
Unable to process the form. Check for errors and try again.