Presentation
Asymptomatic patient, suffering from cirrhosis, surveillance ultrasound.
Patient Data
Age: 60 years
Gender: Female
From the case:
Portal vein aneurysm
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Liver decrease in size, overall coarse and heterogeneous echotexture, without focal lesions. Enlarged portal vein (16 mm) with intrahepatic saccular dilatation of 2.5 x 2.2 cm. Doppler ultrasound demonstrates turbulent flow, yin-yang sign/ Pepsi sign is noted.
The spleen is enlarged, with a volume of 528 ml.
Case Discussion
The findings correspond to an intrahepatic aneurysm of the portal vein 1-8 in a patient with cirrhosis, portal hypertension, and splenomegaly.