Portal venous aneurysm

Case contributed by Dr Sin Tein See

Presentation

Newly diagnosed high-grade prostatic adenocarcinoma for staging. No GI symptoms, other known medical illnesses, or previous abdominal surgery. Abdominal examination unremarkable. Full blood count, liver function tests, and serum amylase within normal limits. Hepatitis screen non-reactive.

Patient Data

Age: 75 years
Gender: Male
CT

Incidental finding of fusiform aneurysmal dilatation of the intrahepatic right main portal vein (immediately after the bifurcation). The left and extrahepatic portal veins are normal in caliber. The aneurysm does not compress the surrounding structures. No features to suggest portal vein thrombosis, portal hypertension, liver cirrhosis, splenomegaly, pancreatic mass or pancreatitis. 

Case Discussion

A case of a portal venous aneurysm found incidentally on the staging of high-grade prostate cancer. In this case, the patient was asymptomatic and has not experienced any complications.

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