The Teaching Point

Following blunt abdominal trauma vascular complications such as liver laceration and hepatic artery aneurysms and pseudoaneurysms are relatively common but aneurysms and pseudoaneurysms of the portal venous system may occur. Multiplanar CT reconstructions are helpful at confirming the diagnosis and the management depends on the clinical scenario, though portal venous pseudoaneurysms can often be managed conservatively. Transcatheter embolisation may be used if there are complications or ongoing haemorrhage.






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From the manuscript

Blunt abdominal trauma An important cause of portal venous pseuodoaneurysm

Free full text article: Blunt abdominal trauma  An important cause of portal venous pseuodoaneurysm

Abstract
Aneurysms and pseudoaneurysms of the portal venous system are rarely seen following abdominal trauma but clinicians need to be aware of them as possible vascular complications following blunt trauma. This case report of a 10 year old boy following a handlebar injury demonstrates a clear causal relationship between trauma and portal venous pseudoaneurysm. Portal venous aneurysms have a prevalence of less than 0.4% and most are found in patients with underlying hepatocellular disease. Many are asymptomatic in which case surveillance is an accepted management strategy, with Doppler ultrasound proving useful. Complications including thrombosis, distal embolism, compression of the biliary tree and haemorrhage are usually indications for surgical management. Portal venous pseudoaneurysms may be managed conservatively but transcatheter embolisation can be used if there are ongoing complications or haemorrhage.






References



1. Gallego, C, Valesco, M, Marcuello, P, Tejedor, D, De Campo, L, Friera, A. Congenital and Acquired Anomolies of the Portal Venous System. Radiographics 2002; 22: 141-159.
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


2. Croce, MA, Fabian, TC, Spiers, JP, Kudsk, KA. Traumatic hepatic artery pseudoaneurysm with haemobilia. Am J Surg 1994; 168: 235-238
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


3. Gondolesi, GE, Matsumoto, C, Wayne, M, Schwartz, ME. Post-traumatic pseudoaneurysm of the common hepatic artery with duodenal fistula. HPB 2002; 4(4): 183-186
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


4. Ozbek, SS, Killi, MR, Porbagher, MA, Parilda, M, Katranci, N and Solak, A. Portal venous aneuryms: report of five cases. J Ultrasound Med 1999; 18: 417-422
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


5. Feliciano, PD, Cullen, JJ, Corson, JD. The management of extrahepatic portal vein aneurysm: observe or treat? HPB Surgery. 1996; 10: 113-116
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


6. Koc, Z, Oguzkurt, L, Ulusan, S. Portal venous system aneurysms: imaging, clinical findings, and a possible new etiologic factor. Am J Roentgenol 2007; 189(5): 1023-1030
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


7. Fulcher, A, Turner, M. Aneurysms of the portal vein and superior mesenteric vein. Abdom Imaging 1997; 22: 287-292
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


8. Brock, PA, Jordan, PHJ, Barth, MH, Rose, AG. Portal vein aneurysm: a rare but important vascular condition. Surgery 1997; 121: 105-108
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


9. Blasbalg, R, Yamada, RM, Tiferes, DA. Extrahepatic portal vein aneuryms. Am J Roentgen 2000; 174: 877
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


10. Yamaguchi, T, Yoshitsugu, k, Toshihito, S, Kuneida, K, Ogura, M, Mizuno, T, Inoue, K, Katoh, T. Acquired intrahepatic portal vein aneurysm. Dig Dis and Sciences 1992; 37: 11: 1769-1771
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


11. Sarsilmaz, A, Apaydin, M, Yetkin, U, Oziz, E, Varer, M, Yurekli, I, Ulec, E, Gurbuz, A. Portal vein aneurysm due to traumatic etiology. Int Journ Thorac Cardiovasc Surg 2009; 13: 1
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


12. Obnami, Y, Ishida, H, Konno, K, Naganuma, H, Hamashima, Y, Zeniya, A, Masamune, O. Portal vein aneurysm: report of 6 cases and review of the literature. Abdom Imaging 1997; 22(3)
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


13. Lau, H, Chew, DK, Belkin, M. Extrahepatic portal vein aneurysm: a case report and review of the literature. Cardiovasc Surg 2002; 10: 58-61
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


14. Basile, KE, Sivit, CJ, Sachs, PB, Stallion, A, Hepatic arterial pseudoaneurysm: a rare complication of blunt abdominal trauma in children. Paediatr Radiol. 1999; 29: 306-308
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


15. Laopaiboon, V, Aphinives, C, Pugkem, A, Thummaroj, J, Puttharak, W, Soommart, Y. Selective Transcatheter Embolisation for Treatment of Post-Traumatic Hepatic Artery and Portal Vein Pseudoaneurysms. J Med Assoc Thai 2006
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine




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