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CASE REPORT
Portal vein aneurysm in thalassaemia
  1. Simi Das1,
  2. Mousam Dey2,
  3. Vinay Kumar3,
  4. Hira Lal2
  1. 1 Department of Radiology, GD Hospital, Kolkata, India
  2. 2 Department of Radiology, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, India
  3. 3 Department of Gastroenterology, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, India
  1. Correspondence to Dr Hira Lal, hiralal2007{at}yahoo.co.in

Summary

Arterial aneurysms are more common than visceral venous aneurysms. Portal vein aneurysms being the most common type of visceral venous aneurysms. Here, we present an 18-year-old young woman with thalassaemia major, who presented with headache, palpitation, shortness of breath and a recent increase in blood transfusion rate. On clinical examination, she had hepatosplenomegaly. Ultrasonography revealed hepatosplenomegaly with fusiform dilatation of extrahepatic portal vein, which was confirmed to be portal vein aneurysm on contrast enhanced CT. Though portal vein aneurysms were previously thought to be rare, recently they are increasingly diagnosed with the use of cross-sectional imaging. Recognition of this finding can help to avoid potential confusion with other periportal cystic masses of different aetiologies, especially on sonography.

  • portal hypertension
  • radiology

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Footnotes

  • Contributors HL conceived the manuscript, SD prepared the manuscript, MD performed the literature review and collected the images, VS helped in manuscript preparation. The manuscript was reviewed by HL and all the authors approved the final manuscript.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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