A Rare Case of Superior Mesenteric Vein Aneurysm Secondary to Portal Hypertension
Author(s)
Anjana V. Trivedi,
Maulik C. Jethva,
Malek Mohmed Anwar,
Chetna K. Dodia,
Jagruti G. Kalola
ABSTRACT
Venous aneurysms are less common than arterial aneurysms in clinical practice, and the occurrence of such cases is a topic for publication. Aneurysms of the superior mesenteric vein (SMV) are rare, and their origin is unknown. Many aneurysms are asymptomatic, and the diagnosis is established from radiologic findings. Others are diagnosed after complications such as gastrointestinal bleeding or thrombosis with associated abdominal pain. Because of the rarity of this disease, therapy must be adapted to fit each case. A 55-year-old woman presented with pain in abdomen since 2 months. The diagnosis of this anomaly was made after Computed tomography (CT) scans, that demonstrated a mass. Apart from various etiological theories, portal hypertension was more likely cause of her SMV aneurysm. Case was treated by medical treatment like Sorbitrate, Propranolol, Omeprazole and Lasix. No aneurysm growth or complication was observed even after 2 years of follow-up.
Venous aneurysms are less common than arterial aneurysms in clinical practice, and the occurrence of such cases is a topic for publication. Aneurysms of the superior mesenteric vein (SMV) are rare, and their origin is unknown. Many aneurysms are asymptomatic, and the diagnosis is established from radiologic findings. Others are diagnosed after complications such as gastrointestinal bleeding or thrombosis with associated abdominal pain. Because of the rarity of this disease, therapy must be adapted to fit each case. A 55-year-old woman presented with pain in abdomen since 2 months. The diagnosis of this anomaly was made after Computed tomography (CT) scans, that demonstrated a mass. Apart from various etiological theories, portal hypertension was more likely cause of her SMV aneurysm. Case was treated by medical treatment like Sorbitrate, Propranolol, Omeprazole and Lasix. No aneurysm growth or complication was observed even after 2 years of follow-up.
Cite this paper
A. Trivedi, M. Jethva, M. Anwar, C. Dodia and J. Kalola, "A Rare Case of Superior Mesenteric Vein Aneurysm Secondary to Portal Hypertension," International Journal of Clinical Medicine, Vol. 4 No. 1, 2013, pp. 66-68. doi: 10.4236/ijcm.2013.41013.
A. Trivedi, M. Jethva, M. Anwar, C. Dodia and J. Kalola, "A Rare Case of Superior Mesenteric Vein Aneurysm Secondary to Portal Hypertension," International Journal of Clinical Medicine, Vol. 4 No. 1, 2013, pp. 66-68. doi: 10.4236/ijcm.2013.41013.
References
[1] L. Bolondi, L. Gandolfi and V. Arienti, “Ultrasonography in Diagnosis of Portal Hypertension,” Radiology, Vol. 142, No. 1, 1982, pp. 167-172. [2] R. Barzilai and M. S. Kleckner, “He-mocholecyst Following Ruptured Aneurysm of Portal Vein,” Archives of Surgery, Vol. 72, No. 4, 1956, pp. 725-727. doi:10.1001/archsurg.1956.01270220173023 [3] H. Schild, F. Schweden and B. Braun, “Aneurysm of the Superior Mesenteric Vein,” Radiology, Vol. 145, No. 3, 1982, pp. 641-642. [4] K. Nishinari, N. Wolosker, G. Yazbek, W. T. Nakagawa and A. Lopes, “Idiopathic Aneurysm of Inferior Vena Cava Associated with Retroperitoneal Ganglioneuroma: Case Report,” Journal of Vascular Surgery, Vol. 37 No. 4, 2003, pp. 895-898. doi:10.1067/mva.2003.172 [5] J. Seda, B. Padovani and S. Chanalet, “Aneurysm of the Superior Mesenteric Vein,” American Journal of Roentgenology, Vol. 161 No. 1, 1993, pp. 903-904. [6] A. Fulcher and M. Turner, “Aneurysms of the Portal Vein and Superior Mesenteric Vein,” Adominal Imaging, Vol. 22, No. 3, 1997, pp. 287-292. doi:10.1007/s002619900191 [7] D.Athanasios Giannoukas, S. Giorgos Sfyroeras. “Current Management of Visceral Venous Aneurysm,” Phlebolymphology, Vol. 17 No. 3, 2010, pp. 130-136. [8] W. L. Perret and A. de Silva, “Portal Circulation Aneurysms: Two Cases Reviews,” Australasian Radiology, Vol. 51 No. 1, 2007, pp. 87-90. doi:10.1111/j.1440-1673.2006.01666.x [9] A. Fulcher and M. Tumer, “Aneurysm of the Portal Vein and Superior Mesenteric Vein,” Abdom Imaging, Vol. 22, No. 3, 1997, pp. 287-289. doi:10.1007/s002619900191
[1] L. Bolondi, L. Gandolfi and V. Arienti, “Ultrasonography in Diagnosis of Portal Hypertension,” Radiology, Vol. 142, No. 1, 1982, pp. 167-172. [2] R. Barzilai and M. S. Kleckner, “He-mocholecyst Following Ruptured Aneurysm of Portal Vein,” Archives of Surgery, Vol. 72, No. 4, 1956, pp. 725-727. doi:10.1001/archsurg.1956.01270220173023 [3] H. Schild, F. Schweden and B. Braun, “Aneurysm of the Superior Mesenteric Vein,” Radiology, Vol. 145, No. 3, 1982, pp. 641-642. [4] K. Nishinari, N. Wolosker, G. Yazbek, W. T. Nakagawa and A. Lopes, “Idiopathic Aneurysm of Inferior Vena Cava Associated with Retroperitoneal Ganglioneuroma: Case Report,” Journal of Vascular Surgery, Vol. 37 No. 4, 2003, pp. 895-898. doi:10.1067/mva.2003.172 [5] J. Seda, B. Padovani and S. Chanalet, “Aneurysm of the Superior Mesenteric Vein,” American Journal of Roentgenology, Vol. 161 No. 1, 1993, pp. 903-904. [6] A. Fulcher and M. Turner, “Aneurysms of the Portal Vein and Superior Mesenteric Vein,” Adominal Imaging, Vol. 22, No. 3, 1997, pp. 287-292. doi:10.1007/s002619900191 [7] D.Athanasios Giannoukas, S. Giorgos Sfyroeras. “Current Management of Visceral Venous Aneurysm,” Phlebolymphology, Vol. 17 No. 3, 2010, pp. 130-136. [8] W. L. Perret and A. de Silva, “Portal Circulation Aneurysms: Two Cases Reviews,” Australasian Radiology, Vol. 51 No. 1, 2007, pp. 87-90. doi:10.1111/j.1440-1673.2006.01666.x [9] A. Fulcher and M. Tumer, “Aneurysm of the Portal Vein and Superior Mesenteric Vein,” Abdom Imaging, Vol. 22, No. 3, 1997, pp. 287-289. doi:10.1007/s002619900191