Новости | Магазин | Журналы | Контакты | Правила | Доставка | |
Вход Регистрация |
Представлен случай инструментальной диагностики аневризмы левой желудочной вены у пациента 57 лет с портальной гипертензией (цирроз печени в исходе вирусного гепатита С, варикозное расширение вен пищевода и желудка 3-й степени). Аневризма левой желудочной вены была выявлена при ультразвуковом исследовании и подтверждена при компьютерной томографии с внутривенным контрастированием.
Ключевые слова:
аневризмы воротной вены, аневризмы вен портальной системы, аневризма левой желудочной вены, ультразвуковое исследование, компьютерная томография
Литература:
1. Priadko K., Romano M., Vitale L.M., Niosi M., De Sio I. Asymptomatic portal vein aneurysm: three case reports. World J. Hepatol. 2021; 13 (4): 515–521. https://doi.org/10.4254/wjh.v13.i4.515
2. Rafiq S.A., Sitrin M.D. Portal vein aneurysm: case report and review of the literature. Gastroenterol. Hepatol. (NY). 2007; 3 (4): 296–298.
3. Doust B.D., Pearce J.D. Grayscale ultrasonic properties of the normal and inflamed pancreas. Radiology. 1976; 120 (3): 653–657. https://doi.org/10.1148/120.3.653
4. Dalal P.S., Raman S.P., Horton K.M., Fishman E.K. Portal vein aneurysms: imaging manifestations and clinical significance. Emerg. Radiol. 2013; 20 (5): 453–457. https://doi.org/10.1007/s101400131131y
5. Kurtcehajic A., Zerem E., Alibegovic E., Kunosic S., Hujdurovic A., Fejzic J.A. Portal vein aneurysm etiology, multimodal imaging and current management. World J. Clin. Cases. 2023; 11 (4): 725–737. https://dx.doi.org/10.12998/wjcc.v11.i4.725
6. Ohnishi K., Nakayama T., Saito M., Nomura F., Koen H., Tamaru J., Iwasaki I., Okuda K. Aneurysm of the intrahepatic branch of the portal vein. Report of two cases. Gastroenterology. 1984; 86 (1): 169–173.
7. 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. https://doi.org/10.2214/ajr.07.2121
8. Степанова Ю.А., Тимина И.Е., Малахова Е.Н., Вишневский В.А. Аневризмы системы воротной вены: значение лучевых методов в диагностике и лечении (обзор литературы). Медицинская визуализация. 2014; 6: 51–58.
9. Laurenzi A., Ettorre G.M., Lionetti R., Meniconi R.L., Colasanti M., Vennarecci G. Portal vein aneurysm: what to know. Dig. Liver Dis. 2015; 47 (11): 918–923. https://doi.org/10.1016/j.dld.2015.06.003
10. Visioni A., Ammori J., Hardacre J. Case series and proposed system of nomenclature for aneurysms of the portal venous system. Clin. Med. Rev. Case Rep. 2015. 2: 068. https://doi.org/10.23937/23783656/1410068
11. Stuck K.J., Rubin J.M., Gubin B. Aneurysm of a paraumbilical collateral vein. J. Ultrasound Med. 1988; 7 (11): 639–642. https://doi.org/10.7863/jum.1988.7.11.639
12. Ohhira M., Matsumoto A., Ohhira M., Murazumi K., Ohta H., Ono M., Kohgo Y. Paraumbilical vein aneurysm. Case reports. Angiology. 1996; 47 (5): 517–521. https://doi.org/10.1177/ 000331979604700512
13. Gibson R.N., Gibson P.R., Donlan J.D., Clunie D.A. Identification of a patent paraumbilical vein by using Doppler sonography: importance in the diagnosis of portal hypertension. Am. J. Roentgenol. 1989; 153 (3): 513–516. https://doi.org/10.2214/ajr.153.3.513
14. Gardiner N., Voigt S. Paraumbilical vein aneurysm: case report. BJR Case Rep. 2020; 6 (1): 20190052. https://doi.org/10.1259/bjrcr.20190052
15. Januszewicz M.M., HalaburdaRola M., PruszynskaWlodarczyk I., CzachorZielinska A., Rowinski O. Computed tomography evaluation of patent paraumbilical vein and its aneurysm in relation to other portosystemic collateral channels in patients with liver cirrhosis and portal hypertension. Pol. J. Radiol. 2019; 84: e112–e117. https://doi.org/10.5114/pjr.2019.83135
16. Matsutani S., Mizumoto H. Aneurysm of the left gastric vein in a patient with portal hypertension. J. Med. Ultrason. (2001). 2008; 35 (3): 141–143. https://doi.org/10.1007/s1039600801813
17. Kato S., Sakamori R., Yamada R., Murai K., Yoshioka T., Tahata Y., Shigekawa M., Kodama T., Hikita H., Hongyo H., Ono Y., Higashihara H., Tatsumi T., Takehara T. The first case of coil embolization for left gastric vein aneurysm with liver cirrhosis: a case report and review of the literature. Intern. Med. 2021; 60 (16): 2617–2622. https://doi.org/10.2169/internalmedicine.656520
18. Schwope R.B., Margolis D.J., Raman S.S., Kadell B.M. Portal vein aneurysms: a case series with literature review. J. Radiol. Case Rep. 2010; 4 (6): 28–38. https://pubmed.ncbi.nlm.nih.gov/22470738/
19. Lau H., Chew D.K., Belkin M. Extrahepatic portal vein aneurysm: a case report and review of the literature. Cardiovasc. Surg. 2002; 10 (1): 58–61. https://doi.org/10.1016/s09672109(01)001041
20. Yang D.M., Yoon M.H., Kim H.S., Jin W., Hwang H.Y., Kim H.S. CT findings of portal vein aneurysm caused by gastric adenocarcinoma invading the portal vein. Br. J. Radiol. 2001; 74 (883): 654–656. https://doi.org/10.1259/bjr.74.883.740654
The article presents a case of instrumental diagnosis of the left gastric vein aneurysm in a 57-year-old patient with portal hypertension (cirrhosis as an outcome of chronic viral hepatitis C with presence of gastro-esophageal varices grade 3). The left gastric vein aneurysm was detected by ultrasound and confirmed by contrast enhanced computed tomography.
Keywords:
portal vein aneurysms, portal venous system aneurysms, left gastric vein aneurysm, ultrasound, computed tomography