Kurtcehajic A, Zerem E, Alibegovic E, Kunosic S, Hujdurovic A, Fejzic JA. Portal vein aneurysm-etiology, multimodal imaging and current management. World J Clin Cases 2023; 11(4): 725-737 [PMID: 36818612 DOI: 10.12998/wjcc.v11.i4.725]
Corresponding Author of This Article
Admir Kurtcehajic, PhD, Academic Research, Research Assistant, Research Scientist, Department of Gastroenterology and Hepatology, Plava Medical Group, No. 10 Crnogorcevica, Tuzla 75000, Tuzla Kanton, Bosnia and Herzegovina. admircg7@gmail.com
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Minireviews
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Feb 6, 2023; 11(4): 725-737 Published online Feb 6, 2023. doi: 10.12998/wjcc.v11.i4.725
Portal vein aneurysm-etiology, multimodal imaging and current management
Admir Kurtcehajic, Enver Zerem, Ervin Alibegovic, Suad Kunosic, Ahmed Hujdurovic, Jasmin A Fejzic
Admir Kurtcehajic, Department of Gastroenterology and Hepatology, Plava Medical Group, Tuzla 75000, Tuzla Kanton, Bosnia and Herzegovina
Enver Zerem, Department of Medical Sciences, The Academy of Sciences and Arts of Bosnia and Herzegovina, Sarajevo 71000, Bosnia and Herzegovina
Ervin Alibegovic, Department of Gastroenterology and Hepatology, University Clinical Center Tuzla, Tuzla 75000, Tuzla Kanton, Bosnia and Herzegovina
Suad Kunosic, Department of Physics, Faculty of Natural Sciences and Mathematics, University of Tuzla, Tuzla 75000, Tuzla Kanton, Bosnia and Herzegovina
Ahmed Hujdurovic, Department of Internal Medicine, Plava Medical Group, Tuzla 75000, Tuzla Kanton, Bosnia and Herzegovina
Jasmin A Fejzic, Department of Internal Medicine, General Hospital Tesanj, Tesanj 74260, Bosnia and Herzegovina
Author contributions: Kurtcehajic A, Alibegovic E, and Fejzic AJ designed, edited and wrote the manuscript; Kunosic S and Hujdurovic A performed the collection of the data and designed appearance of the tables; Zerem E contributed to the critical revision and editing of the paper; all authors wrote, read, and approved the final version of the manuscript.
Conflict-of-interest statement: There are no conflicts of interest to report.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Admir Kurtcehajic, PhD, Academic Research, Research Assistant, Research Scientist, Department of Gastroenterology and Hepatology, Plava Medical Group, No. 10 Crnogorcevica, Tuzla 75000, Tuzla Kanton, Bosnia and Herzegovina. admircg7@gmail.com
Received: November 6, 2022 Peer-review started: November 6, 2022 First decision: December 11, 2022 Revised: December 24, 2022 Accepted: January 12, 2023 Article in press: January 12, 2023 Published online: February 6, 2023
Abstract
Portal vein aneurysm (PVA) is a rare vascular abnormality, representing 3% of all venous aneurysms in the human body, and is not well understood. It can be congenital or acquired, located mainly at the level of confluence, main trunk, branches and bifurcation. A PVA as an abnormality of the portal venous system was first reported in 1956 by Barzilai and Kleckner. A review from 2015 entitled “Portal vein aneurysm: What to know” considered fewer than 200 cases. In the last seven years, there has been an increase in the number of PVAs diagnosed thanks to routine abdominal imaging. The aim of this review is to provide a comprehensive update of PVA, including aetiology, epidemiology, and clinical assessment, along with an evaluation of advanced multimodal imaging features of aneurysm and management approaches.
Core Tip: The number of reported portal vein aneurysms (PVAs) across the world with this review stands at about 280. In relation to a new acquired aetiology of PVA, the following conditions are noted: Budd-Chiari syndrome, splenomegaly in thalassaemia major, giant splenic artery aneurysm and a long-term cholelithiasis. Percentage of 30 to 50 of patients experienced non-specific abdominal pain, the most frequent complications of PVA are thrombosis and biliopathy. Recently, endoscopic ultrasound and intraductal ultrasonography, as an additional tool have also been used for assessment of PVA in more detail. With this review we have highlighted treatment of PVA with comorbidities based on the transjugular intrahepatic portosystemic shunt, percutaneous approach, and endoscopic approach.
