title: Portal vein aneurysm associated with Budd-Chiari syndrome treated with transjugular intrahepatic portosystemic shunt: a case report.
abstract: A 65-year-old woman with Budd-Chiari syndrome (BCS) presented with right upper quadrant pain. A computed tomography (CT) scan showed a saccular aneurysm located at the extrahepatic portal vein main branch measuring 3.2 cm in height and 2.5 cm × 2.4 cm in diameter. The aneurysm was thought to be associated with BCS as there was no preceding history of trauma and it had not been present on Doppler ultrasound examination performed 3 years previously. Because of increasing pain and concern for complications due to aneurysm size, the decision was made to relieve the hepatic venous outflow obstruction. Transjugular intrahepatic portosystemic shunt (TIPS) was created without complications. She had complete resolution of her abdominal pain within 2 d and remained asymptomatic after 1 year of follow-up. CT scans obtained after TIPS showed that the aneurysm had decreased in size to 2.4 cm in height and 2.0 cm × 1.9 cm in diameter at 3 mo, and had further decreased to 1.9 cm in height and 1.6 cm × 1.5 cm in diameter at 1 year.
authors.affiliation: Jiaywei Tsauo, Xiao Li, Institute of Interventional Radiology, West China Hospital, Sichuan University, Chengdu 610041, Sichuan Province, China.
authors.forename: Jiaywei
authors.initials: J
authors.lastname: Tsauo
authors.affiliation: Jiaywei Tsauo, Xiao Li, Institute of Interventional Radiology, West China Hospital, Sichuan University, Chengdu 610041, Sichuan Province, China.
authors.forename: Xiao
authors.initials: X
authors.lastname: Li
mesh_terms: D015746:Abdominal Pain / Q000209:etiology; D000368:Aged; D000783:Aneurysm / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D006502:Budd-Chiari Syndrome / Q000150:complications / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*; D005260:Female; D006439:Hemodynamics; D006801:Humans; D008102:Liver Circulation; D010690:Phlebography / Q000379:methods; D011169:Portal Vein / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D019168:Portasystemic Shunt, Transjugular Intrahepatic; D011172:Portography / Q000379:methods; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
keywords: Budd-Chiari syndrome; Portal hypertension; Portal vein aneurysm; Portosystemic shunt; Transjugular intrahepatic portosystemic shunt