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Blunt abdominal trauma - An important cause of portal venous pseuodoaneurysm.
Wallis, Adam; Rogers, Timothy; Pope, Ian; Callaway, Mark.
Afiliación
  • Wallis A; Department of Clinical Radiology, University Hospitals Bristol NHS Foundation Trust, Bristol, UK.
J Radiol Case Rep ; 4(5): 27-31, 2010.
Article en En | MEDLINE | ID: mdl-22470731
Aneurysms and pseudoaneurysms of the portal venous system are rarely seen following abdominal trauma but clinicians need to be aware of them as possible vascular complications following blunt trauma. This case report of a 10 year old boy following a handlebar injury demonstrates a clear causal relationship between trauma and portal venous pseudoaneurysm. Portal venous aneurysms have a prevalence of less than 0.4% and most are found in patients with underlying hepatocellular disease. Many are asymptomatic in which case surveillance is an accepted management strategy, with Doppler ultrasound proving useful. Complications including thrombosis, distal embolism, compression of the biliary tree and haemorrhage are usually indications for surgical management. Portal venous pseudoaneurysms may be managed conservatively but transcatheter embolisation can be used if there are ongoing complications or haemorrhage.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Risk_factors_studies Idioma: En Revista: J Radiol Case Rep Año: 2010 Tipo del documento: Article Pais de publicación: Estados Unidos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Risk_factors_studies Idioma: En Revista: J Radiol Case Rep Año: 2010 Tipo del documento: Article Pais de publicación: Estados Unidos