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首页> 外文期刊>World Journal of Gastroenterology >Extrahepatic portal vein aneurysm: Two case reports of surgical intervention.
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Extrahepatic portal vein aneurysm: Two case reports of surgical intervention.

机译：肝外门静脉瘤：2例外科手术报道。

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摘要

We report two cases of extrahepatic portal vein aneurysm, and both of them underwent surgical intervention. The first case had a mild pain in right upper quadrant of the abdomen; the second had no obvious symptoms. Physical examination revealed nothing abnormal. Both of them were diagnosed by magnetic resonance imaging angiography (MRA). One of the aneurysms was located at the main portal vein, the other, at the confluence of the superior mesenteric vein and the splenic vein, and these two places are exactly the most common locations of the extrahepatic portal vein aneurysm reported in the literature (30.7% each site). The first case underwent aneurysmorrhaphy and the second case, aneurysm resection with splene-ctomy. Both of them recovered soon after the operation, and the symptom of the first case was greatly alleviated. During the follow-up of half a year, no complication and adverse effect of surgical intervention was found and the color Doppler ultrasonography revealed no recurrence of the aneurysmal dilation. We suggest that surgical interv-ention can alleviate the symptom of the extrahepatic portal vein aneurysm and prevent its complications effectively and safely for low risk patients.
机译：我们报告了两例肝外门静脉瘤，他们都接受了手术干预。第一例在腹部右上腹有轻度疼痛。第二个没有明显的症状。体格检查未发现异常。他们都通过磁共振成像血管造影（MRA）诊断。其中一个动脉瘤位于主门静脉处，另一个位于肠系膜上静脉和脾静脉的交汇处，这两个地方正是文献中报道的肝外门静脉瘤最常见的位置（30.7 ％每个网站）。第一例进行了动脉瘤治疗，第二例进行了脾切除术的动脉瘤切除术。他们都在手术后不久康复，并且第一例的症状大大减轻了。在半年的随访中，未发现手术干预的并发症和不良反应，彩色多普勒超声检查未发现动脉瘤扩张的复发。我们建议手术干预可以减轻低风险患者的肝外门静脉动脉瘤的症状，并有效，安全地预防其并发症。

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