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HPB Surgery
Volume 10, Issue 2, Pages 113-116
Case Report

The Management of Extrahepatic Portal Vein Aneurysms: Observe or Treat?

Department of Surgery, University of Iowa College of Medicine, Iowa City 52242, Iowa, USA

Received 30 August 1995

Copyright © 1996 Hindawi Publishing Corporation. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


A case of a 70 year old man who was found to have an extrahepatic portal vein aneurysm during an evaluation for hematuria is reported. Extrahepatic portal vein aneurysms are rare with only twenty cases reported in the literature. Typically, patients present with hemorrhage requiring surgical exploration or the aneurysm is discovered during evaluation of another abdominal process. Management includes careful follow-up in the asymptomatic patient without underlying liver disease or portal hypertension.