Francesco FD, Gruttadauria S, Caruso S, Gridelli B. Huge extrahepatic portal vein aneurysm as a late complication of liver transplantation. World J Hepatol 2010; 2(5): 201-202 [PMID: 21160997 DOI: 10.4254/wjh.v2.i5.201]
Corresponding Author of This Article
Salvatore Gruttadauria, MD, Associate Professor of Surgery, Department of Surgery, University of Pittsburgh, Coordinator Abdominal Adult Transplant; Mediterranean Institute for Transplant and Advanced Specialized Therapies, University of Pittsburgh Medical Center in Italy (ISMETT), Via E Tricomi N 1, Palermo 90127, Italy. sgruttadauria@ismett.edu
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World J Hepatol. May 27, 2010; 2(5): 201-202 Published online May 27, 2010. doi: 10.4254/wjh.v2.i5.201
Huge extrahepatic portal vein aneurysm as a late complication of liver transplantation
Fabrizio di Francesco, Salvatore Gruttadauria, Settimo Caruso, Bruno Gridelli
Fabrizio di Francesco, Salvatore Gruttadauria, Settimo Caruso, Bruno Gridelli, Mediterranean Institute for Transplant and Advanced Specialized Therapies, University of Pittsburgh Medical Center, Palermo 90127, Italy
Salvatore Gruttadauria, Settimo Caruso, Bruno Gridelli, Department of Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA 8084 3600, United States
Author contributions: Gruttadauria S and Gridelli B contributed equally to this work and designed the paper; di Francesco F and Gruttadauria S contributed equally to write the paper; Caruso S analyzed and collected data.
Correspondence to: Salvatore Gruttadauria, MD, Associate Professor of Surgery, Department of Surgery, University of Pittsburgh, Coordinator Abdominal Adult Transplant; Mediterranean Institute for Transplant and Advanced Specialized Therapies, University of Pittsburgh Medical Center in Italy (ISMETT), Via E Tricomi N 1, Palermo 90127, Italy. sgruttadauria@ismett.edu
Telephone: +39-0912192111 Fax: +39-0912192400
Received: December 16, 2009 Revised: March 30, 2010 Accepted: April 6, 2010 Published online: May 27, 2010
Abstract
A 60-year-old male underwent orthotopic liver transplantation because of hepatitis C virus related cirrhosis. After 12 d, the patient underwent re-transplantation due to primary graft non function. One year later the patient developed a thrombosis of the main portal vein needing a surgical revision. After 11 years the patient was operated on because of a clinical picture of intestinal occlusion. As an incidental finding, a large aneurysm of the main portal vein was diagnosed. The incidence of intra- and extrahepatic Portal vein aneurysms (PVAs) is not clear. To the best of our knowledge, only one case of intrahepatic PVA in a liver transplant has been reported in the literature. In addition, we have found no documented cases of extrahepatic PVAs in liver transplanted patients.
