Case Report
Copyright ©The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Hepatol. Apr 27, 2021; 13(4): 515-521
Published online Apr 27, 2021. doi: 10.4254/wjh.v13.i4.515
Asymptomatic portal vein aneurysm: Three case reports
Kateryna Priadko, Marco Romano, Luigi Maria Vitale, Marco Niosi, Ilario De Sio
Kateryna Priadko, Marco Romano, Luigi Maria Vitale, Marco Niosi, Ilario De Sio, Department of Precision Medicine and Hepato-Gastroenterology Unit, University Hospital and Università degli Studi della Campania Luigi Vanvitelli, Naples 80138, Italy
Author contributions: De Sio I, Vitale LM and Niosi M performed the ultrasonography and interpreted the imaging findings; Priadko K reviewed the literature and drafted the manuscript; De Sio I contributed to manuscript drafting; Romano M was responsible for the revision and final approval of the manuscript; all authors issued final approval for the version to be submitted.
Informed consent statement: Informed written consent was obtained from the patients for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflicts of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Kateryna Priadko, MD, Academic Research, Department of Precision Medicine and Hepato-Gastroenterology Unit, University Hospital and Università degli Studi della Campania Luigi Vanvitelli, Via Pansini, 5, Naples 80138, Italy. kateryna.priadko@unicampania.it
Received: December 14, 2020
Peer-review started: December 14, 2020
First decision: February 13, 2021
Revised: February 19, 2021
Accepted: March 24, 2021
Article in press: March 24, 2021
Published online: April 27, 2021
Core Tip

Core Tip: Portal vein aneurysm (PVA) can be a congenital or acquired vascular malformation but in most cases is asymptomatic; as such, it remains underdiagnosed. We report on the features of PVA detected by ultrasonography, computed tomography and magnetic resonance imaging in three asymptomatic patients. Only one of our patients had a known predisposing factor (i.e., liver cirrhosis). Throughout the surveillance period, our patients remained asymptomatic, with no dimensional changes in their PVAs. In reporting this case study, we highlight the need for PVA recognition and instituting a personalized management approach that takes into consideration factors predisposing to complications of this condition.