PubMedCentralPubMedCrossRef 14. Larici AR, selleck chemicals llc Gotway MB, Litt HI, Gautham PR, Reddy GP, Webb WR, Gotway CA, Dawn SK, Marder CAL-101 research buy SR, Storto ML: Helical CT with sagittal and coronal reconstructions: Accuracy for detection of diaphragmatic injury. AJR 2002, 179:451–457.PubMedCrossRef 15. Slim K, Bousquet J, Chipponi J: Laparoscopic repair of missed blunt diaphragmatic rupture using a prosthesis. Surg Endosc 1998, 12:1358–1360.PubMedCrossRef 16. Reyad AG, Ahmed I, Bosanac Z, Philips

S: Successful laparoscopic repair of acute intrapericardial diaphragmatic hernia secondary to penetrating trauma. J Trauma 2009, 67:E181-E183.CrossRef 17. Hanna WC, Ferri LE, Fata P, Razek T, Mulder DS: The current status of traumatic diaphragmatic injury: lessons learned from 105 patients over 13 years. Ann Thorac Surg 2008, 85:1044–1048.PubMedCrossRef 18. Amid PK: Classification of biomaterials Gamma-secretase inhibitor and their related complications in abdominal wall surgery. Hernia 1997, 1:15–21.CrossRef 19. Rashid F, Chakrabarty MM, Singh R, Iftikhar SY: A review on delayed presentation of diaphragmatic rupture. World J Emerg Surg 2009, 4:32.PubMedCentralPubMedCrossRef 20. Paul S, Nasar A, Port JL, Lee PC, Stiles BC, Nguyen AB, Altorki NK, Sedrakyan A: Comparative analysis of diaphragmatic hernia repair outcomes using the

nationwide inpatient sample database. Arch Surg 2012, 147:607–612.PubMedCrossRef Competing interest The authors declare that they have no competing interest. Authors’ contribution RB and DF was involved in the clinical management of the patient. AL and RL contributed conceiving the manuscript. RB, DF and AL performed the operation. RL and RB wrote the manuscript. AL and DF reviewed the literature. All authors read and approved the manuscript. MP and RB answer to the reviewer and all the authors approved the corrections.”
“Background Portal vein aneurysm (PVA) is defined as a focal dilatation of the portal venous system, greater than Doxacurium chloride 2 cm [1]. PVA is a rare vascular anomaly, observed in 0.43% [2] but its incidence was increasing

in recent years with the enlarged use of magnetic resonance (MR) and computed tomography (CT) [3]. Most common sites are the main portal vein and confluence of splenic and superior mesenteric veins, forming extra-hepatic portal vein aneurysm (EPVA). Although risk factors like portal hypertension and liver cirrhosis have been highlighted, the etiology remains to be clarified. PVA may be associated with various complications: thrombosis, aneurismal rupture, inferior vena cava obstruction and duodenal compression. Thrombosis is the most frequent complication with complete thrombosis and non-occlusive thrombus occurring in 13.6% and 6%, respectively [3]. Herein we report the case of a giant EPVA with complete thrombosis, among the largest described so far. A conservative treatment showed satisfying clinical and radiological response. We reviewed the English literature, disclosing 13 cases of thrombosed EPVA in order to assess current treatment [4–13].