Portal vein aneurysm is very rare, and its relation to portal hyperten
sion has been emphasized. We report six cases of portal vein aneurysm
(five extrahepatic and one intrahepatic). All patients were asymptomat
ic and had no signs suggestive of portal hypertension; the lesion was
incidentally detected by ultrasound. Color Doppler sonography showed a
constant hepatopetal flow along the aneurysmal wall, which immediatel
y led to the diagnosis. We stress the usefulness of color Doppler sono
graphy for studying the hemodynamics of this vascular anomaly and brie
fly review the literature.