Prepancreatic Postduodenal Portal Vein: A Case Report

Jung, Young Jin; Lee, Sang Jin; Yang, Seung Boo; Park, Won Kyu; Chang, Jay Chun; Kim, Jae Woon; Jang, Hyunsoo; Lee, Jae Kyo

doi:10.3348/jkrs.2005.53.6.435

Cited by 6 publications

(3 citation statements)

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“…6 Since then, a number of similar cases have been reported in the literature in both adults and children. 5,8 In 1963, Renner and Child diagrammed the 16 cases known from the world literature to that point and noted the various clinical presentations of this condition. 11 Associated anomalies are common with prepancreatic portal vein and include double portal vein, biliary atresia, partial and complete situs inversus, and intestinal malrotation and nonrotation.…”

Section: Discussionmentioning

confidence: 98%

Prepancreatic Portal Vein in a Patient with Intestinal Nonrotation: Report of a Case

Ziegler

Al‐Haddad

Schmidt

2010

Journal of Gastrointestinal Surgery

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Prepancreatic portal vein is an extremely rare congenital anomaly. It is even rarer in the setting of intestinal nonrotation. We report a case of prepancreatic portal vein in a 71-year-old female with nonrotation who presented with a pancreatic adenocarcinoma in the tail of the pancreas who underwent a distal pancreatectomy and splenectomy. This anomaly was identified prior to surgery on CT scan of the abdomen.

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Section: Discussionmentioning

confidence: 98%

Prepancreatic Portal Vein in a Patient with Intestinal Nonrotation: Report of a Case

Ziegler

Al‐Haddad

Schmidt

2010

Journal of Gastrointestinal Surgery

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“…Hemicolectomy L-shaped form Ventral to CBD Early bifurcation of left and right PV Unclear N.M. 5 1999 Ozeki [ 11 ] 62 F Liver meta Rt. hepatectomy L-shaped form Ventral to CBD Early origin of P4 and right PV, P2 + 3 originated from P8 + – 6 2000 Tanaka [ 12 ] 61 M Bile duct ca PD Normal form Parallel to CBD N.M. − – 7 2003 Inoue [ 13 ] 50 M Gastric ca Total gastrectomy L-shaped form Ventral to CBD N.M. N.M. – 8 2005 Jung [ 14 ] 28 F Adenomyomatosis of GB LC Omega or arc-shaped form N.M N.M. N.M. – 9 2010 Tomizawa [ 7 ] 74 M Liver meta N.M ...…”

Section: Discussionmentioning

confidence: 99%

Prepancreatic postduodenal portal vein: a case report and literature review

et al. 2023

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Background Among congenital anomalies of the portal venous system, prepancreatic postduodenal portal vein (PPPV) is very rare and has only been reported to date. Herein, we report a case of PPPV identified in preoperative examinations for hepatocellular carcinoma and a literature review. Case presentation A 63-year-old man was admitted to our hospital for treatment of a liver tumor. After examination, he was diagnosed with hepatocellular carcinoma with a diameter of 40 mm in segment 8. Contrast-enhanced computed tomography scan showed a portal vein passing between the duodenum and pancreas, hence called PPPV. At the hepatic hilus, the portal vein branched off in a complicated course with some porto-portal communications. We determined that anatomical resection with manipulation of the hepatic hilum in this case resulted in major vascular injury. Therefore, we performed partial liver resection, and the patient was discharged uneventfully on postoperative day 14. Conclusions Although PPPV is an extremely rare congenital vascular variant, it is important to carefully identify vascular patterns preoperatively and to recognize the possibility of such an anomaly to avoid misidentification and inadvertent injuries during surgery.

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“…Although the junction of the SV and SMV were all ventral to the pancreas, the SV proximal to the spleen ran dorsal to the pancreas in all six cases, including ours. 6,7 Despite its rarity, both PPPV and PDPV are of great surgical importance. The abnormal portal vein may be mistaken for another vein leading to unexpected ligation.…”

Section: Discussionmentioning

confidence: 99%

Prepancreatic postduodenal portal vein: a new hypothesis for the development of the portal venous system

et al. 2010

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The prepancreatic postduodenal portal vein (PPPV) is an unusual anomaly, having been reported in only 11 cases including ours. Although its incidence is rare, this anomaly can cause intraoperative complications such as hemorrhage from the abnormal vein. Radiologists therefore need to be aware of this anomaly and, when identifi ed, report it to surgeons before surgery. Here we report two cases of PPPV and present a new hypothesis for development of the portal venous system.

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Prepancreatic Postduodenal Portal Vein: A Case Report

Cited by 6 publications

References 0 publications

Prepancreatic Portal Vein in a Patient with Intestinal Nonrotation: Report of a Case

Prepancreatic Portal Vein in a Patient with Intestinal Nonrotation: Report of a Case

Prepancreatic postduodenal portal vein: a case report and literature review

Prepancreatic postduodenal portal vein: a new hypothesis for the development of the portal venous system

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