Preduodenal portal vein: a 3-case series demonstrating varied presentations in infants

Soo-Hong Kim1, Yong-Hoon Cho, Hae-Young Kim

  • 1Department of Pediatric Surgery, Pusan National University Children's Hospital, Pusan National University School of Medicine, Yangsan, Korea.

Insights

Preduodenal portal vein is a rare anomaly that can cause duodenal obstruction in children. Awareness is crucial to prevent accidental portal vein damage during surgery.

Area of Science:

  • Vascular Anatomy
  • Pediatric Surgery
  • Gastrointestinal Anomalies

Background:

  • Preduodenal portal vein (PPV) is a rare congenital anomaly.
  • It can occur in isolation or with other gastrointestinal anomalies.
  • PPV presents differently in pediatric and adult populations.

Observation:

  • This study presents 3 pediatric cases of preduodenal portal vein with varied clinical manifestations.
  • Infants may present with duodenal obstruction.
  • Adults often have asymptomatic or incidental findings during unrelated surgeries.

Findings:

  • Preduodenal portal vein can lead to significant clinical challenges, particularly in pediatric patients.
  • The anomaly poses a risk of accidental intraoperative injury to the portal vein.
  • Literature review highlights the diverse presentations and clinical significance of PPV.

Implications:

  • Highlights the importance of recognizing preduodenal portal vein in pediatric surgical planning.
  • Emphasizes the need for careful surgical technique to avoid portal vein injury.
  • Contributes to a better understanding of this rare vascular anomaly and its management.

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