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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.
Abstract:
Preduodenal portal vein, a rare anomaly, could be found in any age groups. In pediatrics it may present with a duodenal obstruction by itself or other coexisting anomalies; however it usually present with an asymptomatic or incidental findings during other surgery in adults. This anomaly has a clinical importance due to the possibility of accidental damage to portal vein. In addition to describing a series of 3 cases with different manifestation in infants, discuss about this anomaly with a review of relevant literature.
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