Preduodenal portal vein in association with midgut malrotation and duodenal web—triple anomaly?

Preduodenal portal vein (PDPV) is a rare anomaly in which the portal vein passes anterior to the duodenum rather than posteriorly. Generally asymptomatic, PDPV may rarely cause duodenal obstruction or may coexist with other anomalies. We report a neonate who presented with duodenal obstruction and w...

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Bibliographic Details
Published inJournal of pediatric surgery Vol. 44; no. 2; pp. e5 - e7
Main Authors Singal, Arbinder Kumar, Ramu, Chithra, Paul, Sarah, Matthai, John
Format Journal Article
LanguageEnglish
Published United States Elsevier Inc 01.02.2009
Subjects
Abnormalities, Multiple - diagnostic imaging
Abnormalities, Multiple - surgery
Duodenal obstruction
Duodenal web
Duodenum - abnormalities
Duodenum - surgery
Female
Humans
Infant, Newborn
Intestines - abnormalities
Intestines - surgery
Midgut malrotation
Neonate
Pediatrics
Portal Vein - abnormalities
Preduodenal portal vein
Radiography
Surgery
Midgut malrotation
Neonate
Duodenal web
Preduodenal portal vein
Duodenal obstruction
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Summary:Preduodenal portal vein (PDPV) is a rare anomaly in which the portal vein passes anterior to the duodenum rather than posteriorly. Generally asymptomatic, PDPV may rarely cause duodenal obstruction or may coexist with other anomalies. We report a neonate who presented with duodenal obstruction and was found out to have 3 coexisting anomalies, each of which can lead to duodenal obstruction independently—PDPV, midgut malrotation, and duodenal web. A duodenoduodenostomy and a Ladd procedure were done, and the child recovered uneventfully. The mechanism of obstruction, interesting metabolic aberrations observed, outcome, and relevant literature are presented.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
ObjectType-Review-5
ObjectType-Feature-4
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ObjectType-Report-1
ObjectType-Article-3
ISSN:0022-3468
1531-5037
1531-5037
DOI:10.1016/j.jpedsurg.2008.10.075