| Abnormal direct entry of the umbilical vein into the portal vein: report of a case. | |
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MedLine Citation:
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PMID: 18791724 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Abnormalities of the intra-abdominal umbilical venous connections are rare congenital vascular anomalies. We report a case of an aneurismal dilatation of an umbilical vein directly connected to the portal vein, vital for the delivery of placental blood in the fetus. A term female newborn presented with a dilated umbilical vein detected by prenatal ultrasound. CT angiography revealed an aneurismal dilatation of a vascular structure, from the umbilical ring to the main portal vein. Follow-up CT angiography showed thrombus progression up to the level of SMV inlet. A laparotomy revealed that the normal course of the umbilical vein was absent. The aneurysm was resected and no thrombus was noted in the aneurysm. Post-operative ultrasound revealed an isolated thrombus at the right main portal vein that resolved spontaneously on the follow-up ultrasound. At the 6-month post-operative follow-up, the baby was well and without complications. Although not evaluated for the presence of a ductus venosus, this anomalous umbilical-portal venous connection might have been associated with an absent ductus venosus. |
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Authors:
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Suk-Bae Moon; Kwi-Won Park; Sung-Eun Jung |
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Publication Detail:
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Type: Case Reports; Journal Article Date: 2008-09-13 |
Journal Detail:
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Title: Pediatric surgery international Volume: 24 ISSN: 0179-0358 ISO Abbreviation: Pediatr. Surg. Int. Publication Date: 2008 Nov |
Date Detail:
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Created Date: 2008-10-20 Completed Date: 2009-02-10 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8609169 Medline TA: Pediatr Surg Int Country: Germany |
Other Details:
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Languages: eng Pagination: 1243-5 Citation Subset: IM |
Affiliation:
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Department of Pediatric Surgery, Seoul National University Children's Hospital, 28 Youngon-dong, Chongno-gu, Seoul, 110-744, South Korea. medica95@medimail.co.kr |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aneurysm
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congenital*,
diagnosis,
surgery Dilatation, Pathologic Female Humans Infant, Newborn Portal Vein / abnormalities* Tomography, X-Ray Computed Ultrasonography, Prenatal Umbilical Veins / abnormalities* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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