Document Detail


Anomalous intrahepatic portal system in a patient with hilar bile duct cancer.
MedLine Citation:
PMID:  18040630     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We report a case of anomaly of the intrahepatic portal system in a 65-year-old man with hilar bile duct cancer. Preoperatively, percutaneous transhepatic portography demonstrated that there was a right posterior portal vein arising from the main portal vein. In addition, a large portal branch originated from the left portal vein and coursed toward the right hepatic lobe. Following portal embolization of the right posterior branch, the patient underwent an extended right hepatectomy with a caudate lobectomy. Intraoperatively, to the left at the porta hepatis and then it first gave off the right anterior portal vein originated from the left portal vein and coursed toward the right hepatic lobe horizontally behind the gallbladder and then separated into superior and inferior segmental branches to supply the right anterior segment of the liver. The ramification of some major branches without malposition of the gallbladder or round ligament was the important clinical feature of this anomaly.
Authors:
Hiroyuki Sugo; Jiro Yoshimoto; Ken Miwa; Yoichi Ishizaki; Seiji Kawasaki
Publication Detail:
Type:  Case Reports; Journal Article     Date:  2007-11-30
Journal Detail:
Title:  Journal of hepato-biliary-pancreatic surgery     Volume:  14     ISSN:  0944-1166     ISO Abbreviation:  J Hepatobiliary Pancreat Surg     Publication Date:  2007  
Date Detail:
Created Date:  2007-11-27     Completed Date:  2008-05-13     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9431940     Medline TA:  J Hepatobiliary Pancreat Surg     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  604-7     Citation Subset:  IM    
Affiliation:
Department of Hepatobiliary-Pancreatic Surgery, Juntendo University School of Medicine, 2-1-1 Hongo, Bunkyo-ku, Tokyo, 113-8421, Japan.
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MeSH Terms
Descriptor/Qualifier:
Adenocarcinoma / radiography,  surgery*
Aged
Bile Duct Neoplasms / radiography,  surgery*
Embolization, Therapeutic
Hepatectomy
Humans
Male
Portal System / abnormalities*,  radiography
Tomography, X-Ray Computed

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