Document Detail

Preduodenal portal vein and malrotation: what causes the obstruction?
MedLine Citation:
PMID:  18493888     Owner:  NLM     Status:  MEDLINE    
AIM AND METHOD: Preduodenal portal vein is a rare congenital abnormality, and occurs either as a single malformation, in association with other malformations or as part of "polysplenia" syndrome. Preduodenal portal vein has seldom been reported as a cause of intestinal obstruction, however corrective surgery is nearly always performed. We conducted a 25-year retrospective study in a single centre to investigate the cause of obstruction in patients with preduodenal portal vein. Furthermore, we reviewed the literature on preduodenal portal vein. RESULTS: Over a period of 25 years, preduodenal portal vein was diagnosed in five patients. The diagnosis was made during surgery performed because of symptoms of high intestinal obstruction. All five patients had intestinal malrotation as well and, in all patients, another cause for high intestinal obstruction than preduodenal portal vein was found. CONCLUSION: Preduodenal portal vein is mainly asymptomatic. It is often associated with other intestinal congenital abnormalities more likely to cause high intestinal obstruction. Therefore, the (paediatric) surgeon should always be alert for another associated cause of intestinal obstruction. Because of the potential for technical problems from preduodenal portal vein during surgery, it nevertheless should be on the surgeon's mind during surgery when the patient has high intestinal obstruction.
M Kouwenberg; L Kapusta; F H J van der Staak; R S V M Severijnen
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  European journal of pediatric surgery : official journal of Austrian Association of Pediatric Surgery ... [et al] = Zeitschrift für Kinderchirurgie     Volume:  18     ISSN:  0939-7248     ISO Abbreviation:  Eur J Pediatr Surg     Publication Date:  2008 Jun 
Date Detail:
Created Date:  2008-05-21     Completed Date:  2008-09-24     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9105263     Medline TA:  Eur J Pediatr Surg     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  153-5     Citation Subset:  IM    
Pediatrics, Radboud University Nijmegen Medical Centre, Nijmegen, Netherlands.
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MeSH Terms
Abnormalities, Multiple
Digestive System Abnormalities / complications,  surgery
Infant, Newborn
Intestinal Obstruction / etiology,  surgery*
Intestines / abnormalities*
Portal Vein / abnormalities*
Retrospective Studies
Vascular Malformations / complications,  surgery

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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