Open AccessIntestinal obstruction with a twist: a rare case of congenital portal vein aneurysm causing intestinal obstruction
Author(s) -
Shanu Chandran,
Manish Kumar,
Tarun John K Jacob,
Ferzine Mohamed
Publication year - 2018
Publication title -
bmj case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.231
H-Index - 26
ISSN - 1757-790X
DOI - 10.1136/bcr-2018-225689
Subject(s) - medicine , aneurysm , portal hypertension , transverse colon , rare disease , vomiting , portal vein , surgery , radiology , disease , cirrhosis
Bilious vomiting is often a presenting feature of upper intestinal obstruction in newborn. We present a case of intestinal obstruction in a newborn baby caused by abnormal vascular band arising from portal vein aneurysm in association with a midgut volvulus. Congenital anomalies of portovenous system are very rare, and it usually presents with portal hypertension in late infancy or childhood. In this particular child, the portal vein aneurysm contributed to intestinal obstruction due to both a failure of intestinal rotation and a mechanical band over the transverse colon.