Open AccessDuodenal stenosis resulting from a preduodenal portal vein and an operation for scoliosis
Author(s) -
Kouji Masumoto,
Risa Teshiba,
Genshiro Esumi,
Kouji Nagata,
Takanori Nakatsuji,
Yuko Nishimoto,
S Yamaguchi,
Kenzo Sumitomo,
Tomoaki Taguchi
Publication year - 2009
Publication title -
world journal of gastroenterology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.427
H-Index - 155
eISSN - 2219-2840
pISSN - 1007-9327
DOI - 10.3748/wjg.15.3950
Subject(s) - medicine , scoliosis , surgery , stenosis , duodenal stenosis , vomiting , pediatric surgery , orthopedic surgery , anastomosis , duodenum , radiology
A preduodenal portal vein (PDPV) is known to be a rare cause of duodenal stenosis. We treated a 22-year-old male patient with malnutrition as a result of PDPV and a previously performed operation for scoliosis, who showed an improvement in quality of life after being treated with a combination of nutritional support and surgery. The patient with PDPV had been admitted to our department with duodenal stenosis, ranging from the first to third portions. He had suffered from vomiting since 1 year of age, and he developed malnutrition during the last 6-mo period after orthopedic surgery for scoliosis. The stenosis was related to both the PDPV and the previously performed operation for scoliosis. After receiving nutritional support for 6 mo, a gastrojejunostomy with Braun's anastomosis for the first portion and a duodenojejunostomy for the second and third portions were performed. The postoperative course was almost uneventful. Three months later, he was discharged and able to attend university. In patients with widespread duodenal stenosis, there may be a complicated cause, such as PDPV and duodenal stretching induced by previous spinal surgery.