Open AccessDuodenal obstruction due to a preduodenal portal vein
Author(s) -
Mnc Vilakazi,
Farzanah Ismail,
H.M. Swanepoel,
Muller Ew,
Zarina I. Lockhat
Publication year - 2014
Publication title -
african journal of paediatric surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.163
H-Index - 17
eISSN - 0189-6725
pISSN - 0974-5998
DOI - 10.4103/0189-6725.143176
Subject(s) - medicine , duodenal stenosis , duodenum , portal vein , annular pancreas , pyloric stenosis , intestinal malrotation , right gastric vein , hypertrophic pyloric stenosis , vein , stenosis , portal venous pressure , radiology , surgery , portal hypertension , cirrhosis
An infant presented with clinical signs and symptoms suggestive of a pyloric stenosis. On abdominal ultrasound, pyloric stenosis was excluded, and other causes for proximal duodenal obstruction, such as a duodenal web or annular pancreas, were suspected. At surgery, the cause was found to be due to an anterior portal vein or preduodenal portal vein, compressing the duodenum. There were no associated findings such as midgut malrotation, duodenal web and congenital anomalies. The treatment was a diamond-shaped duodeno-duodenostomy anterior to the portal vein. The patient improved after surgery.