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A Rare Cause of Congenital Duodenal Obstruction: Preduodenal Portal Vein
Abstract
Preduodenal portal vein (PDPV) is a rare cause of duodenal obstruction.While half of PDPV cases present with obstructive findings in the neonatal period, the other half are diagnosed incidentally at advanced ages.In half of the obstructed PDPV cases, the cause of obstruction is another congenital anomaly.In our case, the aberrant ventral extension of the pancreas with PDPV caused incomplete duodenal obstruction by compressing the duodenum...
Figures & Tables
Figure 1: PDPV and the aberrant ventral extension of the pancreas compresses bet...
Figure 2: Duodenoduodenostomy anastomosis.
Paper Details
Title
A Rare Cause of Congenital Duodenal Obstruction: Preduodenal Portal Vein
Published Date
Feb 2, 2020
Journal
Volume
1
Issue
1
Pages
33 - 35
References19
Original paper
# 1Laura K. Dalla Vecchia(IUPUI: Indiana University – Purdue University Indianapolis)
3
# 2Jay L. Grosfeld(Riley Hospital for Children)
59
Last. Scott A. Engum(IUPUI: Indiana University – Purdue University Indianapolis)
34
Objective
To evaluate the causes, clinical presentation, diagnosis, operative management, postoperative care, and outcome in infants with intestinal atresia.Design
Retrospective case series.Setting
Pediatric tertiary care teaching hospital.Patients
A population-based sample of 277 neonates with intestinal atresia and stenosis treated from July 1, 1972, through April 30, 1997. The level of obstruction was duodenal in 138 infants, jejunoileal in 128, and colo...Original paper
# 1Mauricio A. Escobar(IUSM: Indiana University School of Medicine)
19
# 2Alan P. Ladd(IUPUI: Indiana University – Purdue University Indianapolis)
22
Last. Deborah F. Billmire(IUPUI: Indiana University – Purdue University Indianapolis)
32
Duodenal atresia and stenosis is a frequent cause of congenital, intestinal obstruction. Current operative techniques and contemporary neonatal critical care result in a 5% morbidity and mortality rate, with late complications not uncommon, but unknown to short-term follow-up.A retrospective review of patients with duodenal anomalies was performed from 1972 to 2001 at a tertiary, children's hospital to identify late morbidity and mortality.Duodenal atresia or stenosis was identified in 169 patie...
Other
# 1Jay L. Grosfeld(IUPUI: Indiana University – Purdue University Indianapolis)
59
# 2Frederick J. Rescorla(IUPUI: Indiana University – Purdue University Indianapolis)
51
Duodenal atresia and stenosis was observed in 103 infants and children from 1972 to 1991. There were 59 girls and 44 boys. Atresia was noted in 79 instances and stenosis in 24. Maternal hydramnios was detected in 33 cases, 46 babies were premature, and 31 had Down's syndrome. Fifty-four infants had significant associated anomalies including 35 with cardiac defects. Diagnosis was achieved by prenatal ultrasound examination in 14 cases, observation of a double-bubble sign on abdominal radiograph i...
Original paper
Although survival in infants, with congenital intestinal obstruction has improved, duodenal obstruction continues to present unique challenges. One hundred thirty-eight newborns and infants (aged 0 to 30 days) were treated for congenital duodenal obstruction. Sixty-five were boys and 73 were girls. Sixty-one (45%) were premature. Forty-six had an intrinsic defect (atresia, web, stenosis, or duplication), 64 had an extrinsic defect (annular pancreas or malrotation with congenital bands), while 28...
Other
# 1HARRY O. KNIGHT(GC: Galveston College)
1
Original paper
# 1Abdulrahim Mustafawi(Latifa Hospital)
3
# 2Mujahid Hassan(Latifa Hospital)
3
Introduction: Congenital duodenal obstruction (CDO) is one of the most common anomalies in newborns and infants. In 38 - 55 % of patients, intrinsic duodenal obstruction is associated with another significant congenital anomaly. We report on a retrospective study of all children born with CDO presented to our institution over a 10-year period. Patients and Methods: A retrospective analysis was carried out of the records of all children admitted to our center from January 1996 to December 2005 wi...
Other
# 1J. Mordehai(BGU: Ben-Gurion University of the Negev)
10
# 2Z. Cohen(BGU: Ben-Gurion University of the Negev)
53
Last. A. J. Mares(BGU: Ben-Gurion University of the Negev)
14
Preduodenal portal vein (PDPV) is a rare anomaly described in only 82 patients in the literature. In a few patients, the PDPV was the direct cause of duodenal obstruction. The authors have treated a newborn with PDPV associated with total situs inversus, intestinal malrotation and polysplenia who presented clinically with duodenal obstruction. The relevant literature is reviewed. J Pediatr Surg 37:E5. Copyright 2002, Elsevier Science (USA). All rights reserved.
Original paper
# 1T. Esscher
10
A preduodenal position of the portal vein is a rare anomaly reported in 52 cases in the literature. Two additional cases are reported here. In 54% of the cases of preduodenal portal vein (PPV) was combined with high intestinal obstruction and in one half of these cases PPV was considered obstructive. A critical review of these cases gives the impression that obstructive PPV could well be a misinterpretation of the obstructive situation and the existence of obstructive PPV is doubted. A preduoden...
Review paper
# 1Soo-Hong Kim(PNU: Pusan National University)
16
# 2Yong Hoon Cho(PNU: Pusan National University)
16
Last. Hae-Young Kim(PNU: Pusan National University)
2
Preduodenal portal vein, a rare anomaly, could be found in any age groups. In pediatrics it may present with a duodenal obstruction by itself or other coexisting anomalies; however it usually present with an asymptomatic or incidental findings during other surgery in adults. This anomaly has a clinical importance due to the possibility of accidental damage to portal vein. In addition to describing a series of 3 cases with different manifestation in infants, discuss about this anomaly with a revi...
Review paper
# 1Eduardo Fernandes(Le Bonheur Children's Hospital)
23
# 2Edward M. Burton(Le Bonheur Children's Hospital)
20
Last. Robert S. Hollabaugh(Le Bonheur Children's Hospital)
13
Preduodenal portal vein is rare, with 63 cases reported in the literature. In general, this anomaly occurs in children with associated small bowel obstruction. We report a newborn infant who presented with duodenal stenosis, mongolism, and preduodenal portal vein. Treatment consisted of a duodenoduodenal anastomosis without mobilizing the portal vein. The correlation between imaging techniques and the operative findings is discussed. Because identification of preduodenal portal vein at surgery i...
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