Maija Cheung, Salim Munoz, MD, Andrew Duffy, MD, Geoffrey Nadzam, Saber Ghiassi, Matthew Hubbard, Kurt Roberts, MD, FACS. Yale New Haven Hospital
A 53 year-old woman was referred for evaluation of congenital intestinal malrotation. First diagnosed at the age of 16 years, repair was deferred due to minimal symptoms. Worsening dysphagia led to an UGI with small bowel follow through that showed complete malrotation with a distended duodenum. She therefore elected to undergo a laparoscopic Ladd’s procedure. Intraoperatively upon dissection of adhesions anterior to the duodenum a large structure was identified and then dissected into the hilum and towards the pancreas; correlation with a prior CT scan demonstrated it was the portal vein.
Preduodenal portal vein is a rare anomaly and although generally asymptomatic may occasionally cause duodenal obstruction or may coexist with other anomalies as in the case of this patient. Although embryological anomalies are rare, surgeons must be aware of their possibilities and be able to recognize them to avoid major intraoperative injuries.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 78229
Program Number: P146
Presentation Session: Poster (Non CME)
Presentation Type: Poster