Jornal Vascular Brasileiro
https://jvascbras.org/article/doi/10.1590/S1677-54492007000400016
Jornal Vascular Brasileiro
Case Report

Anomalous formation of the portal vein: a case report

Formação anômala da veia porta: relato de caso

Vasavi Rakesh Gorantla; Bhagath Kumar Potu; Thejodhar Pulakunta; Venkata Ramana Vollala; Pavan Kumar Addala; Soubhagya Ranjan Nayak

Downloads: 0
Views: 1253

Abstract

The knowledge about the formation and relations of the portal vein is important for surgeons and radiologists. The variations in the level of formation and the pattern of formation of portal vein might lead to confusions during radiological and surgical procedures. Here we present a rare variation in the formation of the portal vein as found during the cadaveric dissections. The portal vein was formed by the union of splenic vein, superior mesenteric vein and inferior mesenteric veins. The abnormal termination of left gastric vein into superior mesenteric vein before the formation of portal vein was also seen in the same cadaver. Identification of these variations is useful in managing traumatic rupture of the mesentery.

Keywords

Variations, portal vein, obstruction, malrotation

Resumo

O conhecimento sobre a formação e as relações da veia porta é importante para cirurgiões e radiologistas. As variações no nível de formação e o padrão de formação da veia porta podem causar confusões durante procedimentos cirúrgicos e radiológicos. Neste relato, apresentamos uma variação na formação da veia porta encontrada durante as dissecções cadavéricas. A veia porta foi formada pela união da veia esplênica, veia mesentérica superior e veias mesentéricas inferiores. A terminação anormal da veia gástrica esquerda na veia mesentérica superior antes da formação da veia porta também foi observada no mesmo cadáver. A identificação dessas variações é útil para tratar a ruptura traumática do mesentério.

Palavras-chave

Variações, veia porta, obstrução, má-rotação

References

Covey AM, Brody LA, Getrajdman GI, Sofocleous CT, Brown KT. Incidence, patterns, and clinical relevance of variant portal vein anatomy. AJR Am J Roentgenol. 2004;183:1055-64.

Atri M, Bret PM, Fraser-Hill MA. Intrahepatic portal venous variations: prevalence with ultrasound. Radiology. 1992;184:157-8.

Bergman RA, Thompson SA, Afifi AK, Saadeh FA. Compendium of human anatomic variations. 1988:70.

Esscher T. Preduodenal portal vein: a cause of intestinal obstruction?. J Pediatr Surg. 1980;15:609-12.

Zhang JS, Wang YP, Wang MQ. Diagnosis of an accessory portal vein and its clinical implications for portosystemic shunts. Cardiovasc Intervent Radiol. 1996;19:239-41.

Stevens JC, Morton D, McElwee R, Hamit HF. Preduodenal portal vein: Two cases with differing presentation. Arch Surg. 1978;113:311-3.

Yi SQ, Tanaka S, Tanaka A, Shimokawa T, Ru F, Nakatani T. An extremely rare inversion of the preduodenal portal vein and common bile duct associated with multiple malformations: Report of an adult cadaver case with a brief review of the literature. Anat Embryol (Berl). 2004;208:87-96.

Choi SO, Park WH. Preduodenal portal vein: a cause of prenatally diagnosed duodenal obstruction. J Pediatr Surg. 1995;30:1521-2.

Fernandes ET, Burton EM, Hixson SD, Hollabaugh RS. Preduodenal portal vein: surgery and radiographic appearance. J Pediatr Surg. 1990;25:1270-2.

Inoue M, Taenaka N, Nishimura S. Prepancreatic postduodenal portal vein: report of a case. Surg Today. 2003;33:956-9.

Sadler T. Cardiovascular system. Langman"s medical embryology. 2000:246-8.

Niwa T, Aida N, Tachibana K. Congenital absence of the portal vein: clinical and radiological findings. J Comput Assist Tomogr. 2002;26:681-6.

Sociedade Brasileira de Angiologia e Cirurgia Vascular (SBACV)"> Sociedade Brasileira de Angiologia e Cirurgia Vascular (SBACV)">
5ddebc330e8825d1077279a1 jvb Articles
Links & Downloads

J Vasc Bras

Share this page
Page Sections