title: Prepancreatic postduodenal portal vein: report of a case.
abstract: We report an unusual case of a prepancreatic postduodenal portal vein (PPPV), incidentally discovered during total gastrectomy. If it had not been noticed, this portal vein might have been ligated and divided with disastrous consequences. This anomaly was not diagnosed preoperatively, but it could have been. Although embryological anomalies of the portal venous system, such as PPPV and preduodenal portal vein, are rarely encountered in abdominal surgery, surgeons must be aware of their possibility and be able to recognize them to avoid major intraoperative injury.
authors.affiliation: Department of Surgery, Sumitomo Hospital, 5-3-20 Nakanoshima, Kita-ku, Osaka, 530-0005, Japan.
authors.forename: Masafumi
authors.initials: M
authors.lastname: Inoue
authors.forename: Naoyuki
authors.initials: N
authors.lastname: Taenaka
authors.forename: Shigehiko
authors.initials: S
authors.lastname: Nishimura
authors.forename: Tetsuo
authors.initials: T
authors.lastname: Kawamura
authors.forename: Toshihiko
authors.initials: T
authors.lastname: Aki
authors.forename: Kenichiro
authors.initials: K
authors.lastname: Yamaki
authors.forename: Hitoshi
authors.initials: H
authors.lastname: Enomoto
authors.forename: Kinshi
authors.initials: K
authors.lastname: Kosaka
authors.forename: Kazuhiko
authors.initials: K
authors.lastname: Yoshikawa
mesh_terms: D000013:Congenital Abnormalities / Q000175:diagnosis; D004386:Duodenum / Q000098:blood supply / Q000196:embryology; D005743:Gastrectomy; D006801:Humans; D007422:Intestines / Q000002:abnormalities / Q000196:embryology; D008297:Male; D008875:Middle Aged; D010179:Pancreas / Q000098:blood supply / Q000196:embryology; D011169:Portal Vein / Q000002:abnormalities* / Q000196:embryology; D013274:Stomach Neoplasms / Q000601:surgery