title: Complete pancreatic encasement of the portal vein--surgical implications of an extremely rare anomaly.
abstract: BACKGROUND
  Due to the complex embryologic development, pancreatic anatomy can be very variable.
  
  
  CONCLUSIONS
  The authors present the second ever reported case in the literature of a complete pancreatic encasement of the portal vein which forced us to alter the standard operative procedure of pancreatic head resection, thus enabling possible dangerous complications.
authors.affiliation: Department of General and Visceral Surgery, Albert Ludwigs University, Hugstetter Strasse 55, 79106 Freiburg, Germany. goran.marjanovic@uniklinik-freiburg.de
authors.forename: Goran
authors.initials: G
authors.lastname: Marjanovic
authors.forename: Robert
authors.initials: R
authors.lastname: Obermaier
authors.forename: Stefan
authors.initials: S
authors.lastname: Benz
authors.forename: Thorsten
authors.initials: T
authors.lastname: Bley
authors.forename: Eva
authors.initials: E
authors.lastname: Juettner
authors.forename: Ulrich T
authors.initials: UT
authors.lastname: Hopt
authors.forename: Ulrich
authors.initials: U
authors.lastname: Adam
mesh_terms: D000368:Aged; D002828:Choristoma / Q000601:surgery*; D005260:Female; D006801:Humans; D010179:Pancreas / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D010193:Pancreaticojejunostomy / Q000379:methods*; D011169:Portal Vein / Q000002:abnormalities*; D013274:Stomach Neoplasms / Q000473:pathology* / Q000601:surgery*; D014057:Tomography, X-Ray Computed; D014652:Vascular Diseases / Q000601:surgery*