Obstruction of the duodenum by a preduodenal portal vein in situs inversus.
Mirror image transposition of abdominal and thoracic viscera is termed situs inversus. Duodenal obstruction in situs inversus is rare. A preduodenal portal vein, though not uncommon in situs inversus, rarely causes duodenal obstruction. Where obstruction by a preduodenal portal vein is diagnosed, a duodeno-duodenostomy is the recommended treatment. A duodenal diaphragm and other more common causes of duodenal obstruction should also be excluded in these patients.
Duncan
N D
ND
Department of Surgery, Radiology, Anaesthesia and Intensive Care, The University of the West Indies, Kingston 7, Jamaica. surradic@uwimona.edu.jm
Trotman
H
H
Seepersaud
M
M
Dundas
S E
SE
Thame
M
M
Antoine
M
M
D004378:Duodenal Diseases / Q000175:diagnosis / Q000473:pathology / Q000601:surgery; D004380:Duodenal Obstruction / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery; D004386:Duodenum / Q000473:pathology* / Q000601:surgery; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D011169:Portal Vein / Q000473:pathology*; D012857:Situs Inversus / Q000150:complications / Q000503:physiopathology*