Polysplenia syndrome with preduodenal portal vein detected in adults.
Polysplenia syndrome, defined as the presence of multiple spleens of almost equal volume, is a rare condition involving congenital anomalies in multiple organ systems. We report this anomaly in a 41-year-old female who underwent a left lateral sectionectomy due to recurrent cholangitis and impacted left lateral duct stones. Polysplenia syndrome with preduodenal vein was diagnosed preoperatively by computed tomography (CT) and surgery was done safely. Although the polysplenia syndrome with preduodenal portal vein (PDPV) in adult is rarely encountered, surgeons need to understand the course of the portal vein and exercise caution in approaching the biliary tract.
Seo
Hyung-Il
HI
Department of Surgery, Postgraduate School of Medicine and Medical Research Institute, Pusan National University, Busan 602-739, South Korea.
Jeon
Tae Yong
TY
Sim
Mun Sup
MS
Kim
Suk
S
D000015:Abnormalities, Multiple / Q000473:pathology / Q000601:surgery; D000328:Adult; D002758:Cholangiography; D002761:Cholangitis / Q000150:complications* / Q000473:pathology / Q000601:surgery; D002763:Cholecystectomy; D004380:Duodenal Obstruction / Q000151:congenital* / Q000473:pathology / Q000601:surgery; D005260:Female; D006801:Humans; D033162:Incidental Findings; D011169:Portal Vein / Q000002:abnormalities* / Q000473:pathology / Q000601:surgery; D012008:Recurrence; D013154:Spleen / Q000002:abnormalities* / Q000473:pathology / Q000601:surgery; D013577:Syndrome; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome