Preduodenal portal vein in association with midgut malrotation and duodenal web-triple anomaly?
Preduodenal portal vein (PDPV) is a rare anomaly in which the portal vein passes anterior to the duodenum rather than posteriorly. Generally asymptomatic, PDPV may rarely cause duodenal obstruction or may coexist with other anomalies. We report a neonate who presented with duodenal obstruction and was found out to have 3 coexisting anomalies, each of which can lead to duodenal obstruction independently-PDPV, midgut malrotation, and duodenal web. A duodenoduodenostomy and a Ladd procedure were done, and the child recovered uneventfully. The mechanism of obstruction, interesting metabolic aberrations observed, outcome, and relevant literature are presented.
Singal
Arbinder Kumar
AK
Department of Pediatric Surgery, MGM Medical College, Kamothe, Navi Mumbai, Maharashtra, India. arbinders@gmail.com
Ramu
Chithra
C
Paul
Sarah
S
Matthai
John
J
D000015:Abnormalities, Multiple / Q000000981:diagnostic imaging / Q000601:surgery; D004386:Duodenum / Q000002:abnormalities* / Q000601:surgery; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D007422:Intestines / Q000002:abnormalities / Q000601:surgery; D011169:Portal Vein / Q000002:abnormalities*; D011859:Radiography