Shah Omar J, Robbani Irfan, Khuroo Mohammad S
Department of Surgical Gastroenterology, Sheri-Kashmir Institute of Medical Sciences, Srinagar, Kashmir, India.
Am J Surg. 2009 Apr;197(4):e43-5. doi: 10.1016/j.amjsurg.2008.04.020. Epub 2009 Jan 29.
Preduodenal portal vein (PDPV) may occur as an isolated event and result in no symptoms, or it may found at autopsy as an incidental finding; associated preduodenal common bile duct (PDCBD) is an extremely rare event. To the 8 reported cases of PDPV with PDCBD, we add this rare case. Such a discovery is often incidental and of little import; however, it takes on major importance for hepatobiliary surgeons because the accidental damage of PDPV with PDCBD can lead to serious consequences. In addition to describing and illustrating this case, we discuss its relevant anatomy, embryology and associated malformations.
十二指肠前门静脉(PDPV)可能作为孤立事件出现且不产生症状,也可能在尸检时偶然发现;与之相关的十二指肠前胆总管(PDCBD)则极为罕见。对于已报道的8例伴有PDCBD的PDPV病例,我们补充了这一罕见病例。这样的发现通常是偶然的且意义不大;然而,对于肝胆外科医生而言却至关重要,因为PDPV合并PDCBD的意外损伤可能导致严重后果。除了描述和展示该病例外,我们还讨论了其相关的解剖学、胚胎学及相关畸形。