多脾综合征中的十二指肠前门静脉：临床影响与外科应用
Pre-duodenal portal vein in polysplenia syndrome: clinical effects and surgical application.
作者信息
De Wailly P, Metzler P, Sautot-Vial N, Olivier D, Meunier B, Faure J P
机构信息
Service Chirurgie Viscérale Digestive et Endocrinienne, Hôpital Jean Bernard, CHU Poitiers, Université de Poitiers, 2 rue de la Miletrie BP 577, 86021, Poitiers cedex, France.
出版信息
Surg Radiol Anat. 2011 Jul;33(5):451-4. doi: 10.1007/s00276-010-0768-4. Epub 2011 Jan 4.
UNLABELLED
STATING BACKGROUND: Pre-duodenal portal vein (PPV) is a rare congenital anomaly, usually asymptomatic and thus detected only incidentally in adults. It is often associated with other anomalies which can be included into polysplenic syndrome.
METHODS
In this case, a 56-year-old-female was admitted for a degenerative ampullome. The preoperative work-up shows a PPV vein, the absence of inferior vena cava retro-hepatic and the presence of an anastomosis between the inferior vena cava and the azygos system and a complete common mesentery.
DISCUSSION
Such a discovery is often incidental and of little import; however, it takes on major importance for surgeons because the accidental damage of PPV can lead to serious consequences.
CONCLUSION
The aim of this study, based on the embryology of the portal vein focused on a rare anomaly to keep it in mind because this anomaly in case of digestive surgery may need to adjust surgical techniques.
未标注
陈述背景：十二指肠前门静脉（PPV）是一种罕见的先天性异常，通常无症状，因此仅在成人中偶然被发现。它常与其他可纳入多脾综合征的异常相关。
方法
在本病例中，一名56岁女性因退行性壶腹瘤入院。术前检查显示存在PPV静脉、肝后下腔静脉缺如、下腔静脉与奇静脉系统之间存在吻合以及完整的肠系膜。
讨论
这样的发现通常是偶然的且意义不大；然而，对外科医生来说它具有重要意义，因为PPV的意外损伤可能导致严重后果。
结论
本研究基于门静脉胚胎学，旨在关注一种罕见异常并牢记于心，因为在消化外科手术中这种异常可能需要调整手术技术。
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