Goussous Naeem, Cunningham Steven C
Department of Surgery, Pancreatic and Hepatobiliary Surgery Service, Saint Agnes Hospital, 900 Caton Avenue, MB 207, 21229, Baltimore, MD, USA.
J Med Case Rep. 2017 Jan 4;11(1):2. doi: 10.1186/s13256-016-1165-3.
Prepancreatic postduodenal portal vein is extremely rare, with only 13 cases reported in the literature.
A 55-year-old white woman presented to our emergency department with abdominal pain. She underwent a computed tomography of her abdomen, which showed a portal vein coursing anterolaterally to her pancreas and posteriorly to the first portion of her duodenum, constituting a prepancreatic postduodenal portal vein. Imaging revealed choledocholithiasis, requiring endoscopic sphincterotomy, but due to a history of a gastric bypass procedure, she was lost to follow-up after being referred to an advanced endoscopist. This represents the 14th reported case of prepancreatic postduodenal portal vein.
Awareness of this rare anomaly is paramount, and will help surgeons and interventional radiologists to avoid complications related to inadvertent injury to the portal vein, which could be life-threatening.
胰前十二指肠后门静脉极为罕见，文献中仅报道过13例。
一名55岁的白人女性因腹痛就诊于我院急诊科。她接受了腹部计算机断层扫描，结果显示门静脉走行于胰腺前外侧和十二指肠第一部后方，构成胰前十二指肠后门静脉。影像学检查发现胆总管结石，需要进行内镜括约肌切开术，但由于有胃旁路手术史，转诊至高级内镜医师后失去随访。这是报道的第14例胰前十二指肠后门静脉病例。
认识这种罕见的异常情况至关重要，有助于外科医生和介入放射科医生避免因意外损伤门静脉而导致的危及生命的并发症。
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