Ichikawa Tamaki, Matsumoto Shunro, Nomura Takakiyo, Yamamuro Hiroshi, Tsuruya Kota, Kawaga Tatehiro, Yamamoto Seiichiro, Hashimoto Jun
Department of Radiology, Tokai University School of Medicine, 143 Shimokasuya, Isehara, Kanagawa 159-1193, Japan.
Department of Radiology, Oita City Medical Association's Almeida Hospital, Oita, Japan.
Radiol Case Rep. 2023 Jun 6;18(8):2785-2789. doi: 10.1016/j.radcr.2023.05.043. eCollection 2023 Aug.
Double portal veins are a duplication of the portal vein and normal portal vein with an accessory portal vein. We report a case of a 63-year-old asymptomatic female with double portal veins. There was fat accumulation observed in the area which was supplied by the first portal vein in normal position, and fatty sparing of the liver was observed in the area which was supplied by the second portal vein in the preduodenal position. The 2 portal veins were equal in size. Furthermore, the patient presented with multiple congenital anomalies, including double inferior vena cava, splenic lobulation, and accessory liver lobe. Therefore, double portal veins in our case were thought to be an incomplete duplication of the portal vein with multiple congenital anomalies.
双门静脉是门静脉的重复,包括正常门静脉和一条副门静脉。我们报告一例63岁无症状女性双门静脉病例。在正常位置的第一门静脉供血区域观察到脂肪堆积,而在十二指肠前位置的第二门静脉供血区域观察到肝脏脂肪 sparing(此处原文可能有误,推测是“脂肪 sparing”,可译为“脂肪 sparing(脂肪缺失或脂肪保留等具体含义需结合更多背景确定)”)。两条门静脉大小相等。此外,该患者还存在多种先天性异常,包括双下腔静脉、脾叶分叶和副肝叶。因此,我们病例中的双门静脉被认为是伴有多种先天性异常的门静脉不完全重复。