Repair of Preduodenal Portal Vein Injury with
Polytetrafluoroethylene Graft with Midgut
Rotation and Left Sided Inferior Vena Cava
Published: February 1, 2021 | DOI: https://doi.org/10.7860/JCDR/2021/45553.14543
Zuber Ansari, Tuhin Subhra Mandal, Koustav Jana, Avik Sarkar
1. Post Doctoral Trainee, Department of Surgical Gastroenterology, School of Digestive and Liver Disease Institute of Postgraduate Medical Education and Research, Kolkata,
West Bengal, India.
2. Assistant Professor, Department of Surgical Gastroenterology, School of Digestive and Liver Disease Institute of Postgraduate Medical Education and Research, Kolkata,
West Bengal, India.
3. Senior Resident, Department of Surgical Gastroenterology, School of Digestive and Liver Disease Institute of Postgraduate Medical Education and Research, Kolkata,
West Bengal, India.
4. Assistant Professor, Department of GI Radiology, School of Digestive and Liver Disease Institute of Postgraduate Medical Education and Research, Kolkata, West Bengal, India.
Correspondence
Dr. Tuhin Subhra Mandal,
244, AJC Bose Road, Department of Surgical Gastroenterology, School of Digestive
and Liver Disease, Institute of Postgraduate Medical Education and Research,
Kolkata, West Bengal, India.
E-mail: drtuhin.subhra@gmail.com
Preduodenal Portal Vein (PDPV) is a rare congenital anomaly. The presence of PDPV carries the risk of injury to Portal Vein (PV) during operations involving biliary duct, duodenum and pancreas. This report is about a 50-year-old female patient with PDPV associated with midgut malrotation and left sided Inferior Vena Cava (IVC). The patient was operated for Recurrent Pyogenic Cholangitis (RPC) and associated biliary stones. The patient sustained iatrogenic injury to PV during surgery which was subsequently repaired with Polytetrafluoroethylene (PTFE) graft doppler showed patent graft at three months of follow-up. This report highlights the fact that pre-existing inflammatory conditions of bile duct and hepatoduodenal ligament further increase the risk of injury to PDPV during surgery.
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