Anteroposition of the portal vein and spontaneous passage of gall-stones. Case report and embryological hypothesis

Brook, W.H.; Gardner, Michael

doi:10.1002/bjs.1800590915

Cited by 16 publications

(8 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The route by which stones arrive at this site has also been investigated. One study reported anteroposition of the portal vein and passage of a gallstone through a defect into the vein (9), but our case involved no embryonic or anatomical defect. Another possible reason for finding a stone in this location is the existence of an extra‐hepatic fistula between the gall bladder and the portal vein, and passage of a gallstone into the vein lumen via this route.…”

Section: Discussionmentioning

confidence: 68%

Portal vein phlebolithiasis found post‐liver transplantation in the native liver of a child with biliary atresia

Bilezikçi¹,

Demirhan²,

Kiyici³

et al. 2001

Pediatric Transplantation

View full text Add to dashboard Cite

Biliary atresia is defined as partial or total obliteration of the extra-hepatic bile ducts. In advanced cases, liver transplantation (LTx) is considered the most appropriate treatment. This report describes a female patient whose biliary atresia and subsequent cirrhosis required LTx at 1 yr of age. Macroscopic inspection of the hilar region of the native liver post-Tx revealed the formation of a pouch in the hepatic duct and a stone in the lumen of the portal vein. X-ray diffraction analysis showed that the stone was composed of cholesteryl cinnamate, gluconic acid phenylhydrazide, Na beta broma-allyl mercaptomethyl penicillinate, and Al2O3 crystals. While the cholesterol component is a known element of gallstones, we attributed the Na beta broma-allyl mercaptomethyl penicillinate to the patient's drug therapy. Our literature search revealed no previous record or crystallographic analysis of portal vein phlebolithiasis. In this report we describe this rare finding.

show abstract

Section: Discussionmentioning

confidence: 68%

Portal vein phlebolithiasis found post‐liver transplantation in the native liver of a child with biliary atresia

Bilezikçi¹,

Demirhan²,

Kiyici³

et al. 2001

Pediatric Transplantation

View full text Add to dashboard Cite

show abstract

“…It was discovered incidentally during exploration for choledocholithiasis [12]. Only 13 more cases, including ours, have since been reported with most of the reports coming from Japanese groups (Table 1).…”

Section: Discussionmentioning

confidence: 91%

“…Awareness of this very rare anomaly is very important especially prior to any surgical or percutaneous interventions involving the biliary tree, liver, or pancreas, to avoid potentially devastating injuries to the PV which could result in liver ischemia or massive hemorrhage. We found only 13 cases reported in the literature, and add this 14th case [1–12]. …”

Section: Introductionmentioning

confidence: 99%

Prepancreatic postduodenal portal vein: a case report and review of the literature

Goussous

Cunningham

2017

J Med Case Reports

View full text Add to dashboard Cite

BackgroundPrepancreatic postduodenal portal vein is extremely rare, with only 13 cases reported in the literature.Case presentationA 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. ConclusionsAwareness 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.

show abstract

“…This anomaly may reflect Galen's description, but its incidence is extremely rare. Twelve cases have been reported as of 2013 [30]. Jain et al emphasize that "Despite its rarity, both PPPV and PDPV are of surgical importance.…”

Section: Anomalous Portal Veinsmentioning

confidence: 96%

“…This type of the anomaly is called as preduodenal portal vein (PDPV) and 109 cases were reported as of 1981 [28]. Prepancreatic and postduodenal portal vein (PPPV) was first reported by Brook and Gardner in 1972. It is characterized by the portal vein running ventral to the pancreas and dorsal to the duodenum [29].…”

Section: Anomalous Portal Veinsmentioning

confidence: 99%

The pancreas from Aristotle to Galen

2015

View full text Add to dashboard Cite

Anteroposition of the portal vein and spontaneous passage of gall-stones. Case report and embryological hypothesis

Abstract: A case of a woman who passed seven gall-stones 'per vias naturales' is presented. At subsequent operation for painful jaundice the portal vein was found to lie in front of the common bile-duct, although in its lower part it was retroduodenal.

Cited by 16 publications

References 6 publications

Portal vein phlebolithiasis found post‐liver transplantation in the native liver of a child with biliary atresia

Portal vein phlebolithiasis found post‐liver transplantation in the native liver of a child with biliary atresia

Prepancreatic postduodenal portal vein: a case report and review of the literature

The pancreas from Aristotle to Galen

Contact Info

Product

Resources

About