J Korean Radiol Soc.  2005 Dec;53(6):435-439. 10.3348/jkrs.2005.53.6.435.

Prepancreatic Postduodenal Portal Vein: A Case Report

• Jung YJ
• Lee SJ
• Yang SB
• Park WK
• Chang JC
• Kim JW
• Jang HW
• Lee JK

• KMID: 1945414
• DOI: http://doi.org/10.3348/jkrs.2005.53.6.435

Abstract

Prepancreatic postduodenal portal vein (PPPV) is a rare anomaly in which the portal vein runs between the pancreatic head and the duodenum. Understanding of this portal vein anomaly is important to avoid devastating complications, including portal vein ligation, resection or intraoperative hemorrhage. A 28-year-old female patient presented with right upper quadrant pain that she had suffered with for 2 days. Before performing laparoscopic cholecystectomy, we detected an abnormal shaped portal vein that ran in front of the pancreatic head and posterior to the duodenum on the CT scan. We report here on a rare case of prepancreatic postduodenal portal vein that was incidentally discovered on the CT axial images and coronally reformated images, in addition to observing it on the conventional portography.

Keyword

Portal vein, CT; Portal vein, anatomy

MeSH Terms

Adult
Cholecystectomy, Laparoscopic
Duodenum
Female
Head
Hemorrhage
Humans
Ligation
Portal Vein*
Portography
Tomography, X-Ray Computed