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Year : 2014  |  Volume : 11  |  Issue : 4  |  Page : 359-361

Duodenal obstruction due to a preduodenal portal vein

1 Department of Radiology, Steve Biko Academic Hospital, University of Pretoria, South Africa
2 Department of Paediatric Surgery, Steve Biko Academic Hospital, University of Pretoria, South Africa

Correspondence Address:
Dr. F Ismail
Department of Radiology, Level 5 Bridge E, Steve Biko Academic Hospital, Steve Biko Road, Tshwane, 0002
South Africa
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0189-6725.143176

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An infant presented with clinical signs and symptoms suggestive of a pyloric stenosis. On abdominal ultrasound, pyloric stenosis was excluded, and other causes for proximal duodenal obstruction, such as a duodenal web or annular pancreas, were suspected. At surgery, the cause was found to be due to an anterior portal vein or preduodenal portal vein, compressing the duodenum. There were no associated findings such as midgut malrotation, duodenal web and congenital anomalies. The treatment was a diamond-shaped duodeno-duodenostomy anterior to the portal vein. The patient improved after surgery.

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