scholarly journals Įgimta dvylikapirštės žarnos obstrukcija dėl preduodeninės vartų venos ir atvirkštinės skrandžio ir blužnies padėties

2010 ◽  
Vol 8 (1) ◽  
pp. 0-0
Author(s):  
Pranas Gurskas ◽  
Kęstutis Trainavičius ◽  
Aidas Ivanauskas ◽  
Arūnas Strumila

Pranas Gurskas, Kęstutis Trainavičius, Aidas Ivanauskas, Arūnas StrumilaVilniaus universiteto Vaikų ligų klinikos Vaikų chirurgijos centras,Santariškių g. 7, LT-2600 VilniusEl paštas: [email protected] Įvadas / tikslasPreduodeninė vartų vena (PDVV) yra labai reta įgimta anomalija. Literatūroje aprašyta per 80 atvejų. Preduodeninė vartų vena dažniausiai nesukelia jokių klinikinių simptomų. Tik nedaugeliui pacientų ji gali būti dvylikapirštės žarnos nepraeinamumo priežastis. Tyrimo tikslas – aprašyti labai retą, įgimtą dvylikapirštės žarnos obstrukcijos priežastį ir pasidalyti šios anomalijos diagnostikos ir gydymo patirtimi. Ligoniai ir metodaiMes gydėme du pacientus dėl dvylikapirštės žarnos nepraeinamumo, kurio priežastis – preduodeninė vartų vena kartu su atvirkštine skrandžio ir blužnies padėtimi, nevisiškas žarnyno posūkis. RezultataiNaujagimis ir 1 metų 4 mėnesių mergaitė buvo operuoti dėl preduodeninės vartų venos, sukėlusios dvylikapirštės žarnos obstrukciją. Abiem vaikams buvo atliktos duodenoduodenostomijos. Pooperacinė abiejų ligonių eiga buvo sklandi. Vaikai pradėjo normaliai valgyti, nustojo vemti, ėmė priaugti svorio. IšvadosDuodenoduodenostomija yra veiksminga operacija gydant dvylikapirštės žarnos obstrukciją dėl preduodeninės vartų venos. Reikšminiai žodžiai: įgimtas dvylikapirštės žarnos nepraeinamumas, preduodeninė vartų vena Congenital duodenal obstruction due to preduodenal portal vein, associated with situs inversus of stomach and spleen Pranas Gurskas, Kęstutis Trainavičius, Aidas Ivanauskas, Arūnas StrumilaVilnius University Children’s Hospital, Center of Pediatric Surgery,Santariškių Str. 7, LT-2600 Vilnius, LithuaniaE-mail: [email protected] Background / objectivePreduodenal portal vein (PDPV) is a rare congenital anomaly. There are only 80 cases described in the world literature. The presence of this anomaly is rarely recognized as an emergency condition, and it can manifest as duodenal obstruction in very few patients. The aim of our study was to descibe this uncommon reason for duodenal obstruction and to share experience in recognizing and treating this pathology. Patients and methodsAuthors present two cases of duodenal obstruction caused by the preduodenal portal vein and associated with the inverted gastric and spleen position and malrotation of the gut. ResultsA male newborn and a 1 yr 4 mon old girl were operated on due to duodenal obstruction caused by the preduodenal portal vein. Both patients received a duodenoduodenostomy procedure. The recovery was uneventful. The patients became free of symptoms, returned to oral feeds, started to thrive. ConclusionsDuodenoduodenostomy is a safe and effective procedure in treating duodenal obstruction caused by the preduodenal portalvein. Key words: duodenal obstruction, preduodenal portal vein

2013 ◽  
Vol 46 (01) ◽  
pp. 127-129 ◽  
Author(s):  
Krushnakumar Kesan ◽  
Abhaya Gupta ◽  
Rahul Kumar Gupta ◽  
Paras Kothari ◽  
Ritesh Ranjan ◽  
...  

ABSTRACTEpigastric heteropagus is an extremely rare congenital anomaly, in which there is asymmetrical conjoined twinning, with the parasitic twin attached to the epigastrium. A 2-day-old male, with epigastric heteropagus and omphalocele, was operated in our institution. After excision of the parasitic twin, omphalocele was covered with a gluteal skin flap available from the parasitic twin. Post-operative course was uneventful, except for infection along the edges of the skin flaps, which was managed conservatively. Only 44 cases of epigastric heteropagus twins have been reported previously in world literature. We present a novel surgical approach for the repair of the omphalocele in a case of epigastric heteropagus twins, probably the 45 th case to be reported in the world literature.


2020 ◽  
Vol 1 (1) ◽  
pp. 33-35
Author(s):  
Ahmet Saraç ◽  
Abdishakur Mohamed Abdi ◽  
Shukri Said Mohamed ◽  
Mesut Kayse Adan ◽  
Abdullahi Yusuf Ali

PEDIATRICS ◽  
1961 ◽  
Vol 28 (5) ◽  
pp. 805-809
Author(s):  
E. Thomas Boles ◽  
Blanca Smith

A preduodenal portal vein is a rare vascular anomaly that is the result of a variation in the normal developmental pattern of the embryonic precursors of the portal vein, the right and left vitelline veins and their three anastomotic channels. Such an anomalous vein is a hazard in operations on the duodenum or biliary tract because of the dangers of inadvertent division or ligation. The anteriorly placed portal vein may also interfere with the customary placement of anastomosis in instances of congenital duodenal obstruction. There is a remarkably frequent association of preduodenal portal vein with situs inversus of varying degrees and with malrotation.


2014 ◽  
Vol 11 (4) ◽  
pp. 359 ◽  
Author(s):  
F Ismail ◽  
HM Swanepoel ◽  
EW Muller ◽  
ZI Lockhat ◽  
MNC Vilakazi

2015 ◽  
Vol 2015 ◽  
pp. 1-3 ◽  
Author(s):  
Rachelle Goldfisher ◽  
Pritish Bawa ◽  
Zachary Ibrahim ◽  
John Amodio

Congenital midline cervical cleft (CMCC) is a rare congenital anomaly. CMCC and its complications and treatment have been well described in ENT, dermatology, and pediatric surgery literature. However, to our knowledge, the imaging work-up has not been reported in the literature thus far. We present a case of CMCC in a neonate with description of clinical presentation and imaging features.


2019 ◽  
Vol 36 (04) ◽  
pp. 299-302
Author(s):  
Mythraeyee Prasad ◽  
Theresa Susan Kuriakose ◽  
Sipra Rout

AbstractAnnular pancreas is a rare congenital anomaly that results from the malrotation of the ventral pancreatic bud. The presentation of annular pancreas varies: it can be asymptomatic or present clinical symptoms of duodenal obstruction that can affect all age groups, from newborns to adults. In the present case report, we describe a complete type of annular pancreas at the level of the second part of the duodenum, which was an incidental finding in a prosected specimen. This anomaly has significant clinical relevance to clinicians and radiologists due to its variable presentation. The embryological, clinical and radiological aspects of this congenital anomaly are discussed in detail in the present article.


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