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South African Journal of Surgery

versión On-line ISSN 2078-5151
versión impresa ISSN 0038-2361

S. Afr. j. surg. vol.47 no.1 Cape Town feb. 2009

 

CASE REPORT

 

Preduodenal portal vein: A potential laparoscopic cholecystectomy nightmare

 

 

N. BhoratI; S. R. ThomsonII; F. AndersonIII

IM.B. B.CH.; Department of Surgery, Nelson R Mandela School of Medicine, University of Natal, Durban
IICH.M., F.R.C.S. (EDIN. ENG.); Department of Surgery, Addington Hospital and Nelson R Mandela School of Medicine, university of Natal, Durban
IIIF.C.S. (S.A.), M.MED.; Department of Surgery, Addington Hospital and Nelson R Mandela School of Medicine, university of Natal, Durban

 

 


ABSTRACT

Variations of biliary anatomy are well described. Those of most relevance to the operative surgeon are the variations of the extrahepatic ducts and their relationships to the right hepatic artery and its branches. We describe another even rarer congenital anomaly of a preduodenal portal vein. Its embryological derivation and presentation are discussed to heighten awareness of its recognition and reduce the potential of a serious operative misadventure.


 

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