Preduodenal portal vein: A potential laparoscopic cholecystectomy nightmare

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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Bibliographic Details
Main Authors: Bhorat,N., Thomson,S. R., Anderson,F.
Format: Digital revista
Language:English
Published: Association of Surgeons of South Africa 2009
Online Access:http://www.scielo.org.za/scielo.php?script=sci_arttext&pid=S0038-23612009000100005
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Description
Summary: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.