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Abnormal direct entry of the umbilical vein into the portal vein: report of a case

Cited 11 time in Web of Science Cited 11 time in Scopus
Authors
Moon, Suk-Bae; Park, Kwi-Won; Jung, Sung-Eun
Issue Date
2008-09-16
Publisher
Springer Verlag
Citation
Pediatr Surg Int. 2008 ;24(11):1243-5.
Keywords
Aneurysm/*congenital/diagnosis/surgeryDilatation, PathologicFemaleHumansInfant, NewbornPortal Vein/*abnormalitiesTomography, X-Ray ComputedUltrasonography, PrenatalUmbilical Veins/*abnormalities
Abstract
Abnormalities of the intra-abdominal umbilical venous connections are rare congenital vascular anomalies. We report a case of an aneurismal dilatation of an umbilical vein directly connected to the portal vein, vital for the delivery of placental blood in the fetus. A term female newborn presented with a dilated umbilical vein detected by prenatal ultrasound. CT angiography revealed an aneurismal dilatation of a vascular structure, from the umbilical ring to the main portal vein. Follow-up CT angiography showed thrombus progression up to the level of SMV inlet. A laparotomy revealed that the normal course of the umbilical vein was absent. The aneurysm was resected and no thrombus was noted in the aneurysm. Post-operative ultrasound revealed an isolated thrombus at the right main portal vein that resolved spontaneously on the follow-up ultrasound. At the 6-month post-operative follow-up, the baby was well and without complications. Although not evaluated for the presence of a ductus venosus, this anomalous umbilical-portal venous connection might have been associated with an absent ductus venosus.
ISSN
0179-0358 (Print)
Language
English
URI
https://hdl.handle.net/10371/62845
DOI
https://doi.org/10.1007/s00383-008-2242-5
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Appears in Collections:
College of Medicine/School of Medicine (의과대학/대학원)Surgery (외과학전공)Journal Papers (저널논문_외과학전공)
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