Preduodenal portal vein with situs inversus and duodenal atresia.

Abstract

In a 7-day-old infant referred because of bile-stained vomiting, jaundice and lack of meconium, radiological examination revealed the 'double-bubble' sign of duodenal atresia as well as dextrocardia. This infant also had a strawberry haemangioma on the right shoulder. Operation disclosed situs inversus and a preduodenal portal vein as well as duodenal atresia. A side-to-side duodeno-jejunostomy was performed successfully without damage to the anomalous vein. The history of polyhydramnion during gestation, the presence of other anomalies, the rapid onset of bile-stained vomiting and the classic 'double-bubble' sign, together appeared to indicate that the duodenal atresia was intrinsic and not due to the external pressure of the anomalous vein on the duodenum.

• Authors: Y Ziv, R Lombrozo, M Dintsman
• Journal: Australian paediatric journal (Aust Paediatr J) Vol. 22 Issue 1 Pg. 69-70 (Feb 1986) ISSN: 0004-993X [Print] Australia
• PMID: 3718373 (Publication Type: Case Reports, Journal Article)

Topics

• Dextrocardia (diagnosis)
• Duodenal Obstruction (congenital)
• Female
• Heart Defects, Congenital (diagnosis)
• Humans
• Infant, Newborn
• Intestinal Atresia (diagnosis)
• Portal Vein (abnormalities)