Abstract
The absence of extrahepatic portal bifurcation is a rare anomaly and is considered
to be caused by anomalous development of the portal vessels early in fetal life. The
portal system develops from two main fetal vessels, the left umbilical vein and right
vitelline vein. An anomalous connection of these two vessels early in fetal life results
in the absence of bifurcation of the portal vein. We report a case who suffered from
biliary atresia complicated with the absence of bifurcation of the portal vein. The
patient had an anomalous left hepatic portal vein that ran along the cranial side
of the hepatic hilar ductal plate. This is the first report of biliary atresia that
was complicated with the absence of extrahepatic portal bifurcation.
Key words
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References
- Intrahepatic portal venous system: variations demonstrated with duplex and color Doppler US.Radiology. 1990; 177: 523-526
- Absence of bifurcation of the portal vein.Surg Radiol Anat. 2009; 31: 389-392
- The main hepatic anatomic variations for the purpose of split-liver transplantation.Transplantation Proc. 2005; 37: 1063-1066
- Congenital and acquired anomalies of the portal venous system.Radiographics. 2002; 22: 141-159
- Intrahepatic portal venous variations: prevalence with US.Radiology. 1992; 184: 157-158
- Intrahepatic portal venous variations: demonstration by helical CT during arterial portography.J Comput Assist Tomogr. 2000; 24: 802-808
- Absence of the left portal vein: a difficulty for reduction of liver graft?.Transplantation. 2000; 69: 1731-1732
- Resection of a hilar cholangiocarcinoma in a patient with absent portal bifurcation.Hepatogastroenterol. 2000; 47: 362-364
- Congenital absence of the horizontal portion of the left portal vein: ultrasound findings.Eur Radiol. 2000; 10: 362-364
- Agenesis of the horizontal segment of the left portal vein demonstrated by magnetic resonance imaging including phase-contrast magnetic resonance venography.Eur Radiol. 2000; 10: 365-367
- Absence of the portal bifurcation at the hilum of the liver due to intrahepatic origin of the left branch of the portal vein.Surg Radiol Anat. 2001; 23: 355-357
- Left lobe living related liver transplantation in the absence of an extrahepatic left portal vein.Transplantation. 2002; 74: 278-279
Article info
Publication history
Accepted:
December 8,
2012
Received in revised form:
November 20,
2012
Received:
August 28,
2012
Identification
Copyright
© 2013 Elsevier Inc. Published by Elsevier Inc. All rights reserved.