African Journal of Paediatric Surgery

CASE REPORT
Year
: 2022  |  Volume : 19  |  Issue : 2  |  Page : 109--111

Duodenal obstruction due to missed pre-duodenal portal vein in a patient with intestinal malrotation


Stephen Akau Kache1, Danjuma Sale1, Victoria Ijeoma Chinwuko3, Philip Mari Mshelbwala2 
1 Department of Surgery, College of Medicine, Kaduna State University and Barau Dikko Teaching Hospital; Department of Surgery, Epsilon Specialist Hospital, Barnawa, Kaduna, Nigeria
2 Department of Surgery, College of Medicine, Kaduna State University and Barau Dikko Teaching Hospital, Kaduna, Nigeria

Correspondence Address:
Dr. Stephen Akau Kache
Department of Surgery, College of Medicine, Kaduna State University and Barau Dikko Teaching Hospital, Kaduna
Nigeria

Pre-duodenal portal vein (PDPV) is a rare anomaly and a rare cause of duodenal obstruction (DO), with only a few cases reported in the literature. We present an infant whose bilious vomiting persisted despite having Ladd's procedure for intestinal malrotation due to a missed diagnosis of DO from PDPV that was found at re-exploration. The patient was diagnosed with malrotation and had Ladd's procedure at 12 weeks of age, but bilious vomiting persisted post-operatively. The patient presented to us after 4 weeks, was clinically malnourished and dehydrated, resuscitation was done and re-exploratory laparotomy performed, where an obstructing PDPV was found and a duodeno-duodenostomy was performed anterior to PDPV. However, the patient died on post-operative day 7 probably from severe malnutrition due to delayed diagnosis and absence of parenteral nutrition. We conclude that PDPV may be a cause of DO in infants with malrotation and should be properly sought for during Ladd's procedure for possible bypass surgery if found.


How to cite this article:
Kache SA, Sale D, Chinwuko VI, Mshelbwala PM. Duodenal obstruction due to missed pre-duodenal portal vein in a patient with intestinal malrotation.Afr J Paediatr Surg 2022;19:109-111


How to cite this URL:
Kache SA, Sale D, Chinwuko VI, Mshelbwala PM. Duodenal obstruction due to missed pre-duodenal portal vein in a patient with intestinal malrotation. Afr J Paediatr Surg [serial online] 2022 [cited 2022 Sep 29 ];19:109-111
Available from: https://www.afrjpaedsurg.org/article.asp?issn=0189-6725;year=2022;volume=19;issue=2;spage=109;epage=111;aulast=Kache;type=0