Klin Padiatr 2019; 231(01): 41-42
DOI: 10.1055/a-0642-1882
Short Communication
© Georg Thieme Verlag KG Stuttgart · New York

Late Presentation of a Duodenal Obstruction in a Child with Failure to Thrive and Abdominal Pain

Späte Präsentation einer Pre duodenalen Obstruktion, die eine partielle Obstruktion des Magenausgangs bei einem Kind verursachte
Carlos A. Reck
1  Department of Pediatric Surgery, Medical University Vienna, Vienna, Austria
,
Janina Patsch
1  Department of Pediatric Surgery, Medical University Vienna, Vienna, Austria
,
Martin Metzelder
1  Department of Pediatric Surgery, Medical University Vienna, Vienna, Austria
› Author Affiliations
Further Information

Publication History

Publication Date:
20 September 2018 (eFirst)

Introduction

A pre-duodenal portal vein (PDPV) is a very rare but known entity. It is usually incidentally discovered when undergoing pancreatic surgery and is frequently associated with polysplenia. Less than 100 cases have been described in the literature from which around 1.8% also had concomitant malrotation (Vilakazi M et al., Afr J Paediatr Surg 2014; 11: 359–361; Mordehai J et al., J Pediatr Surg 2002; 37: E5). When this anomaly causes obstruction, it is usually diagnosed and treated during the neonatal period. To our knowledge, this is the first case reported in which a PDPV was the only cause found for a chronic gastric outlet obstruction in a patient with nonrotation (Brandt ML, UpTo-Date. com. 2011).