nach oben

Surgical and Radiologic Anatomy

Erschienen in:

01.03.2012 | Original Article

Preduodenal portal vein, intestinal malrotation, polysplenia, and interruption of the inferior vena cava: a review of anatomical anomalies associated with gastric cancer

Erschienen in: Surgical and Radiologic Anatomy | Ausgabe 2/2012

Einloggen, um Zugang zu erhalten

Abstract

Purpose

Anatomical anomalies of visceral organs associated with gastric cancer are extremely rare. Here, we report a case of preduodenal portal vein (PDPV), intestinal malrotation, interruption of the inferior vena cava (IVC), and polysplenia associated with gastric cancer in an adult patient, together with a review of the literature on the anomalies of visceral organs associated with gastric cancer.

Methods

We describe the diagnosis and surgical treatment in a 63 year-old man who had a preoperative diagnosis of PDPV, intestinal malrotation, interruption of the IVC with azygos continuation, and polysplenia associated with gastric cancer. Fifteen reports, in the English literature up to 2011, on visceral organ anomalies detected in gastric cancer patients were identified by searching Medline.

Results

All of the 15 cases of anomalies associated with gastric cancer, including the present case, were correctly diagnosed by preoperative imaging. Situs anomaly was the most frequent anatomical anomaly detected, and PDPV was observed in only four cases. In 12 cases, gastrectomy was performed, and gastrojejunostomy was done in 1 case.

Conclusions

Although embryological anomalies such as PDPV, intestinal malrotation, interruption of the IVC, and polysplenia are rarely encountered in abdominal surgery, surgeons must be aware of their possible existence and be able to recognize them to avoid major intraoperative injuries.

Allen FRWK (1936) A case of malignant tumor of the stomach in a male with transposition of the viscera. Indian Med Gaz 71:32

Barchetti F, Pellegrino L, Al-Ansari N et al (2011) Congenital absence of the portal vein in a middle-aged man. Surg Radiol Anat 33:369–372. doi:10.1007/s00276-010-0711-8 PubMedCrossRef

Benjelloun EB, Zahid FE, Ousadden A et al (2008) A case of gastric cancer associated to situs inversus totalis. Cases J 1:391CrossRef

Blegen HM (1949) Surgery in situs inversus. Ann Surg 129:244–259CrossRef

Buhe S, Miyaki T, Saito T et al (2008) A study of the accessory hepatic vein to segments VI and VII with a morphological reconsideration of the human liver. Surg Radiol Anat 30:201–207. doi:10.1007/s00276-008-0315-8 PubMedCrossRef

Chaib E (2009) Absence of bifurcation of the portal vein. Surg Radiol Anat 31:389–392. doi:10.1007/s00276-008-0413-7 PubMedCrossRef

De Wailly P, Metzler P, Sautot-Vial N et al (2011) Pre-duodenal portal vein in polysplenia syndrome: clinical effects and surgical application. Surg Radiol Anat 33:451–454. doi:10.1007/s00276-010-0786-4 PubMedCrossRef

Donato P, Coelho P, Rodrigues H et al (2007) Normal vascular and biliary hepatic anatomy: 3D demonstration by multidetector CT. Surg Radiol Anat 29:575–582. doi:10.1007/s00276-007-0233-1 PubMedCrossRef

Esscher T (1980) Preduodenal portal vein—a cause of intestinal obstruction? J Pediatr Surg 15:609–612PubMedCrossRef

10.

Futawatari N, Kikuchi S, Moriya H et al (2010) Laparoscopy-assisted distal gastrectomy for early gastric cancer with complete situs inversus: report of a case. Surg Today 40:64–67PubMedCrossRef

11.

Haruki T, Maeta Y, Nakamura S et al (2010) Advanced cancer with situs inversus totalis associated with KIF3 complex deficiency: report of two cases. Surg Today 40:162–166PubMedCrossRef

12.

Hashimoto T, Yura J (1979) Biliary atresia with preduodenal portal vein: a new hypothesis on the development of preduodenal portal vein. Jpn J Pediatr Surg 11:1301–1310

13.

Hirokawa N, Tanaka Y, Okada Y, Takeda S (2006) Nodal flow and the generation of left–right asymmetry. Cell 125:33–45PubMedCrossRef

14.

Ishizaki Y, Tanaka M, Okuyama T (1994) Surgical implications of preduodenal portal vein in the adult. Case report and review of the literature. Arch Surg 129:773–775PubMedCrossRef

15.

Iwamura T, Shibata N, Haraguchi Y et al (2001) Synchronous double cancer of the stomach and rectum with situs inversus totalis and polysplenia syndrome. J Clin Gastroenterol 33:148–153PubMedCrossRef

16.

Kouadio EK, Bessayah A, Valette PJ et al (2011) Anatomic variation: absence of portal vein bifurcation. Surg Radiol Anat 33:459–463. doi:10.1007/s00276-010-0750-1 PubMedCrossRef

17.

Kim YI, Tada I, Kuwabara A, Kobayashi M (1989) Double cancer of the liver and stomach with situs inversus totalis a case report. Jpn J Surg 19:756–759PubMedCrossRef

18.

Knight HO (1921) An anomalous portal vein with its surgical dangers. Ann Surg 74:697–699PubMedCrossRef

19.

Ladd WE (1936) Surgical diseases of the alimentary tract in infants. N Eng J Med 215:705–708CrossRef

20.

Le Borgne J, Paineau J, Hamy A et al (2000) Interruption of the inferior vena cava with azygos termination associated with congenital absence of portal vein. Surg Radiol Anat 22:197–202PubMedCrossRef

21.

Lou L, Liu SW, Zhao ZM et al (2009) Segmentation and reconstruction of hepatic veins and intrahepatic portal vein based on the coronal sectional anatomic dataset. Surg Radiol Anat 31:763–768. doi:10.1007/s00276-09-0517-8 CrossRef

22.

Lukash WM, Wentz DK (1968) Linitis plastica associated with complete situs inversus: report of a case. Med Ann DC 37:217–220PubMed

23.

Marks C (1969) Developmental basis of the portal venous system. Am J Surg 117:671–681PubMedCrossRef

24.

Matsusue S, Kashihara S, Koizumi S (1984) Pancreatectomy for carcinoma of the head of the pancreas associated with multiple anomalies including the preduodenal portal vein. Jpn J Surg 14:394–398PubMedCrossRef

25.

Moller JH, Nakib A, Anderson RC, Edwads JE (1967) Congenital cardiac disease associated with polysplenia: a developmental complex of bilateral “left-sidedness”. Circulation 36:789–799PubMed

26.

Muneta S, Sakai S, Fukuda H et al (1992) Polysplenia syndrome with various visceral anomalies in an adult: embryological and clinical considerations. Int Med 31:1026–1031CrossRef

27.

Oakes DD (1997) Esophagectomy in patients with polysplenia: technical considerations. J Clin Gastroenterol 24:92–96PubMedCrossRef

28.

Ooshima I, Maruyama T, Ootsuki K, Ozaki M (1998) Preduodenal portal vein in the adult. J Hepatobiliary Pancreat Surg 5:455–458PubMedCrossRef

29.

Park SS, Min BW, Kim WB et al (2005) Double cancer of the stomach and oesophagus with situs ambiguous with polysplenia: the importance of preoperative evaluation. Dig Live Dis 37:799–802CrossRef

30.

Peoples WM, Moller JH, Edwards JE (1983) Polysplenia. A review of 146 cases. Pediatr Cardiol 4:129–137PubMedCrossRef

31.

Ren PT, Lu BC (2009) Intestinal malrotation associated with colon cancer in an adult: report of a case. Surg Today 39:624–627PubMedCrossRef

32.

Semb BKH, Halvorsen JF (1979) Repair of preduodenal portal vein injury occurring during biliary surgery. Acta Chir Scand 139:312–313

33.

Stevens JC, Morton D, McElwee R, Hamit HF (1978) Preduodenal portal vein, two cases with differing presentation. Arch Surg 113:311–313PubMedCrossRef

34.

Teng J, Rai T, Tanaka Y et al (2005) The KIF3 motor transports N-cadherin and organizes the developing neuroepithelium. Nat Cell Biol 7:474–482PubMedCrossRef

35.

Tsutsumi R, Nagata Y, Enjoji A et al (2007) Situs ambiguous with gastric cancer: report of a case. Surg Today 37:676–679. doi:10.1007/s00595-006-3445-9 PubMedCrossRef

36.

Yamaguchi S, Orita T, Yamaoka T et al (2003) Laparpscope-assisted distal gastrectomy for early gastric cancer in a 76 year-old man with situs inversus totalis. A possible first report. Surg Endsc 17:352–353

37.

Yi SQ, Tanaka S, Tanaka A et al (2004) An extremely rare inversion of the preduodenal portal vein and common bile duct associated with multiple malformations. Report of an adult cadaver case with a brief review of the literature. Anat Embryol 208:87–96. doi:10.1007/s00429-003-0377-7 PubMedCrossRef

38.

Yoshida Y, Saku M, Masuda Y et al (1992) Total gastrectomy for gastric cancer associated with situs inversus totalis. A report of 2 cases. S Afr J Surg 30:156–158PubMed

Titel: Preduodenal portal vein, intestinal malrotation, polysplenia, and interruption of the inferior vena cava: a review of anatomical anomalies associated with gastric cancer
Publikationsdatum: 01.03.2012
Erschienen in: Surgical and Radiologic Anatomy / Ausgabe 2/2012
Print ISSN: 0930-1038
Elektronische ISSN: 1279-8517
DOI: https://doi.org/10.1007/s00276-011-0894-7

Neu im Fachgebiet Radiologie

18.04.2024 | Pädiatrische Notfallmedizin | Nachrichten

Update Radiologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Live-Webinar: Aktuelle Leitlinien bei Herz-Kreislauf-Erkrankungen

Springer Medizin

Preduodenal portal vein, intestinal malrotation, polysplenia, and interruption of the inferior vena cava: a review of anatomical anomalies associated with gastric cancer

Abstract

Purpose

Methods

Results

Conclusions

Neu im Fachgebiet Radiologie

Fünf Dinge, die im Kindernotfall besser zu unterlassen sind

Wie toxische Männlichkeit der Gesundheit von Männern schadet

Studie bestätigt Potenzial von KI in der Radiologie

Quantitative Angiografie könnte IVUS-Alternative darstellen

Update Radiologie

Live-Webinar: Aktuelle Leitlinien bei Herz-Kreislauf-Erkrankungen

Springer Medizin

Abstract

Purpose

Methods

Results

Conclusions

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 2/2012

Central retinal artery originating from the temporal short posterior ciliary artery associated with intraorbital external-to-internal carotid arterial anastomoses

Morphometry of the synovial folds of the lateral atlanto-axial joints: the anatomical basis for understanding their potential role in neck pain

Persistence of the otic artery with neurological sequelae: case report

Is there any relation between distal parameters of the femur and its height and width?

Dorsal iliac dimensions in elderly females: anatomical considerations in two bolt iliac foundation construct

The anatomy and variations of the internal thoracic (internal mammary) artery and implications in autologous breast reconstruction: clinical anatomical study and literature review

Neu im Fachgebiet Radiologie

Fünf Dinge, die im Kindernotfall besser zu unterlassen sind

Wie toxische Männlichkeit der Gesundheit von Männern schadet

Studie bestätigt Potenzial von KI in der Radiologie

Quantitative Angiografie könnte IVUS-Alternative darstellen

Update Radiologie