Prepancreatic postduodenal portal vein: a case report and review of the literature

Naeem Goussous, Steven C. Cunningham

Research output: Contribution to journalArticlepeer-review

2 Scopus citations


Background: Prepancreatic postduodenal portal vein is extremely rare, with only 13 cases reported in the literature. Case presentation: A 55-year-old white woman presented to our emergency department with abdominal pain. She underwent a computed tomography of her abdomen, which showed a portal vein coursing anterolaterally to her pancreas and posteriorly to the first portion of her duodenum, constituting a prepancreatic postduodenal portal vein. Imaging revealed choledocholithiasis, requiring endoscopic sphincterotomy, but due to a history of a gastric bypass procedure, she was lost to follow-up after being referred to an advanced endoscopist. This represents the 14th reported case of prepancreatic postduodenal portal vein. Conclusions: Awareness of this rare anomaly is paramount, and will help surgeons and interventional radiologists to avoid complications related to inadvertent injury to the portal vein, which could be life-threatening.

Original languageEnglish (US)
Article number2
Pages (from-to)1-4
Number of pages4
JournalJournal of Medical Case Reports
Issue number1
StatePublished - Jan 4 2017


  • Anomaly
  • Case report
  • Literature review
  • Pancreatic surgery
  • Portal vein

ASJC Scopus subject areas

  • General Medicine


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