Case Report
Copyright ©2008 The WJG Press and Baishideng. All rights reserved.
World J Gastroenterol. Nov 7, 2008; 14(41): 6418-6420
Published online Nov 7, 2008. doi: 10.3748/wjg.14.6418
Polysplenia syndrome with preduodenal portal vein detected in adults
Hyung-Il Seo, Tae Yong Jeon, Mun Sup Sim, Suk Kim
Hyung-Il Seo, Tae Yong Jeon, Mun Sup Sim, Department of Surgery, Postgraduate School of Medicine and Medical Research Institute, Pusan National University, Busan 602-739, South Korea
Suk Kim, Department of Radiology, Postgraduate School of Medicine, Pusan National University, Busan 602-739, South Korea
Author contributions: Seo HI and Jeon TY wrote the paper; Jeon TY and Sim MS managed the patient; Kim S interpreted radiologic findings and prepared radiologic features.
Correspondence to: Tae Yong Jeon, Department of Surgery, Postgraduate School of Medicine and Medical Research Institute, Pusan National University, Busan 602-739, South Korea. jty3@chollian.net
Telephone: +82-51-2407677 Fax: +82-51-2471365
Received: July 28, 2008
Revised: September 16, 2008
Accepted: September 23, 2008
Published online: November 7, 2008
Abstract

Polysplenia syndrome, defined as the presence of multiple spleens of almost equal volume, is a rare condition involving congenital anomalies in multiple organ systems. We report this anomaly in a 41-year-old female who underwent a left lateral sectionectomy due to recurrent cholangitis and impacted left lateral duct stones. Polysplenia syndrome with preduodenal vein was diagnosed preoperatively by computed tomography (CT) and surgery was done safely. Although the polysplenia syndrome with preduodenal portal vein (PDPV) in adult is rarely encountered, surgeons need to understand the course of the portal vein and exercise caution in approaching the biliary tract.

Keywords: Polysplenia, Polysplenia syndrome, Preduodenal portal vein, Intrahepatic duct stones, Congenital anomaly