Right Hepatectomy In Patient with Absent Portal Vein Bifurcation

Author Info

Craig Kornbau Andrei Cocieru Mohammed Festok

Corresponding Author

Andrei Cocieru
Northeastern Ohio Medical University, Rootstown, Ohio

A B S T R A C T

Introduction: Understanding of hepatic vascular anatomy and its variations are crucial for performing liver resection and transplantation. Here we present a case of successful right hepatectomy in the patient with absent portal vein bifurcation. Case presentation: 34 years old female presented for elective right hepatectomy. Preoperative CT scan demonstrated absence of portal vein bifurcation. Right hepatectomy was safely achieved by parenchymal division under ultrasound guidance with preservation of intrahepatic portal branches to left hemiliver and without postoperative complications. Discussion: Normal portal vein anatomy is observed in 65-86% of all cases [1, 2].Of all portal vein anatomy variations, absence of the portal vein bifurcation is rarest among reported with incidence as low as 0.03% [1]. Conclusion: Preoperative recognition of aberrant portal vein anatomy is important for prevention of lifethreatening complications after elective hepatectomy and transplantation.

Article Info

Article Type

Case Report

Publication history

Received: Fri 14, Jun 2019
Accepted: Wed 26, Jun 2019
Published: Sat 06, Jul 2019

Copyright

© 2023 Andrei Cocieru. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Hosting by Science Repository.
DOI: 10.31487/j.IJSCR.2019.02.01