Craig  Kornbau,Andrei Cocieru,Mohammed  Festok,
Right Hepatectomy In Patient with Absent Portal Vein Bifurcation
International Journal of Surgical Case Reports
2019
2674-4171
http://dx.doi.org/10.31487/j.IJSCR.2019.02.01
https://www.sciencerepository.org/right-hepatectomy-in-patient-with-absent-portal-vein-bifurcation_IJSCR-2019-2-101 
Abstract: 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.Keywords: Hepatectomy,  portal vein