Introduction
Preduodenal portal vein (PDPV) is a rare anomaly. It represents only 4% of all cases of duodenal obstruction where the portal vein passes longitudinally in front of second part of the duodenum.
Patients and methods
We had four cases of newborn with PDPV presented with duodenal obstruction: two cases associated with total situs inversus, one case had polysplenia, one case had cardiac abnormalities, who presented clinically with duodenal obstruction. The four cases were discovered with PDPV accidently intraoperatively. Laparoscopic duodenoduodenostomy was done for all our cases.
Results
Overall, four cases had a mean age at operation of 6 days. The mean weight at operation was 3 kg. The mean operative time was 90 min. There was no conversion to open surgery. We had no postoperative complication, no anastomotic leakage, or stenosis. We started feeding on the third postoperative day. The mean postoperative hospital stay was 8 days.
Conclusions
Laparoscopic duodenoduodenostomy technique is safe in cases of PDPV.