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Case Reports
Neonatal intestinal volvulus and preduodenal portal vein associated with situs ambiguus: report of a case.
- Toshihiko Watanabe, Miwako Nakano, Kazuki Yamazawa, Katsuhiro Maeyama, and Masao Endo.
- Department of Pediatric Surgery, Saitama City Hospital, 2460 Mimuro, Midori-ku, Saitama, 336-8522, Japan.
- Surg. Today. 2011 May 1; 41 (5): 726-9.
AbstractSitus ambiguus is a rare lateralization anomaly that is frequently associated with other malformations, including preduodenal portal vein (PDPV), intestinal malrotation, and cardiovascular anomalies. This is a case report on a newborn that was clinically diagnosed with situs ambiguus and midgut volvulus. During surgery the patient was found to have intestinal malrotation, Meckel's diverticulum, and PDPV that was not a direct cause of duodenal obstruction. The patient was treated with Ladd's procedure and resection of Meckel's diverticulum. It is important to be familiar with the spectrum of situs anomalies to prevent trauma to the portal vein with serious complications during surgery.
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