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Successful mesenterico-left portal vein bypass in a child with duplicated round ligaments and rex recessi.
J Pediatr Surg. 2011 Apr; 46(4):749-752.JP

Abstract

A 3-year-old girl with idiopathic extrahepatic portal vein obstruction undergoing mesenterico-left portal vein bypass (MLPVB), or Rex shunt, for recurrent variceal bleeding was intraoperatively discovered to have duplicated round ligaments and Rex recessi. The left and right portal veins connected to their respective round ligaments but had minimal communication within the liver. Intraoperative venography identified a better preserved portal system on the left, and standard MLPVB resulted in excellent shunt flow. The shunt remains patent and the patient asymptomatic 9 months after her operation. Abnormal portal anatomy is not a contraindication to MLPVB.

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Authors+Show Affiliations

Lautz TB
Department of Surgery, Children's Memorial Hospital, Feinberg School of Medicine of Northwestern University, Box 57, Chicago, IL 60614, USA. Electronic address: t-lautz@northwestern.edu.
Dzakovic A
Department of Surgery, Children's Memorial Hospital, Feinberg School of Medicine of Northwestern University, Box 57, Chicago, IL 60614, USA.
Superina RA
Department of Surgery, Children's Memorial Hospital, Feinberg School of Medicine of Northwestern University, Box 57, Chicago, IL 60614, USA.

MeSH

Child, PreschoolFemaleHumansHypertension, PortalMesenteric VeinsPhlebographyPortal VeinPortasystemic Shunt, SurgicalRound Ligament of Uterus

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

21496548

Citation

Lautz, Timothy B., et al. "Successful Mesenterico-left Portal Vein Bypass in a Child With Duplicated Round Ligaments and Rex Recessi." Journal of Pediatric Surgery, vol. 46, no. 4, 2011, pp. 749-752.
Lautz TB, Dzakovic A, Superina RA. Successful mesenterico-left portal vein bypass in a child with duplicated round ligaments and rex recessi. J Pediatr Surg. 2011;46(4):749-752.
Lautz, T. B., Dzakovic, A., & Superina, R. A. (2011). Successful mesenterico-left portal vein bypass in a child with duplicated round ligaments and rex recessi. Journal of Pediatric Surgery, 46(4), 749-752. https://doi.org/10.1016/j.jpedsurg.2010.12.017
Lautz TB, Dzakovic A, Superina RA. Successful Mesenterico-left Portal Vein Bypass in a Child With Duplicated Round Ligaments and Rex Recessi. J Pediatr Surg. 2011;46(4):749-752. PubMed PMID: 21496548.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Successful mesenterico-left portal vein bypass in a child with duplicated round ligaments and rex recessi. AU - Lautz,Timothy B, AU - Dzakovic,Alex, AU - Superina,Riccardo A, PY - 2010/12/03/received PY - 2010/12/17/revised PY - 2010/12/21/accepted PY - 2011/4/19/entrez PY - 2011/4/19/pubmed PY - 2011/8/17/medline SP - 749 EP - 752 JF - Journal of pediatric surgery JO - J Pediatr Surg VL - 46 IS - 4 N2 - A 3-year-old girl with idiopathic extrahepatic portal vein obstruction undergoing mesenterico-left portal vein bypass (MLPVB), or Rex shunt, for recurrent variceal bleeding was intraoperatively discovered to have duplicated round ligaments and Rex recessi. The left and right portal veins connected to their respective round ligaments but had minimal communication within the liver. Intraoperative venography identified a better preserved portal system on the left, and standard MLPVB resulted in excellent shunt flow. The shunt remains patent and the patient asymptomatic 9 months after her operation. Abnormal portal anatomy is not a contraindication to MLPVB. SN - 1531-5037 UR - https://www.unboundmedicine.com/medline/citation/21496548/Successful_mesenterico_left_portal_vein_bypass_in_a_child_with_duplicated_round_ligaments_and_rex_recessi_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0022-3468(10)01118-8 DB - PRIME DP - Unbound Medicine ER -