Case Report
Copyright ©The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Sep 6, 2021; 9(25): 7542-7550
Published online Sep 6, 2021. doi: 10.12998/wjcc.v9.i25.7542
Neonatal biliary atresia combined with preduodenal portal vein: A case report
Xian-Lan Xiang, Peng Cai, Jun-Gang Zhao, Hao-Wei Zhao, Yu-Liang Jiang, Meng-Lei Zhu, Qi Wang, Rui-Yun Zhang, Zhen-Wei Zhu, Jian-Lei Chen, Zhi-Cheng Gu, Jie Zhu
Xian-Lan Xiang, Peng Cai, Jun-Gang Zhao, Hao-Wei Zhao, Yu-Liang Jiang, Meng-Lei Zhu, Qi Wang, Rui-Yun Zhang, Zhen-Wei Zhu, Jian-Lei Chen, Zhi-Cheng Gu, Jie Zhu, Department of Pediatric Surgery, Children’s Hospital of Soochow University, Suzhou 215000, Jiangsu Province, China
Author contributions: Xiang XL, Cai P, and Zhao JG contributed equally to the work; Xiang XL, Cai P, and Zhao JG were responsible for the original manuscript writing; Zhao HW, Jiang YL, Zhu ML, Wang Q, Zhang RY, Zhu ZW, Chen JL, and Gu ZC provided resources; Zhu J made comments and edited the writing.
Supported by The Science Foundation of Suzhou Science and Technology Bureau, No. SYS201758 and No. SYS2020158; and Youth Science and technology project of revitalizing health by science and education in Suzhou in 2019, No. KJXW2019020.
Informed consent statement: All study participants, or their legal guardian, provided informed written consent prior to study enrollment.
Conflict-of-interest statement: The authors have no conflicts of interest to disclose.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Jie Zhu, MD, Surgeon, Department of Pediatric Surgery, Children’s Hospital of Soochow University, No. 92 Zhongnan street, Suzhou Industrial Park, Wuzhong District, Suzhou 215000, Jiangsu Province, China. drzhujie2020@163.com
Received: February 28, 2021
Peer-review started: February 28, 2021
First decision: April 14, 2021
Revised: May 28, 2021
Accepted: July 20, 2021
Article in press: July 20, 2021
Published online: September 6, 2021
Processing time: 183 Days and 19.8 Hours
Abstract
BACKGROUND

Congenital biliary atresia is a type of obstruction of the bile ducts inside and outside the liver, which can lead to cholestatic liver cirrhosis and eventually liver failure. The preduodenal portal vein (PD-PV) is a rare developmental malformation of the PV. The PV courses in front of the duodenum. However, very few cases of neonatal biliary atresia combined with PD-PV have been reported in the scientific literature.

CASE SUMMARY

A 1-mo-and-4-d-old child was admitted to the hospital in January because of yellowish skin. After surgical consultation, surgical intervention was recommended. The child underwent Hilar-jejunal anastomosis, duodenal rhomboid anastomosis, and abdominal drainage under general anesthesia. During the operation, the PV was located at the anterior edge of the duodenum.

CONCLUSION

Diagnoses: (1) Congenital biliary atresia; (2) PD-PV; and (3) Congenital cardiovascular malformations. Outcomes: Recommendation for liver transplantation. Lessons: The choice of treatment options for neonatal biliary atresia combined with PD-PV.

Keywords: Neonatal; Biliary atresia; Preduodenal portal vein; Treatment; Case report

Core Tip: Congenital biliary atresia is a type of obstruction of the bile ducts inside and outside the liver, which can lead to cholestatic liver cirrhosis and eventually liver failure. The preduodenal portal vein is a rare developmental malformation of the portal vein. A 1-mo-and-4-d-old child was admitted to the hospital in January because of yellowish skin. After surgical consultation, surgical intervention was recommended. The child underwent laparoscopic exploration under general anesthesia. During the operation, the portal vein was located at the anterior edge of the duodenum.