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CASE REPORT
Intestinal obstruction with a twist: a rare case of congenital portal vein aneurysm causing intestinal obstruction
  1. Shanu Chandran1,
  2. Manish Kumar1,
  3. Tarun John K Jacob2,
  4. Ferzine Mohamed2
  1. 1Department of Neonatology, Christian Medical College and Hospital, Vellore, Tamilnadu, India
  2. 2Department of Pediatric surgery, Christian Medical College and Hospital, Vellore, Tamilnadu, India
  1. Correspondence to Dr Manish Kumar, maneeshdr{at}gmail.com

Summary

Bilious vomiting is often a presenting feature of upper intestinal obstruction in newborn. We present a case of intestinal obstruction in a newborn baby caused by abnormal vascular band arising from portal vein aneurysm in association with a midgut volvulus. Congenital anomalies of portovenous system are very rare, and it usually presents with portal hypertension in late infancy or childhood. In this particular child, the portal vein aneurysm contributed to intestinal obstruction due to both a failure of intestinal rotation and a mechanical band over the transverse colon.

  • gastrointestinal system
  • small intestine
  • neonatal intensive care
  • neonatal and paediatric intensive care
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Footnotes

  • Contributors SC and MK: substantial contributions to the conception or design of the work or the acquisition, analysis or interpretation of data for the work. Drafting the work or revising it critically for important intellectual content. Final approval of the version to be published. Agreement to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved. TJKJ: substantial contributions to the conception or design of the work or the acquisition, analysis or interpretation of data for the work. Drafting the work or revising it critically for important intellectual content. Final approval of the version to be published. FM: substantial contributions to the conception or design of the work or the acquisition, analysis or interpretation of data for the work. Drafting the work or revising it critically for important intellectual content.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent Parental/guardian consent obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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