• 제목/요약/키워드: portal vein

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Study of surgical anatomy of portal vein of liver segments by cast method and its clinical implications

  • Shrikantaiah, Vidya C.;Basappa, Manjaunatha;Hazrika, Sangita;Ravindranath, Roopa
    • Anatomy and Cell Biology
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    • 제51권4호
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    • pp.232-235
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    • 2018
  • Portal vein provides about three-fourths of liver's blood supply. Portal vein is formed behind the neck of pancreas, at the level of the second lumbar vertebra and formed from the convergence of superior mesenteric and splenic veins. The purpose of this study is to review the normal distribution and variation, morphometry of portal vein and its branches for their implication in liver surgery and preoperative portal vein embolization. It is also helpful for radiologists while performing radiological procedures. A total of fresh 40 livers with intact splenic and superior mesenteric vein were collected from the mortuary of Forensic Department, JSS Medical College and Mysuru Medical College. The silicone gel was injected into the portal vein and different segments were identified and portal vein variants were noted. The morphometry of portal vein was measured by using digital sliding calipers. The different types of portal vein segmental variants were observed. The present study showed predominant type I in 90% cases, type II 7.5% cases, and type III 2.5% cases. Mean and standard deviation (SD) of length of right portal vein among males and females were $2.096{\pm}0.602cm$ and $1.706{\pm}0.297cm$, respectively. Mean and SD of length of left portal vein among males and females were $3.450{\pm}0.661cm$ and $3.075{\pm}0.632cm$, respectively. The difference in the Mean among the males and females with respect to length of right portal vein and left portal vein was found to be statistically significant (P=0.010). Prior knowledge of variations regarding the formation, termination and tributaries of portal vein are very helpful and important for surgeons to perform liver surgeries like liver transplantation, segmentectomy and for Interventional Radiologists.

실험적 간문맥 분지 결찰 개에서 방사선학적 및 혈청화학적 변화 (Radiographic and biochemical changes in dogs with experimental portal vein branch ligation)

  • 이영원;윤정희
    • 대한수의학회지
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    • 제38권3호
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    • pp.674-678
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    • 1998
  • Radiograph and serum activities were investigated in six dogs with experimental portal vein branch ligation. Operative mesenteric portography showed the incomplete portal vein circulation due to ligation of portal vein branch. Several serum enzyme activities were measured after portal vein branch ligation. Albumin and total protein were decreased following the time. Others were increased. In microscopic findings, hepatocellular necrosis and haemorrhage were identified in midzone and centrilobular zone. And reverse lobulation pattern was found in dogs with portal vein branch ligation.

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지연 수술로 호전된 간문맥 내 가스와 장관 기종을 동반한 괴사성 장염 (Necrotizing enteritis with portal vein gas and pneumatosis cystoides intestinalis treated with delayed operation)

  • 유지연;유영욱;김지혜;유상훈;하소영
    • Journal of Yeungnam Medical Science
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    • 제32권1호
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    • pp.13-16
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    • 2015
  • Portal vein gas and pneumatosis cystoides intestinalis are uncommon conditions and have been associated with poor prognosis. They are most commonly caused by necrotizing enterocolitis but may have other causes, and they can be associated with necrotizing and ischemic colitis, intra-abdominal abscess, small bowel obstruction, diverticulitis, colon cancer, and acute pancreatitis. With the more frequent use of computed tomography (CT) scans, portal vein gas and pneumatosis cystoides intestinalis have been increasingly detected in recent years. Because of its high mortality rate, necrotizing enteritis with portal vein gas and pneumatosis cystoides intestinalis may be treated with emergent exploratory laparotomy. We report a case of necrotizing enteritis with portal vein gas and pneumatosis cystoides intestinalis in a 47-year-old man treated with intensive medical management and delayed operation due to unstable condition and surgical mortality. He had good clinical results without complications after the delayed operation.

Concurrent Patent Ductus Arteriosus and Congenital Extrahepatic Portosystemic Shunt with Suspected Portal Vein Aplasia in a Dog

  • Chae, Soo-young;Cho, Yu-gyeong;Lee, Young-won;Choi, Ho-jung
    • 한국임상수의학회지
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    • 제34권4호
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    • pp.283-286
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    • 2017
  • A 4-month-old, female Maltese dog was referred with continuous heart murmur. Patent ductus arteriosus was diagnosed via radiography and echocardiography. The patient was untreated because of client's refusal. After 13 months, the dog was referred again with seizure and salivation. Laboratory examination revealed increased liver enzymes, hyperammonemia and decreased total cholesterol and total protein. Microhepatica was identified on abdominal radiography. CT angiography showed a shunt vessel that originated from the portal trunk to the prehepatic caudal vena cava and patent ductus arteriosus connecting proximal descending aorta with the main pulmonary artery. No portal vasculature toward liver is observed after shunt vessel. The patient was diagnosed as concurrent patent ductus arteriosus and congenital extrahepatic portosystemic shunt with suspected portal vein aplasia. In human, cardiac malformations are frequently observed in patients with congenital extrahepatic portosystemic shunt with portal vein aplasia. This report described concurrent patent ductus arteriosus and congenital extrahepatic portosystemic shunt with suspected portal vein aplasia in a dog.

합성수지주입법(合成樹脂注入法)에 의(依)한 개 내장(內臟)의 준조대해부학적연구(準粗大解剖學的硏究) 제(第)2보(報) 간내(肝內) 문맥계(門脈系) 및 간정맥(肝靜脈) 분지(分枝)에 관(關)하여 (부(附) 신동맥(腎動脈) 및 신정맥(腎精脈) 신내분지(腎內分枝)) (Studies on the Subgross Anatomy of the Canine Viscera by the Vinylite-Corrosion Technique 2. The Ramification of Portal and Hepatic Vein System of Liver)

  • 모기철
    • 대한수의학회지
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    • 제7권1호
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    • pp.8-18
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    • 1967
  • Casting specimens of portal system and hepatic vein system in livers were made by injection of vinylite into the portal vein and postcava in 20 adult dogs. The author classificated the ramification of portal system and hepatic vein system. The results obtained were summerized as follows: 1. Portal system in livers were divided into left and right trunks. The left trunk subdivided into papillary process (caudate lobe,) left medial lobe, left lateral lobe, quadrate lobe and right medial lobe rami. The right trunk were subdivided into right lateral lobe and caudate proccss(caudate lobe.) 2. The lateral superior and medial inferior rami of portal system in left lateral lobe were subdivided 1 or 2 branches from left trunk. 3. The lateral superior ramus of portal system in left medial lobe did not appeared in 40% of the cases examined. 4. Portal system in quadrate lobe were subdivided 1-3 branches from left trunk, 5. Portol system in right medial lobe rami were relatively simple in ramification. 6. The lateral superior and medial inferior rami of portal system in right lateral lobe were subdivided 1 or 2 branches from right trunk. 7. Hepatic vein system of left lateral, left medial, quadrate and right medial lobe rami were originated from same ramus divided from the postcava in all cases. 8. Hepatic vein system of left and right rami in right medial lobe were divided from postcava.

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자기공명영상을 이용하여 비침습적으로 진단된 췌장 가성낭종과 간문맥 사이의 누공: 증례 보고 (Non-invasive MR Demonstration of the Fistula between Pancreatic Pseudocyst and Portal Vein: A Case Report)

  • 김성민;이영환;강웅래
    • Investigative Magnetic Resonance Imaging
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    • 제18권2호
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    • pp.171-175
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    • 2014
  • 간문맥으로 파열된 췌장 가성낭종은 매우 드문 합병증이며, 자기공명영상으로 확진된 경우는 3예만 보고되어 있다. 저자들은 50세 남자 환자에서 가성낭종과 간문맥 사이에 형성된 누공을 자기공명영상을 이용하여 비침습적으로 확진한 증례를 보고한다. T2강조영상 및 자기공명 담체관조영술에서 간문맥, 상장간막정맥, 그리고 비장정맥 내에 액체신호가 보였으며, 가성낭종과 간문맥이 직접 연결된 소견을 보였다.

한국재래산양(韓國在來山羊)의 문맥(門脈)에 관하여 (Distribution of Portal Vein within Liver of Korean Native Goat)

  • 김용근;김종섭
    • 대한수의학회지
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    • 제15권1호
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    • pp.123-126
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    • 1975
  • By means of vinylite-corrosion technique, the distribution of the portal vein within the liver in 50 Korean native goats was observed. The portal vein consists of the following principal branches; Truncus sinister vanae portae et dexter, Pars transversa trunci sinistri, Pars umbilicalis trunci sinistri, Ramus lateralis lobi sinistri, Ramus medialis lobi sinistri, Ramus medialis lobi dextri, Ramus lateralis lobi dextri, Ramus dorsolateralis, Ramus caudatorum. In the goat Pars transversa trunci dexter could not be recognized.

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Congenital portal vein aplasia with portocaval shunting in two dogs

  • Hwang, Taesung;Moon, Jonghyun;Lee, Hee Chun
    • 대한수의학회지
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    • 제59권3호
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    • pp.171-173
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    • 2019
  • Two dogs presented with vomiting and head pressing. In both dogs, a large vessel was revealed in computed tomography (CT) angiography, which was found to leave the portal vein (PV) cranial to the splenomesenteric confluence and enter the pre-hepatic caudal vena cava cranial to the right renal vein. The flow of portal blood to the liver was not identified. Based on CT angiography, the dogs were suspected to have congenital PV aplasia with portocaval shunting. Diagnostic imaging of potential malformations for PV continuation should be conducted before attempting shunt closure.

인삼투여가토(人蔘投與家兎)의 혈액내(血液內) 비단백성질소함량(非蛋白性窒素含量)의 변화(變化)에 관한 연구(硏究) -문맥(門脈) 혈액(血液) 암모니아치(値)의 변화(變化)를 중심(中心)으로- (Studies on the Variation of Nonprotein Nitrogen Compounds in the Blood of Rabbits Administered with Panax ginseng -Mainly on the Variation of Ammonia Value in the Blood of Portal Vein-)

  • 이주묵
    • 대한수의학회지
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    • 제18권2호
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    • pp.77-86
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    • 1978
  • The present study was carried out to evaluate the effect of Panax ginseng on the metabolism of nonprotein nitrogen compounds in rabbit blood. After rabbits were administered with ginseng powder orally for 30 days or with ginseng extract intraperitoneally for 10 days, the blood was collected from portal and ear vein to measure ammonia, urea, creatinine and nonprotein nitrogen. The blood ammonia level in ear vein of control rabbits was $87.0{\pm}5.1{\mu}g/100ml$ and was not significantly different from that of rabbits which were administered with ginseng powder orally or with ginseng extract intraperitoneally. But oral administration of ginseng powder produced a great decrease in ammonia level of portal vein from 1,392 to $704{\mu}g$ per 100ml, suggesting that intestinal ammonia production is suppressed by ginseng powder due to its antimicrobial activity. While there was no significant difference between the control and the rabbits which were administered with ginseng extract intraperitoneally. Ginseng administration had no effect on the creatinine level in blood from ear and portal vein, except the intraperitoneal injection of ginseng extract. It slightly lowered the creatinine level only in ear vein blood. The values of urea and nonprotein nitrogen were net affected by the administration of ginseng.

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