ArticleThe American journal of case reports2025
Challenges of Duplicated Portal Vein in Elective Laparoscopic Cholecystectomy: A Case Report.
Article in The American journal of case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
BACKGROUND Anatomical variations of the portal system are not uncommon. Misidentifying structures of the hepatoduodenal ligament can precipitate tremendous adverse events during elective cholecystectomy. Preoperative radiological imaging is usually limited to ultrasound examination, which alone does not provide sufficient anatomical knowledge of the liver hilum. CASE REPORT This report presents a case of a 61-year-old woman after cholecystectomy, with iatrogenic bile duct injury and packing, due to abdominal hemorrhage derived from portal vein rupture. The patient required immediate relaparotomy and abdominal depacking, due to excessive compression of the hepatoduodenal ligament and insufficient portal blood flow. Surgery was limited to depacking and repair of the lacerated portal vein. The abdominal drainage was performed to stabilize the patient's general condition. Intraoperative ultrasound identified poor portal flow (V<10 cm/s) and intrahepatic portal thrombosis. Further treatment continued in the Intensive Care Unit, where she received anticoagulation treatment and was qualified for liver transplantation. The cavernous transformation of the portal vein was identified, along with several other anatomical variations, including a low-positioned splenomesenteric venous confluence, right-shifted pancreas, and intestinal malrotation, among other minor vascular abnormalities. During the next days, her general condition improved; following extubation, she was transferred to the Surgery Unit. A biliary fistula was managed by percutaneous transhepatic drainage and biliary stenting. Liver transplantation was not necessary. CONCLUSIONS This case highlights the extremes of vascular and biliary injury following elective cholecystectomy, partially due to lack of preoperative radiological examination, and portrays the elevated risk of mortality and burden of further medical treatment.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.