Superior mesenteric vein reconstruction during pancreatoduodenectomy using a dilated right ovarian vein in a patient at future risk for pelvic congestion syndrome: a case report
Abstract Background Pancreatoduodenectomy including resection of the superior mesenteric vein (SMV) is increasingly performed for right-sided pancreatic ductal adenocarcinoma invading the wall of that vessel. Various venous grafts may be chosen for reconstruction. We present a woman with pancreatic...
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| Format: | Article |
| Language: | English |
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Japan Surgical Society
2022-04-01
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| Series: | Surgical Case Reports |
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| Online Access: | https://doi.org/10.1186/s40792-022-01421-w |
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| author | Yuki Takahashi Kenichi Matsuo Hideyuki Oyama Ryuichi Sekine Akihiro Nakamura Tsuneyuki Uchida Mikio Makuuchi Kuniya Tanaka |
| author_facet | Yuki Takahashi Kenichi Matsuo Hideyuki Oyama Ryuichi Sekine Akihiro Nakamura Tsuneyuki Uchida Mikio Makuuchi Kuniya Tanaka |
| author_sort | Yuki Takahashi |
| collection | DOAJ |
| description | Abstract Background Pancreatoduodenectomy including resection of the superior mesenteric vein (SMV) is increasingly performed for right-sided pancreatic ductal adenocarcinoma invading the wall of that vessel. Various venous grafts may be chosen for reconstruction. We present a woman with pancreatic cancer who underwent such a pancreatoduodenectomy with venous reconstruction using a dilated right ovarian vein. Case presentation A 71-year-old woman with cancer involving the pancreatic head, uncinate process, and SMV underwent pancreatoduodenectomy with SMV resection. Reconstruction used a portion of the right ovarian vein that was markedly dilated and had placed her at risk for pelvic congestion syndrome (PCS). Graft patency was confirmed 8 months after surgery. She now finished receiving adjuvant chemotherapy and has no symptoms of PCS. Conclusion If an ovarian vein has sufficient diameter, it can be used to reconstruct the resected segment of the SMV during pancreatoduodenectomy in suitable patients. |
| format | Article |
| id | doaj-art-78427c3a66844b8da125f36178bffae2 |
| institution | Kabale University |
| issn | 2198-7793 |
| language | English |
| publishDate | 2022-04-01 |
| publisher | Japan Surgical Society |
| record_format | Article |
| series | Surgical Case Reports |
| spelling | doaj-art-78427c3a66844b8da125f36178bffae22025-08-20T03:56:55ZengJapan Surgical SocietySurgical Case Reports2198-77932022-04-01811710.1186/s40792-022-01421-wSuperior mesenteric vein reconstruction during pancreatoduodenectomy using a dilated right ovarian vein in a patient at future risk for pelvic congestion syndrome: a case reportYuki Takahashi0Kenichi Matsuo1Hideyuki Oyama2Ryuichi Sekine3Akihiro Nakamura4Tsuneyuki Uchida5Mikio Makuuchi6Kuniya Tanaka7Department of General and Gastroenterological Surgery, Showa University Fujigaoka HospitalDepartment of General and Gastroenterological Surgery, Showa University Fujigaoka HospitalDepartment of General and Gastroenterological Surgery, Showa University Fujigaoka HospitalDepartment of General and Gastroenterological Surgery, Showa University Fujigaoka HospitalDepartment of General and Gastroenterological Surgery, Showa University Fujigaoka HospitalDepartment of General and Gastroenterological Surgery, Showa University Fujigaoka HospitalDepartment of Surgery, Sannoudai HospitalDepartment of General and Gastroenterological Surgery, Showa University Fujigaoka HospitalAbstract Background Pancreatoduodenectomy including resection of the superior mesenteric vein (SMV) is increasingly performed for right-sided pancreatic ductal adenocarcinoma invading the wall of that vessel. Various venous grafts may be chosen for reconstruction. We present a woman with pancreatic cancer who underwent such a pancreatoduodenectomy with venous reconstruction using a dilated right ovarian vein. Case presentation A 71-year-old woman with cancer involving the pancreatic head, uncinate process, and SMV underwent pancreatoduodenectomy with SMV resection. Reconstruction used a portion of the right ovarian vein that was markedly dilated and had placed her at risk for pelvic congestion syndrome (PCS). Graft patency was confirmed 8 months after surgery. She now finished receiving adjuvant chemotherapy and has no symptoms of PCS. Conclusion If an ovarian vein has sufficient diameter, it can be used to reconstruct the resected segment of the SMV during pancreatoduodenectomy in suitable patients.https://doi.org/10.1186/s40792-022-01421-wPancreatoduodenectomySuperior mesenteric vein resection and reconstructionPelvic congestion syndrome |
| spellingShingle | Yuki Takahashi Kenichi Matsuo Hideyuki Oyama Ryuichi Sekine Akihiro Nakamura Tsuneyuki Uchida Mikio Makuuchi Kuniya Tanaka Superior mesenteric vein reconstruction during pancreatoduodenectomy using a dilated right ovarian vein in a patient at future risk for pelvic congestion syndrome: a case report Surgical Case Reports Pancreatoduodenectomy Superior mesenteric vein resection and reconstruction Pelvic congestion syndrome |
| title | Superior mesenteric vein reconstruction during pancreatoduodenectomy using a dilated right ovarian vein in a patient at future risk for pelvic congestion syndrome: a case report |
| title_full | Superior mesenteric vein reconstruction during pancreatoduodenectomy using a dilated right ovarian vein in a patient at future risk for pelvic congestion syndrome: a case report |
| title_fullStr | Superior mesenteric vein reconstruction during pancreatoduodenectomy using a dilated right ovarian vein in a patient at future risk for pelvic congestion syndrome: a case report |
| title_full_unstemmed | Superior mesenteric vein reconstruction during pancreatoduodenectomy using a dilated right ovarian vein in a patient at future risk for pelvic congestion syndrome: a case report |
| title_short | Superior mesenteric vein reconstruction during pancreatoduodenectomy using a dilated right ovarian vein in a patient at future risk for pelvic congestion syndrome: a case report |
| title_sort | superior mesenteric vein reconstruction during pancreatoduodenectomy using a dilated right ovarian vein in a patient at future risk for pelvic congestion syndrome a case report |
| topic | Pancreatoduodenectomy Superior mesenteric vein resection and reconstruction Pelvic congestion syndrome |
| url | https://doi.org/10.1186/s40792-022-01421-w |
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