Polysplenia syndrome with preduodenal portal vein detected in adults

Figure 1 Abdominal computed tomography scan. Polysplenia (asterisks) are present in the left upper quadrant and it shows the left lateral intrahepatic duct stones with atrophy (arrow).

Figure 2 The location and presentation in surgery of the portal vein. A: The portal vein (PV) was located ventrally to the duodenum (D) and pancreas (P), liver (L) and stomach (S) are in the normal position; B: At surgery, the portal vein (PV) was seen running anteriorly across the duodenal first portion (D), the common bile duct (C) was identified left to the portal vein.

Figure 3 T-tube cholangiography shows variations of right intrahepatic bile duct.