The Types of Connections Between the Portal Sinus and Main Portal Vein in Foetuses

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Cemil Gürses; Onur Erol; Bekir Sıtkı Isenlik; Burak Karadag & Feyzan Seher Erkan

Summary

In the prenatal period, the three types of connections between the portal sinus and main portal vein have been published in the literature: T, X and H-shaped. The T type is the most frequent in the literature, and the aim of our study is to define the percentage of the connection types during the prenatal period in our population. In this prospective study, 237 women between 20 and 38 weeks of pregnancy without a foetal anomaly or pregnancy-related complications were included, and the precordial veins of the foetuses were examined using a wide-band color Doppler technique. The types of connections were determined by two specialists according to the shape of the colour coded vessels in Doppler examinations. The criteria of Czubalski & Aleksandrowicz (2000) were used. All of the connection types in patients were confirmed using video clips and were stored in the picture archiving and communication system. In 237 patients, the types of connection were determined by the first specialist as 189 foetuses (79.7 %) with the X-shaped or side-to-side connection, 16 foetuses (6.8 %) with the T-shaped or end-to-side type and 32 foetuses (13.5 %) with the H-shaped or parallel-coursed vessels connected with a short segment. The most common types of connections between the portal sinus and main portal vein in foetuses are X shaped or side-to-side, which is contrary to previous studies.

KEY WORDS: Foetus; Main portal vein; Portal veins; Variations; Umbilical vein.

How to cite this article

GÜRSES, C.; EROL, O.; ISENLIK, B. S.; KARADAG, B. & ERKAN, F. S. The types of connections between the portal sinus and main portal vein in foetuses. Int. J. Morphol., 37(2):752-756, 2019.