22 March 2025
: Case report 
Challenges of Duplicated Portal Vein in Elective Laparoscopic Cholecystectomy: A Case Report
Congenital defects / diseases
Aleksandra Frankowska ABCDEF 1, Konrad Kobryń
ABCDEFG 1*, Paweł Rykowski CD 1, Krzysztof Gibiński CD 2, Michał Grąt CD 1
DOI: 10.12659/AJCR.946151
Am J Case Rep 2025; 26:e946151
Table 1. Chronological timeline of the patient hospitalization, with key events.
| December 2022 | December 18: Elective laparoscopic cholecystectomy at a regional hospital, converted to laparotomy |
| December 20: Discharged from the hospital | |
| December 24: Readmission due to generalized fatigue, abdominal pain, fever. Relaparotomy and drainage of the biloma. Re-relaparotomy due to hypovolemic shock secondary to abdominal hemorrhage, culminated in abdominal packing | |
| December 25: Transfer to the Department of General, Transplant, and Liver Surgery. Re-re-relaparotomy with depacking and duplicated PV suturing | |
| December 28: PV thrombosis on CT. Administration of therapeutic doses of LMWH | |
| January 2023 | January 4: Qualification for un urgent liver transplantation |
| January 9: Removed from the transplant waiting list | |
| January 23: Magnetic resonance cholangiopancreatography | |
| January 26: Unsuccessful ERCP | |
| January 31: PTC with percutanous biliary stenting | |
| February 2023 | February 6: PTC/ERCP with SEMS placed |
| February 9: Discharged from the hospital | |
| Novemeber 2023 | November 13: Latest follow-up |
| ERCP – endoscopic retrograde cholangiopancreatography; CT – computed tomography; LMWH – low-molecular weight heparin; PTC – percutaneous transhepatic cholangiogram; PV – portal vein; SEMS – self-expanding metal stent. | |