This case report presents a rare incidental finding of a double portal system in a patient, discovered during an abdominal imaging study before undertaking surgical treatment for common bile duct (CBD) stones. The report provides a detailed account of the anatomical features of the double portal system observed in the patient. The clinical implications of this finding are significant, as it necessitates careful consideration during surgical planning or interventional radiology procedures to prevent inadvertent damage to the vascular structures. By discussing this case, the report aims to raise awareness among clinicians about the possibility of encountering such variations and the need for thorough preoperative imaging to ensure optimal patient outcomes.
Keywords: anatomical variation; azygous continuation of the ivc; double portal system; incidental finding; intestinal malrotation; left sided ivc; portal vein.
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