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Aberrant right hepatic artery with a prepancreatic course visualized prior to pancreaticoduodenectomy.

Authors
Journal
Journal of Gastrointestinal Surgery
1091-255X
Publisher
Springer-Verlag
Publication Date
Volume
17
Issue
5
Identifiers
DOI: 10.1007/s11605-012-2127-8
Disciplines
  • Medicine

Abstract

Liver vascularization is known to present with several different variations. Generally, a normal vascular anatomy is reported in up to 50-80 % of cases. For this reason, a precise preoperative mapping of the hepatic vascularization prior to pancreatic surgery is essential to avoid injuries and subsequent complications. We report here a case of a young patient scheduled for Whipple procedure, who presented an arterial pattern type Michels IV, variation reported in 0.6 to 3 % in the literature. Another interesting particularity of this case was the fact that the right hepatic artery had a prepancreatic course. We think that every surgeon performing hepatopancreatic surgery should have heard of this special and rare situation.

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