scholarly journals Duplication of cystic artery: a case report

2015 ◽  
Vol 04 (03) ◽  
pp. 153-154
Author(s):  
Satyajit Mitra ◽  
Alakesh Gogoi
Keyword(s):  
Case Report ◽  
Hepatic Artery ◽  
Cystic Duct ◽  
Surgical Intervention ◽  
Cystic Artery ◽  
Right Hepatic Artery ◽  
Usual Site ◽  
The Right ◽  
Single Branch

AbstractThe cystic artery supplies oxygenated blood to the gallbladder and cystic duct. It usually arises from the right hepatic artery as a single branch, but cases with double cystic artery has also been reported from time to time. During a routine dissection class, the authors found a case in which two cystic arteries originated from the right hepatic artery to supply the two surfaces of gallbladder separately. As the extrahepatic biliary region is the most usual site of surgical intervention, the reporting of any form of variation in this region becomes a necessity.

scholarly journals Retracted: Cadaveric study on variations of the cystic artery in a Zambian population

2018 ◽  
Vol 7 (2) ◽  
pp. 1298-1303
Author(s):  
Isaac Sing`ombe ◽  
Vivienne Nambule ◽  
Fridah Mutalife ◽  
Sikhanyiso Mutemwa ◽  
Elliot Kafumukache ◽  
...  
Keyword(s):  
Gall Bladder ◽  
Hepatic Artery ◽  
Cystic Duct ◽  
Common Knowledge ◽  
Cystic Artery ◽  
University Teaching ◽  
Teaching Hospitals ◽  
Right Hepatic Artery ◽  
Human Cadavers ◽  
The Right

This article has been retracted by the authors. An incorrect dataset was used, therefore the resullts are misleading.The main source of blood supply to the gall bladder is the cystic artery which is a branch of the right hepatic artery. Anatomical variations of the cystic artery are frequent. Thus, careful dissection of the Calot`s triangle is necessary for conventional and laparoscopic cholecystectomy. The knowledge of variations of the origin, course, and length of the cystic artery is important for the surgeon as bleeding from the cystic artery during cholecystectomy can lead to death. Forty-three post-mortem human cadavers at the University Teaching Hospitals, Pathology Department, Lusaka were dissected and examined over a period of five weeks, to establish the origin, length and course of the cystic artery. And to establish the relationship of the cystic artery to the cystic duct. Out of the 43 human cadavers, the cystic artery was found to be originating from the right hepatic artery in 37 cases (86%), from hepatic artery proper in four cases (9.3%), from the left hepatic artery in one case (2.3%) and liver parenchyma in one case (2.3%). In the forty (93%) cadavers dissected, only one cystic artery was identified and in three (7%) others there were two arteries detected. The cystic artery length ranged from 2 – 6 cm (mean 3.53± 0.962 cm). The cystic artery was found to be inside Calot`s triangle in 37 cases (86%) while in four cases (9.3%) it was outside the Calot`s triangle. The cystic artery was found to be passing supero-medial to the cystic duct in 40 cases (93%) while in two cases (4.7%) the cystic artery was passing anterior to the cystic duct and one (2.3%) was unrelated (from the gall bladder bed) to the cystic duct. Demographic characteristic (gender and age) had no statistically significant association to variations of cystic artery (p>0.005). Six (16.2%) of males had variants of cystic artery and no females had variants of the cystic artery. Variations of the cystic artery origin, length, its course through the Calot`s triangle and its relation to the cystic duct are common. Knowledge of these variations is important and helpful in preventing and controlling haemorrhage or avoiding other complications during conventional and laparoscopic cholecystectomy.Keywords: Cystic artery, Cholecystectomy, Calot`s triangle

scholarly journals A cadaveric study on variations of the cystic artery in the department of pathology, at the University Teaching Hospitals, Lusaka, Zambia

2019 ◽  
Vol 8 (1) ◽  
Author(s):  
Isaac Sing`ombe ◽  
Vivienne Nambule ◽  
Fridah Mutalife ◽  
Sikhanyiso Mutemwa ◽  
Elliot Kafumukache ◽  
...  
Keyword(s):  
Hepatic Artery ◽  
Cystic Duct ◽  
Cystic Artery ◽  
University Teaching ◽  
Teaching Hospitals ◽  
Right Hepatic Artery ◽  
Human Cadavers ◽  
The Right ◽  
The University ◽  
University Teaching Hospitals

The main source of blood supply to the gall bladder is the cystic artery which is a branch of the right hepatic artery. Anatomical variations of the cystic artery are frequent. Thus, careful dissection of the Calot`s triangle is necessary for conventional and laparoscopic cholecystectomy. The  knowledge of variations of the origin, course, and length of the cystic artery is important for the surgeon as bleeding from the cystic artery during  cholecystectomy can lead to death. Thirty-two post-mortem human cadavers at the University Teaching Hospitals, Pathology Department, Lusaka were dissected and examined over a period of five weeks, to establish the origin, length and course of the cystic artery. And to establish the relationship of the cystic artery to the cystic duct. Out of the 32 human cadavers, the cystic artery was found to be originating from the right hepatic artery in twenty-eight (87.5%), from hepatic artery proper in three (9.4%) and from the left hepatic artery in one (3.1%). In the twenty-nine (90.6%) cadavers dissected, only one cystic artery was identified and in three (9.4%)others there were two arteries detected. The cystic artery length ranged from 2 – 6 cm (mean 3.56± 1.0285 cm). The cystic artery was found to be inside Calot`s triangle in twenty-seven (84.3%) while in three (9.4%) cadavers it was outside the Calot`s triangle. The cystic artery was found to be passing supero-medial to the cystic duct in thirty (93.7%) cadavers while in two (6.3%) the cystic artery was passing anterior to the cystic duct. Demographic characteristic (gender and age) had no statistically significant association to variations of cystic artery (p>0.005). Five (18.5%) of males had variants of cystic artery and no females had variants of the cystic artery. Variations of the cystic artery origin, length, its course through the Calot`s triangle and its relation to the cystic duct are common. Knowledge of these variations is important and helpful in preventing and controlling haemorrhage or avoiding other complications during conventional and laparoscopic cholecystectomy. Key words: Cystic artery, Variations, Cholecystectomy, Calot`s triangle

Anomalous arterial supply to the gallbladder from the superior mesenteric artery: angiography and computed tomography findings in two cases

2008 ◽  
Vol 49 (9) ◽  
pp. 987-990 ◽  
Author(s):  
Y. Katada ◽  
M. Kishino ◽  
K. Ishihara ◽  
T. Takeguchi ◽  
H. Shibuya
Keyword(s):  
Computed Tomography ◽  
Superior Mesenteric Artery ◽  
Hepatic Artery ◽  
Mesenteric Artery ◽  
Cystic Artery ◽  
Arterial Supply ◽  
Hepatic Arteries ◽  
Right Hepatic Artery ◽  
Pancreatic Artery ◽  
The Right

The arterial supply of the gallbladder usually arises from the right hepatic artery. Other origins include the left, proper, and common hepatic arteries. We report cases of the cystic artery arising from the superior mesenteric artery and arising from the dorsal pancreatic artery originating in turn from the superior mesenteric artery, as demonstrated by angiography and computed tomography.

scholarly journals CYSTIC ARTERY VARIATIONS IN LAPAROSCOPIC CHOLECYSTECTOMY

1969 ◽  
Vol 6 (1) ◽  
pp. 714-717
Author(s):  
MUHAMMAD HUSSAIN ◽  
ADNAN BADAR ◽  
MANZOOR ALI ◽  
SHAHID ALAM ◽  
NAIK ZADA ◽  
...  
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
General Anesthesia ◽  
Hepatic Artery ◽  
Cystic Duct ◽  
Gold Standard ◽  
Cystic Artery ◽  
Common Hepatic Artery ◽  
Hepatic Parenchyma ◽  
Right Hepatic Artery ◽  
Calot’S Triangle

BACKGROUND: Lap cholecystectomy is gold standard for cholelithiasis. Earlier the incidence ofmorbidity and mortality was higher. Later on with the understanding of anatomy and fine techniquesboth morbidity and mortality decreased. Understanding of the anatomy of calot’s triangle reduces thecomplications of the procedure.OBJECTIVE: To study the pattern of variations in cystic artery and comparison with Caucasians.MATERIAL AND METHODS: All laparoscopic cholecystectomies performed in Shah MedicalCentre,over a period of 1 year from January 2013 to December 2013,in whom detailed anatomy ofcalot’s triangle was clearly displayed were included in the study. Those laparoscopic cholecystectomiesin whom the detailed anatomy was not clear were excluded from the study.Laparoscopic cholecystectomies were performed under general anesthesia. The anatomy of cystic arteryand its branches were identified, and it was also correlated in relation to cystic duct and common hepaticduct.We performed 240 lap cholecystectomies over a period of 1 year from January 2013 to December 2013.RESULTS: The pattern of cystic artery was studied in 240 laparoscopic procedures. Origin of cysticartery from right hepatic artery was observed in 82% cases. Double cystic arteries were observed in 8%cases. Common hepatic artery gave rise to 6% cystic arteries. Cystic arteries originated fromgastroduodenal artery in 3% cases. Hepatic parenchyma gave rise to 2% cases.CONCLUSION: Percentage of variations in cystic artery as compared to Caucasians are not different inour study.These variations should be kept in mind to reduce complications.KEYWORDS: laparoscopic cholecystectomy, calot’s triangle, hepatic artery, cystic artery.

scholarly journals Spontaneous dissection of the superior mesenteric artery and the right hepatic artery: a case report

2010 ◽  
Vol 4 (1) ◽  
Author(s):  
Nicolas C Buchs ◽  
Pierre Charbonnet ◽  
Frank Schwenter ◽  
Christoph D Becker ◽  
Philippe Morel ◽  
...  
Keyword(s):  
Case Report ◽  
Superior Mesenteric Artery ◽  
Hepatic Artery ◽  
Mesenteric Artery ◽  
Right Hepatic Artery ◽  
The Right ◽  
Spontaneous Dissection

scholarly journals Abnormal right hepatic artery injury resulting in right hepatic atrophy: diagnosed by laparoscopic cholecystectomy

Open Medicine ◽  
2015 ◽  
Vol 10 (1) ◽  
Author(s):  
Valter Martino ◽  
Alessia Ferrarese ◽  
Marco Bindi ◽  
Silvia Marola ◽  
Valentina Gentile ◽  
...  
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Case Report ◽  
Hepatic Artery ◽  
Vascular Lesions ◽  
Biliary Surgery ◽  
Right Hepatic Artery ◽  
Hepatic Atrophy ◽  
Hepatic Artery Injury ◽  
Asymptomatic Case ◽  
The Right

Abstract An intact hepatic artery is the gateway to successful hepato-biliary surgery. Introduction of laproscopic cholecystectomy (LC) has stimulated a renewed interest in the anatomy of hepatic artery. In this case report we have highlighted importance of variations of right hepatic artery in terms of origin and course We present a rare asymptomatic case of liver atrophy due to an intraoperative lesion of right hepatic artery. We also performed a literature review about surgical vascular lesions and tried to confirm the right concept behind “non trivial procedure” of the LC.

scholarly journals Caterpillar hump of right hepatic artery: incidence and surgical significance

2012 ◽  
Vol 01 (03) ◽  
pp. 121-124 ◽  
Author(s):  
Devi Jansirani ◽  
N Mugunthan ◽  
Vijisha Phalgunan ◽  
Shiva deep S.
Keyword(s):  
Hepatic Artery ◽  
Undergraduate Students ◽  
Surgical Procedures ◽  
Hepatic Duct ◽  
Cystic Artery ◽  
Common Hepatic Duct ◽  
Right Hepatic Artery ◽  
Calot’S Triangle ◽  
Coeliac Trunk ◽  
The Right

Abstract Background and aims : The right hepatic artery occasionally forms a sinuous tortuousity called as caterpillar hump or Moynihan's hump, which occupies the major portion of Calot's triangle. Due to this variation, inadvertent injury to right hepatic artery may occur during surgical procedures. The aim of the study is to find out the incidence of Caterpillar hump of right hepatic artery in cadavers and to correlate with surgical significance. Materials and methods : Sixty cadavers allotted for the purpose of teaching undergraduate students from the period of 2006 to 2011 were used for this study. Branches of coeliac trunk were traced and right hepatic artery was observed for the presence of caterpillar hump. Results : Caterpillar hump was noted in three out of 60 cadavers (5%). Out of three specimens with caterpillar hump, right hepatic artery passed posterior to common hepatic duct in two specimens and anterior to it in one specimen. The presence of dual loops of right hepatic artery was noted in two specimens and single loop was observed in one specimen. Conclusion: The presence of this variant course of right hepatic artery may lead to the formation of short cystic artery. Thereby, right hepatic artery can be mistaken for cystic artery and may be injured during surgical procedures. The knowledge of caterpillar hump of right hepatic artery is essential for the surgeons to avoid the risk of ischemic necrosis of right lobe of liver.

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