scholarly journals Right Hepatic Artery Encircle the Gallbladder: A Case Report

2019 ◽  
Vol 18 (1) ◽  
Author(s):  
Hanis M ◽  
Nasser A
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Superior Mesenteric Artery ◽  
Hepatic Artery ◽  
Cystic Duct ◽  
Mesenteric Artery ◽  
Open Cholecystectomy ◽  
Right Hepatic Artery ◽  
Hepatobiliary System ◽  
Duct Ligation ◽  
Cholecystectomy Operation

Detailed knowledge of the vascular anatomy of hepatobiliary system is important for a safe cholecystectomy. We are reporting a case of aberrant type of right hepatic artery originating from superior mesenteric artery and encircles the gallbladder that has been found during laparoscopic cholecystectomy operation. We presented a 39-year-old Malay lady came to International Islamic University Malaysia Medical Centre with features of obstructive jaundice. Ultrasound of hepatobiliary system showed cholelithiasis with choledocholithiasis causing dilatation of the common bile duct. ERCP had been performed and sphincterotomy was done. Patient was planned for laparoscopic cholecystectomy. Intraoperatively, the Calot’s triangle was identified in usual manner. However, the right hepatic artery was identified encircling the gallbladder body anteriorly before entering the liver. The procedure was converted to open cholecystectomy due to anatomical variation via Kocher’s incision. Further identification upon open cholecystectomy revealed right hepatic artery originates from superior mesenteric artery runs anterior to cystic duct and encircles the gallbladder before further branches into right and left lobe of the liver. Right hepatic artery was dissected from the gallbladder and the gallbladder removed after cystic duct ligation and separation from the liver bed. On table cholangiogram showed distal CBD stone which was pushed down to duodenum with forceps? Post-operative was uneventful and patient liver functions improved. Knowledge regarding anatomical structure and variant of hepatic artery as well as cystic artery and cystic duct is important to ensure the inadvertent ligation of right hepatic artery which would leads to hepatic ischemia and necrosis.

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 Extra coeliac axis origin of cystic artery: a cadaveric study

2017 ◽  
Vol 06 (03) ◽  
pp. 184-187
Author(s):  
◽  
Keyword(s):  
Superior Mesenteric Artery ◽  
Hepatic Artery ◽  
Mesenteric Artery ◽  
Arterial Embolization ◽  
Cystic Artery ◽  
Medical College ◽  
Right Hepatic Artery ◽  
Coeliac Trunk ◽  
Upper Abdominal ◽  
Formalin Fixed

Abstract Background: A thorough knowledge of extra hepatic biliary system vasculature is very important for surgeons to avoid iatrogenic bleeding during upper abdominal surgeries. Aim: Cystic artery usually a branch of right hepatic artery rarely has anomalous origin from coeliac trunk or from its branches. Very rarely it has an extracoeliac origin. The aim is to study the incidence of origin of cystic artery other than coeliac trunk. Material and method: The study was done on 50 formalin fixed cadavers [32male, 18 female] in the department of anatomy, Bangalore medical college and research institute during 2014-17. During routine dissection of coeliac trunk, cystic artery was traced and observed for its origin. Results: Cystic artery took its origin from right hepatic artery in 37 [74%], left hepatic artery in 9[18%], hepatic artery in 3[6%] and superior mesenteric artery ini [2%] cadaver. Conclusion: The incidence of extra coeliac axis origin of cystic artery is 2% which arose from superior mesenteric artery. Prior knowledge of these variations is important for surgeons and interventional radiologists during pancreatobiliary surgeries, angiogram and arterial embolization.

scholarly journals Acute pancreatitis caused by postcholecystectomic pseudoaneurysmatic hemobilia

2019 ◽  
Vol 7 (1) ◽  
pp. 55-57
Author(s):  
Tamzeed Hossain ◽  
Nazmun Nahar Munny ◽  
Chowdhury Rifat Niger ◽  
Hasan Tasmim ◽  
Rawshan Arra Khanam ◽  
...  
Keyword(s):  
Acute Pancreatitis ◽  
Abdominal Pain ◽  
Laparoscopic Cholecystectomy ◽  
Obstructive Jaundice ◽  
Gall Bladder ◽  
Superior Mesenteric Artery ◽  
Hepatic Artery ◽  
Mesenteric Artery ◽  
Left Lobe ◽  
History Of

A 50 year old bangladeshi female, came to our emergency with hematemasis ,jaundice and abdominal pain who had a history of laparoscopic cholecystectomy 1 month ago. Patient was diagnosed as acute pancreatitis and obstructive jaundice caused by postcholecystectomic hemobilia. She also had a vascular abnormaly (Her left lobe of liver is supplied by hepatic artery and right love of liver is supplied by accessory hepatic artery which is a branch of superior mesenteric artery, and a sacular aneurysm developed in accessory hepatic artery near the gall bladder fossa (near postcholecystectomy clipping). We are reporting another case of acute pancreatitis after laparoscopic cholecystectomy caused by hemobilia secondary to pseudoaneurysm in accessory hepatic artery originating from superior mesenteric artery. This is probably second such reported case. Bangladesh Crit Care J March 2019; 7(1): 55-57

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