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Prebiliary right hepatic artery resulting in common hepatic duct compression and subsequent intrahepatic stone formation: Myth or reality?

par Marron Mendes, Vanessa ;Nasser, Haydar ;Bou Nassif, Georges ;Choukr, Ali
Référence Case Reports in Medicine, 2014, 403104
Publication Publié, 2014

Article révisé par les pairs

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Résumé :

The vascular anatomy of the liver is subjected to many variations. Aberrant hepatic artery is not an uncommon finding during visceral surgery; however, topographic variations are less reported in the literature. Prebiliary artery crossing anteriorly to the common hepatic duct was firstly reported in 1984. We present here a case of a 52-year-old lady who presented with obstructive jaundice and right upper quadrant pain. Paraclinical investigations were consistent with intrahepatic stones and a benign stricture on the CBD. During surgery, a prebiliary right hepatic artery compressing the CHD was noted. The liver pedicle was dissected and a hepaticojejunostomy was performed that resulted in a good outcome after 24 months of followup. © 2014 Vanessa Marron Mendes et al.