Imaging diagnosis of aberrant proper hepatic and gastroduodenal arteries prior to pancreaticoduodenectomy: A case report

Radiology Case Reports

Sho Okimoto, MD, PhD¹  Toshiyuki Moriuchi, MD²  Mamoru Takahashi, MD²  Toshikatsu Fukuda, MD, PhD²  Yosuke Namba, MD²  Seiji Fujisaki, MD, PhD²  Hideki Ohdan, MD, PhD²  Yasufumi Saito, MD, PhD²  Koichi Oishi, MD, PhD²  Tomoaki Bekki, MD²  Shoichiro Mukai, MD, PhD² 

[1] Corresponding author.;Department of Surgery, Chugoku Rosai Hospital, Hiroshima, Japan;

关键词: Proper hepatic artery;    Superior mesenteric artery;    Gastroduodenal artery;    Anatomicvariation;    Pancreaticoduodenectomy;   

DOI  :  

来源: DOAJ

【 摘 要 】

In hepatobiliary and pancreatic surgery, an understanding of hepatic artery anomalies is of great importance to surgeons. Cases of the proper hepatic artery originating from the superior mesenteric artery and the gastroduodenal artery originating from the celiac trunk are extremely rare. To our knowledge, there are no reports of these arterial variants being diagnosed before hepatobiliary and pancreatic surgery. A 73-year-old woman underwent subtotal stomach-preserving pancreaticoduodenectomy and lymphadenectomy for duodenal carcinoma. Preoperative vascular construction with 3-dimensional computed tomography showed variants of the proper hepatic artery and gastroduodenal artery. The proper hepatic artery originated from the superior mesenteric artery, and the gastroduodenal artery originated from the celiac trunk. Intraoperative findings and preoperative vascular construction from 3-dimensional computed tomography were found to be matched exactly; both the proper hepatic artery and gastroduodenal artery were preserved. By diagnosing a rare arterial variant preoperatively, we were able to perform the surgery safely. In hepatobiliary and pancreatic surgery, understanding any potential variation of the hepatic artery before surgery is crucial to ensure the best patient outcomes.

【 授权许可】

Unknown