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Surgical and Radiologic Anatomy
Published in: Surgical and Radiologic Anatomy 3/2007

01-04-2007 | Anatomic Variations

Anomalous hepatic arterial anatomy discovered during pancreaticoduodenectomy

Authors: Jonathan A. Adamthwaite, Neil Pennington, Krishna V. Menon

Published in: Surgical and Radiologic Anatomy | Issue 3/2007

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Abstract

Introduction

A number of variations in hepatic arterial anatomy have been described. Anomalous arterial supply is of particular relevance to the hepatobiliary, pancreatic or liver transplant surgeon.

Case report

We describe the case of a 57-year-old gentleman who presented with painless obstructive jaundice and was found to have a mass in the head of the pancreas. At pylorus-preserving pancreaticoduodenectomy a distal quadrifurcation of the hepatic artery was discovered. It gave rise to the right hepatic artery, left hepatic artery, intermediate branch and a right accessory hepatic artery. The right accessory hepatic artery gave rise to the gastroduodenal artery.

Conclusion

The surgeon and interventional radiologist need to be aware of the potential for such aberrant anatomy in order to avoid potentially disastrous complications.
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Metadata
Title
Anomalous hepatic arterial anatomy discovered during pancreaticoduodenectomy
Authors
Jonathan A. Adamthwaite
Neil Pennington
Krishna V. Menon
Publication date
01-04-2007
Publisher
Springer-Verlag
Published in
Surgical and Radiologic Anatomy / Issue 3/2007
Print ISSN: 0930-1038
Electronic ISSN: 1279-8517
DOI
https://doi.org/10.1007/s00276-007-0189-1

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