Top

Published in:

01-09-2013 | Case Report

Retroportal proper hepatic artery with malrotated gut

Authors: Surbhi Wadhwa, Gitanjali Khorwal, Sarika Rachel Tigga

Published in: Anatomical Science International | Issue 4/2013

Abstract

Variations in celiac and hepatic vasculature are common and reported in one in five individuals. We report a rare case of a retroportal proper hepatic artery arising from a celiac trunk with quadruple branching associated with an intraperitoneal duodenum, pancreas and ascending colon. In addition, accessory left hepatic artery arose from the left gastric and the cystic artery originated abnormally from the gastroduodenal artery. Awareness of such variable arterial patterns is relevant in radiological assessment and planning for successful liver transplants, hepatobiliary surgery, portal vein resections and particularly interventional transarterial regional/focal chemoablative procedures of liver.

Abdullah SS, Mabrut JY, Garbit V, Roche EDL, Rode EOA, Morin A, Berthezene Y, Baulieux J, Ducerf C (2006) Anatomical variations of the hepatic artery: study of 932 cases in liver transplantation. Surg Radiol Anat 28:468–473CrossRefPubMed

Adachi B (1928) Das Arteriensystem der Japaner. Kenkyusha, Kyoto

Blumgart L, Fong Y (2000) Surgery of the liver and biliary tract. Saunders, New York

Chen JY, Shyu JF, Uen YH et al (2007) Surgical anatomy of the gastroduodenal artery in Chinese adults and its clinical applications. Hepatogastroenterology 54:1458–1461PubMed

Chen H, Yano R, Shoichi E, Shizuko S (2009) Anatomic variations of the celiac trunk with special reference to hepatic artery patterns. Ann Anat 191:399–407CrossRefPubMed

Daseler EH, Anson BJ, Hambley WC, Reiman AF (1947) The cystic artery and constituents of the hepatic pedicle. A study of 500 specimens. Surg Gynecol Obstet 85:47–63PubMed

Fasel JH, Muster M, Gaillound P, Mentha G, Terrier F (1996) Duplicated hepatic artery: radiologic and surgical implications. Acta Anat (Basel) 157:164–168CrossRef

Gurgacz AM, Horbbaczewska A, Klimek-Piotrowska W, Walocha J (2011) Variations in hepatic vascularisation: lack of a proper hepatic artery. Two case reports. Folia Morphol 70:130–134

Hiatt JR, Gabbay J, Busuttil RW (1994) Surgical anatomy of the hepatic arteries in 1000 cases. Ann Surg 220:50–52CrossRefPubMed

Ito K, Choji T, Fujita T et al (1993) Imaging of the portacaval space. AJR Am J Roetengenol 161:329–334CrossRef

Koops A, Wojciechowski B, Broering DC, Adam G, Krupski-Berdien G (2004) Anatomic variations of the hepatic arteries in 604 selective celiac and superior mesenteric angiographies. Surg Radiol Anat 26:239–244CrossRefPubMed

Matsumura H (1998) The significance of the morphology of the dorsal pancreatic artery in determining the presence of the accessory right hepatic artery passing behind the portal vein. Kaibogaku Zasshi 73:517–527PubMed

Michels NA (1966) Newer anatomy of the liver and its variant blood supply and collateral circulation. Am J Surg 112:337–347CrossRefPubMed

Murakami T, Mabuchi M, Giuvarasteanu I, Kikuta A, Ohtsuka A (1998) Coexistence of rare arteries in the human celiaco-mesenteric system. Acta Med Okayama 52:239–244PubMed

Nelson TM, Pollak R, Jonasson O, Abcarian H (1988) Anatomic variants of the celiac superior mesenteric and inferior mesenteric arteries and clinical relevance. Clin Anat 1:75–91CrossRef

Polyguj M, Gabryniak T, Topol M (2010) The right accessory hepatic artery: a case report and review of literature. Surg Radiol Anat 32:175–179CrossRef

Prakash, Rajini T, Mokhasi V, Geethanjali BS, Sivacharan PV, Shashirekha M (2012) Coeliac trunk and its branches: anatomical variations and clinical implications. Singap Med J 53:329–331

Reuter SR, Redman HC (1977) Gastrointestinal angiography. Saunders, Philadelphia

Song SY, Chung JW, Yin YH et al (2010) Celiac axis and common hepatic artery variations in 5002 patients: systematic analysis with spiral CT and DSA. Radiology 255:278–288CrossRefPubMed

Tandler J (1904) Uber die Varietäten der Arteriacoeliaca und deren Entwickelung. Anat Hft 25:473–500CrossRef

Vandamme JP, Bonte J, Van der Schueren J (1969) A revaluation of hepatic and cystic arteries. The importance of aberrant hepatic branches. Acta Anat 73:192–209CrossRefPubMed

Weiglein AH (1996) Variations and topography of the arteries in the lesser omentum in humans. Clin Anat 9:143–150CrossRefPubMed

Title: Retroportal proper hepatic artery with malrotated gut
Authors: Surbhi Wadhwa
Gitanjali Khorwal
Sarika Rachel Tigga
Publication date: 01-09-2013
Publisher: Springer Japan
Published in: Anatomical Science International / Issue 4/2013
Print ISSN: 1447-6959
Electronic ISSN: 1447-073X
DOI: https://doi.org/10.1007/s12565-013-0185-y

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Retroportal proper hepatic artery with malrotated gut

Abstract

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Please log in to get access to this content

Other articles of this Issue 4/2013

Proposal for a new classification of variations in the iliac venous system based on internal iliac veins: a case series and a review of double and left inferior vena cava

The location and morphometry of the thyroid isthmus in adult Korean cadavers

Anatomical education and surgical simulation based on the Chinese Visible Human: a three-dimensional virtual model of the larynx region

Multiple vascular variations at the vicinity of the left kidney

A case of retroesophageal right subclavian artery, with special reference to the second intercostal artery, retroesophageal right vertebral artery, and thoracic duct

Bifurcated plantaris with rare relations to the neurovascular bundle in the popliteal fossa