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Published in: Pediatric Radiology 2/2014

01-02-2014 | Case Report

Proximal duodenal obstruction associated with compression from a replaced right hepatic artery

Authors: David Dinan, Monica Epelman, Carolina V. Guimaraes, R. Cartland Burns, Lane F. Donnelly

Published in: Pediatric Radiology | Issue 2/2014

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Abstract

Replaced right hepatic artery is a well-described normal anatomical variant, not previously associated with acute or chronic abdominal symptoms or long-term sequelae. We report a 15-year-old girl presenting with nearly a decade of symptoms secondary to external compression of the proximal duodenum by the ventral passage of a replaced right hepatic artery. Surgical bypass of the duodenal obstruction significantly improved her symptoms. Replaced right hepatic artery related duodenal compression should be considered in the differential diagnosis of proximal duodenal obstruction. The presence of the replaced right hepatic artery should be clearly communicated to allow optimal presurgical planning.
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Metadata
Title
Proximal duodenal obstruction associated with compression from a replaced right hepatic artery
Authors
David Dinan
Monica Epelman
Carolina V. Guimaraes
R. Cartland Burns
Lane F. Donnelly
Publication date
01-02-2014
Publisher
Springer Berlin Heidelberg
Published in
Pediatric Radiology / Issue 2/2014
Print ISSN: 0301-0449
Electronic ISSN: 1432-1998
DOI
https://doi.org/10.1007/s00247-013-2783-1

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