Replaced Common Hepatic Artery Arising from the Superior Mesenteric Artery Discovered Over a Pancreaticoduodenectomy: A Case Report

Yosra Malki*, Hatim Lazaar, Tariq Bouhout, Badr Serji and Tijani El Harroudi

Surgical Oncology, Regional Oncology Center, Mohammed VI University Hospital, Oujda, Morocco

^*Correspondance to: Yosra Malki 

 PDF  Full Text DOI: 10.25107/2474-1647.3247

Abstract

Knowledge of the anatomic variations of the hepatic artery is crucial in the planning and performance of pancreaticoduodenectomy to avoid irreversible complications. This can be revealed by preoperative imaging of the hepatic blood supply. However, sometimes the diagnosis is made intraoperatively and often a surprise too many surgeons. We report the case of a 44-year-old female patient who was admitted for a mass of the neck and the body of the pancreas. She underwent a pancreaticoduodenectomy extended to the body of the pancreas. A common hepatic artery originating from the superior mesenteric artery was not identified on preoperative imaging and was discovered intraoperatively. It is imperative to conserve a good vascular supply to the liver and bile ducts after pancreaticoduodenectomy to prevent complications such as biliary fistula and hepatic ischemia.

Keywords

Hepatic artery; Superior mesenteric artery; Pancreaticoduodenectomy; Vascular anomalies

Cite the article

Malki Y, Lazaar H, Bouhout T, Serji B, El Harroudi T. Replaced Common Hepatic Artery Arising from the Superior Mesenteric Artery Discovered Over a Pancreaticoduodenectomy: A Case Report. Clin Surg. 2021; 6: 3247..