Right hepatic artery encircle the gallbladder: a case report

Detailed knowledge of the vascular anatomy of hepatobiliary system is important for a safe cholecystectomy. We are reporting a case of aberrant type of right hepatic artery originating from superior mesenteric artery and encircles the gallbladder that has been found during laparoscopic cholecyste...

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Main Authors:	Mohd Nor, Mohd Hanis, Amjad, Nasser Muhammad
Format:	Article
Language:	English English
Published:	Kulliyyah of Medicine, International Islamic University Malaysia 2019
Subjects:	R Medicine (General) RD Surgery
Online Access:	http://irep.iium.edu.my/76260/ http://irep.iium.edu.my/76260/ http://irep.iium.edu.my/76260/1/76260_Right%20hepatic%20artery%20encircle%20the%20gallbladder.pdf http://irep.iium.edu.my/76260/2/76260_Right%20hepatic%20artery%20encircle%20the%20gallbladder_SCOPUS.pdf

id	iium-76260
recordtype	eprints
spelling	iium-762602020-01-31T07:08:22Z http://irep.iium.edu.my/76260/ Right hepatic artery encircle the gallbladder: a case report Mohd Nor, Mohd Hanis Amjad, Nasser Muhammad R Medicine (General) RD Surgery Detailed knowledge of the vascular anatomy of hepatobiliary system is important for a safe cholecystectomy. We are reporting a case of aberrant type of right hepatic artery originating from superior mesenteric artery and encircles the gallbladder that has been found during laparoscopic cholecystectomy operation. We presented a 39-year-old Malay lady came to International Islamic University Malaysia Medical Centre with features of obstructive jaundice. Ultrasound of hepatobiliary system showed cholelithiasis with choledocholithiasis causing dilatation of the common bile duct. ERCP had been performed and sphincterotomy was done. Patient was planned for laparoscopic cholecystectomy. Intraoperatively, the Calot’s triangle was identified in usual manner. However, the right hepatic artery was identified encircling the gallbladder body anteriorly before entering the liver. The procedure was converted to open cholecystectomy due to anatomical variation via Kocher’s incision. Further identification upon open cholecystectomy revealed right hepatic artery originates from superior mesenteric artery runs anterior to cystic duct and encircles the gallbladder before further branches into right and left lobe of the liver. Right hepatic artery was dissected from the gallbladder and the gallbladder removed after cystic duct ligation and separation from the liver bed. On table cholangiogram showed distal CBD stone which was pushed down to duodenum with forceps? Post-operative was uneventful and patient liver functions improved. Knowledge regarding anatomical structure and variant of hepatic artery as well as cystic artery and cystic duct is important to ensure the inadvertent ligation of right hepatic artery which would leads to hepatic ischemia and necrosis. Kulliyyah of Medicine, International Islamic University Malaysia 2019 Article PeerReviewed application/pdf en http://irep.iium.edu.my/76260/1/76260_Right%20hepatic%20artery%20encircle%20the%20gallbladder.pdf application/pdf en http://irep.iium.edu.my/76260/2/76260_Right%20hepatic%20artery%20encircle%20the%20gallbladder_SCOPUS.pdf Mohd Nor, Mohd Hanis and Amjad, Nasser Muhammad (2019) Right hepatic artery encircle the gallbladder: a case report. International Medical Journal Malaysia (IMJM), 18. p. 11. ISSN 1823-4631 http://iiumedic.net/imjm/v1/download/volume_18_supp/Final-Supplement-ECSS-2018-PDF-11.pdf
repository_type	Digital Repository
institution_category	Local University
institution	International Islamic University Malaysia
building	IIUM Repository
collection	Online Access
language	English English
topic	R Medicine (General) RD Surgery
spellingShingle	R Medicine (General) RD Surgery Mohd Nor, Mohd Hanis Amjad, Nasser Muhammad Right hepatic artery encircle the gallbladder: a case report
description	Detailed knowledge of the vascular anatomy of hepatobiliary system is important for a safe cholecystectomy. We are reporting a case of aberrant type of right hepatic artery originating from superior mesenteric artery and encircles the gallbladder that has been found during laparoscopic cholecystectomy operation. We presented a 39-year-old Malay lady came to International Islamic University Malaysia Medical Centre with features of obstructive jaundice. Ultrasound of hepatobiliary system showed cholelithiasis with choledocholithiasis causing dilatation of the common bile duct. ERCP had been performed and sphincterotomy was done. Patient was planned for laparoscopic cholecystectomy. Intraoperatively, the Calot’s triangle was identified in usual manner. However, the right hepatic artery was identified encircling the gallbladder body anteriorly before entering the liver. The procedure was converted to open cholecystectomy due to anatomical variation via Kocher’s incision. Further identification upon open cholecystectomy revealed right hepatic artery originates from superior mesenteric artery runs anterior to cystic duct and encircles the gallbladder before further branches into right and left lobe of the liver. Right hepatic artery was dissected from the gallbladder and the gallbladder removed after cystic duct ligation and separation from the liver bed. On table cholangiogram showed distal CBD stone which was pushed down to duodenum with forceps? Post-operative was uneventful and patient liver functions improved. Knowledge regarding anatomical structure and variant of hepatic artery as well as cystic artery and cystic duct is important to ensure the inadvertent ligation of right hepatic artery which would leads to hepatic ischemia and necrosis.
format	Article
author	Mohd Nor, Mohd Hanis Amjad, Nasser Muhammad
author_facet	Mohd Nor, Mohd Hanis Amjad, Nasser Muhammad
author_sort	Mohd Nor, Mohd Hanis
title	Right hepatic artery encircle the gallbladder: a case report
title_short	Right hepatic artery encircle the gallbladder: a case report
title_full	Right hepatic artery encircle the gallbladder: a case report
title_fullStr	Right hepatic artery encircle the gallbladder: a case report
title_full_unstemmed	Right hepatic artery encircle the gallbladder: a case report
title_sort	right hepatic artery encircle the gallbladder: a case report
publisher	Kulliyyah of Medicine, International Islamic University Malaysia
publishDate	2019
url	http://irep.iium.edu.my/76260/ http://irep.iium.edu.my/76260/ http://irep.iium.edu.my/76260/1/76260_Right%20hepatic%20artery%20encircle%20the%20gallbladder.pdf http://irep.iium.edu.my/76260/2/76260_Right%20hepatic%20artery%20encircle%20the%20gallbladder_SCOPUS.pdf
first_indexed	2023-09-18T21:47:47Z
last_indexed	2023-09-18T21:47:47Z
_version_	1777413566351015936

Right hepatic artery encircle the gallbladder: a case report

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