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COMMON HEPATIC ARTERY ARISING FROM THE SUPERIOR MESENTERIC ARTERY: A RARE CASE AT MILITARY HOSPITAL 175
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Abstract
The hepatic artery is the most variable hepatic pedicle anatomical structure, with the common hepatic artery anatomy occurring in approximately 80% of cases and the remaining 20% being variants. Understanding and recognizing the hepatic artery anatomy is very important in the practice of hepatobiliary and pancreatic surgery.
In this report, we present a rare variant of the hepatic artery in which the common hepatic artery originates from the superior mesenteric artery (Michels type IX) discovered during the diagnosis and treatment of a 67-year-old female patient with a Klatskin tumor type IIIa. This vascular variant was identified preoperatively by multislice computed tomography and 3DVT. The patient underwent right hepatectomy, extrahepatic cholangiectomy, portal vein reconstruction, lymphadenectomy, and cholecystoenterostomy safely and recovered well postoperatively.
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Keywords
Variant hepatic artery anatom, Common hepatic artery replacement, Superior mesenteric artery
References
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