Puneet Rana1, Shashi Singh2. 1. Department of Radiology, Albert Einstein College of Medicine/NYC Health + Hospitals - Jacobi Medical Center, The Bronx, NY, USA. 2. Department of Radiology, Albert Einstein College of Medicine/NYC Health + Hospitals - Jacobi Medical Center, The Bronx, NY, USA. shashi.singh@nychhc.org.
Abstract
PURPOSE: Anatomic variants of the celiac trunk and superior mesenteric artery are common, thus knowledge of these variants is important for preoperative planning of abdominal surgery and interventional procedures. METHODS: We report a rare anatomic variant of replaced proper hepatic and gastroduodenal arteries discovered upon CT angiography and diagnostic angiogram. RESULTS: Emergent angiogram performed on a 61-year-old male who presented with signs and symptoms of upper gastrointestinal hemorrhage revealed a rare variant of an absent common hepatic artery and its branches with aberrant origins. The replaced proper hepatic artery originated from the superior mesenteric artery and the replaced gastroduodenal artery originated from a gastrosplenic trunk. CONCLUSION: This case emphasizes the importance of evaluating preoperative imaging to identify vascular variants prior to undergoing abdominal surgery or interventional procedures.
PURPOSE: Anatomic variants of the celiac trunk and superior mesenteric artery are common, thus knowledge of these variants is important for preoperative planning of abdominal surgery and interventional procedures. METHODS: We report a rare anatomic variant of replaced proper hepatic and gastroduodenal arteries discovered upon CT angiography and diagnostic angiogram. RESULTS: Emergent angiogram performed on a 61-year-old male who presented with signs and symptoms of upper gastrointestinal hemorrhage revealed a rare variant of an absent common hepatic artery and its branches with aberrant origins. The replaced proper hepatic artery originated from the superior mesenteric artery and the replaced gastroduodenal artery originated from a gastrosplenic trunk. CONCLUSION: This case emphasizes the importance of evaluating preoperative imaging to identify vascular variants prior to undergoing abdominal surgery or interventional procedures.
Authors: I Marco-Clement; A Martinez-Barco; N Ahumada; C Simon; J M Valderrama; J Sanudo; J Arrazola Journal: Surg Radiol Anat Date: 2015-08-13 Impact factor: 1.246
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Authors: Priscele Viana Dos Santos; Ana Beatriz Marques Barbosa; Vanessa Apolonio Targino; Nathalie de Almeida Silva; Yanka Costa de Melo Silva; Felippe Barbosa; André de Sá Braga Oliveira; Thiago de Oliveira Assis Journal: Arq Bras Cir Dig Date: 2018-12-06