Skip to main content
Log in

Common hepatic artery originating from superior mesenteric artery with replaced right hepatic artery

  • Case Report
  • Published:
Anatomical Science International Aims and scope Submit manuscript

Abstract

We found a variational case relating to the arteries distributed to the liver and pancreas during the routine cadaver dissection course. The common hepatic artery originated from the superior mesenteric artery as the first branch. The common hepatic artery was soon divided into the left and right hepatic arteries and distributed to the left and right lobe of the liver. The superior pancreaticoduodenal artery arose from the gastroduodenal artery, a branch of the left hepatic artery. The inferior pancreaticoduodenal artery originated from the superior mesenteric artery. Besides, two posterior branches of the right hepatic artery supplied the duodenum and the head of the pancreas. The arterial arcades were formed behind the head of the pancreas among the superior pancreaticoduodenal artery and these two posterior branches of the right hepatic artery. In conclusion, this case can be considered a rare case in which the replaced common hepatic artery and replaced right hepatic artery occurred simultaneously. The coexisting of these two replaced arteries suggests that the developmental processes to form these variations are independent.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1

Similar content being viewed by others

Abbreviations

aGA:

Accessory gastric artery

aIPDA:

Anterior inferior pancreaticoduodenal artery

aSPDA:

Anterior superior pancreaticoduodenal artery

CA:

Cystic artery

CBD:

Common bile duct

GB:

Gallbladder

IPA:

Inferior pancreatic artery

IPDA:

Inferior pancreaticoduodenal artery

IVC:

Inferior vena cava

LGA:

Left gastric artery

pIPDA:

Posterior inferior pancreaticoduodenal artery

pSPDA:

Posterior superior pancreaticoduodenal artery

PV:

Portal vein

RGA:

Right gastric artery

RGEA:

Right gastroepiploic artery

SA:

Splenic artery

References

  • Adachi B (1928) Das Arteriensystem der Japaner. Verlag der Kaiserlich Japanischen Universitat zu Kyoto 2:18–66

    Google Scholar 

  • Ando H (2010) Embryology of the biliary tract. Dig Surg 27:87–89

    Article  Google Scholar 

  • Cirocchi R, D’Andrea V, Lauro A et al (2019) The absence of the common hepatic artery and its implications for surgical practice: results of a systematic review and meta-analysis. The Surgeon 17:172–185

    Article  Google Scholar 

  • Gittes GK (2009) Developmental biology of the pancreas: a comprehensive review. Dev Biol 326:4–35

    Article  CAS  Google Scholar 

  • Gordillo M, Evans T, Gouon-Evans V (2015) Orchestrating liver development. Development 142:2094–2108

    Article  CAS  Google Scholar 

  • Hiatt JR, Gabbay J, Busuttil RW (1994) Surgical anatomy of the hepatic arteries in 1000 cases. Ann Surg 220:50–52

    Article  CAS  Google Scholar 

  • Inoue Y, Saiura A, Yoshioka R et al (2015) Pancreatoduodenectomy with systematic mesopancreas dissection using a supracolic anterior artery-first approach. Ann Surg 262:1092–1101

    Article  Google Scholar 

  • Matsumura H (1998) The significance of the morphology of the dorsal pancreatic artery in determining the presence of the accessory right hepatic artery passing behind the portal vein. Acta Anat Nippon 73:517–527

    CAS  PubMed  Google Scholar 

  • Michels NA (1957) The ever varied blood supply of the liver and its collateral circulation. J Int Coll Surg 27:1–17

    CAS  PubMed  Google Scholar 

  • Szuák A, Németh K, Korom C et al (2018) Pancreaticoduodenal arterial arcades: their dominance and variations—their potential clinical relevance. Clin Anat 31:544–550

    Article  Google Scholar 

  • Tomimaru Y, Tanaka K, Noguchi K, Morita S, Imamura H, Dono K (2018) The branching pattern of the inferior pancreaticoduodenal artery in patients with a replaced right hepatic artery. Am Surg 84:796–800

    Article  Google Scholar 

  • Tsutsumi M, Arakawa T, Terashima T et al (2014) Morphological analysis of the branches of the dorsal pancreatic artery and their clinical significance. Clin Anat 27:645–652

    Article  Google Scholar 

Download references

Acknowledgements

We sincerely appreciate the cadaver donator who provided the opportunity for us to study the intriguing arterial distributions. We also thank the staff in the lab for their contribution to the treatment of the cadaver.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Takuya Omotehara.

Ethics declarations

Conflict of interest

The authors declare that they have no conflict of interest.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Omotehara, T., Naito, M., Hayashi, S. et al. Common hepatic artery originating from superior mesenteric artery with replaced right hepatic artery. Anat Sci Int 96, 568–571 (2021). https://doi.org/10.1007/s12565-020-00599-z

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12565-020-00599-z

Keywords

Navigation