Abstract
Introduction
Accessory hepatic artery is an incidental finding during hepatobiliary, pancreatic surgery and may be found during hepatic transplantation surgery on angiogram. This artery should be carefully identified & preserved during these surgeries.
Case report
A case of accessory right hepatic artery found incidentally during pancreatico duodenectomy [whippels procedure] identified, dissected carefully & preserved.
Discussion
Anomalous hepatic vasculature is a rare incidental finding during hepatobiliary-pancreatic surgery. These anomalies or accessory hepatic arteries should be identified, carefully preserved to prevent inadvertent injury, torrential bleeding & hepatic necrosis .preservation of these anomalous vasculature will not compromise oncological margin.
References
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Madhu, Y.C., Harish, K. Accessory Right Hepatic Artery and Its Implications for a Surgeon. Indian J Surg 75 (Suppl 1), 492–494 (2013). https://doi.org/10.1007/s12262-013-0893-5
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DOI: https://doi.org/10.1007/s12262-013-0893-5