Retroportal proper hepatic artery with malrotated gut
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Variations in celiac and hepatic vasculature are common and reported in one in five individuals. We report a rare case of a retroportal proper hepatic artery arising from a celiac trunk with quadruple branching associated with an intraperitoneal duodenum, pancreas and ascending colon. In addition, accessory left hepatic artery arose from the left gastric and the cystic artery originated abnormally from the gastroduodenal artery. Awareness of such variable arterial patterns is relevant in radiological assessment and planning for successful liver transplants, hepatobiliary surgery, portal vein resections and particularly interventional transarterial regional/focal chemoablative procedures of liver.
KeywordsCeliac trunk Hepatic artery Retroportal proper hepatic artery Hepatic vasculature
We gratefully acknowledge Dr. Sujoy Pal, Additional Professor, Surgical Gastroenterology, All India Institute of Medical Sciences for providing technical insight into the manuscript.
Conflict of interest
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