alexa Abstract | Transpancreatic Hepatomesenteric Trunk Complicating Pancreaticoduodenectomy

JOP. Journal of the Pancreas
Open Access

OMICS International organises 3000+ Global Conferenceseries Events every year across USA, Europe & Asia with support from 1000 more scientific Societies and Publishes 700+ Open Access Journals which contains over 50000 eminent personalities, reputed scientists as editorial board members.

Open Access Journals gaining more Readers and Citations

700 Journals and 15,000,000 Readers Each Journal is getting 25,000+ Readers

This Readership is 10 times more when compared to other Subscription Journals (Source: Google Analytics)


Context Standard celiac and hepatic arterial anatomy occur in approximately 60% of the patients; for the remaining,multiple variations have been described. A thorough knowledge of these anomalies is important in order to avoidunnecessary complications. In this report we describe one of the rarest arterial anomalies, a hepatomesenteric trunksupplying the liver. We attempt to elucidate its implications pertaining to the safe performance of apancreaticoduodenectomy. Case report A 45-year-old male with a one-month duration painless progressive jaundice wasevaluated and diagnosed as having a periampullary growth. Preoperative imaging did not suggest any arterial anomalies.Intraoperatively, the common hepatic artery was found to originate from the superior mesenteric artery. He underwent apylorus preserving pancreaticoduodenectomy with a meticulous dissection and preservation of the aberranthepatomesenteric trunk. His postoperative period was uneventful and is doing well on follow up. Conclusion Variations inhepatic and celiac arterial anatomy are common, and may not get picked up on preoperative imaging. A high index ofsuspicion in every patient along with a precise knowledge of the normal anatomy and awareness of the aberrant anatomy isa sine qua non to the performance of a safe pancreaticoduodenectomy.

To read the full article Peer-reviewed Article PDF image | Peer-reviewed Full Article image

Author(s): Ashwin Rammohan Jeswanth Sathyanesan Ravichandran Palaniappan Manoharan Govindan

Peer Reviewed Journals
Make the best use of Scientific Research and information from our 700 + peer reviewed, Open Access Journals
International Conferences 2017-18
Meet Inspiring Speakers and Experts at our 3000+ Global Annual Meetings

Contact Us