Anomalous Origin of Cystic Artery and its Surgical Implications
Journal Title: Scholars Journal of Medical Case Reports - Year 2016, Vol 4, Issue 12
Abstract
Cystic artery is usually a branch of right hepatic artery given in the Calot’s triangle. Variations in the origin of cystic artery have been reported but there is paucity of literature regarding these in Indian subjects. The development of biliary vasculature is quite complex and it accounts for many variations. The present case describes the origin of cystic artery from the superior mesenteric artery, with an unusual course, which was detected during routine cadaveric dissection in an approximately 60 years old male cadaver. The embryological development and clinical implications of such a variant have been discussed in this article. Knowledge of cystic artery variability facilitates intraoperative identification of vessels in both classical and laparoscopic surgery of the bile ducts. This emphasises the importance of a thorough knowledge of the cystic arterial variations that often occur and may be encountered during both laparoscopic and open cholecystectomy. Uncontrolled bleeding from the cystic artery and its branches is a serious problem that may increase the risk of intraoperative lesions to vital vascular and biliary structures during hepato-biliary surgery. Keywords: Cystic artery, Hepatic artery, Calot’s triangle, Superior mesenteric artery, Biliary vasculature, Cholecystectomy.
Authors and Affiliations
Naveena Swargam, Nitya Waghray
Keywords
Related Articles
- EP ID EP374716
- DOI -
- Views 88
- Downloads 0
Cat Eye Syndrome and Short Stature with Primary Amenorrhea: A Case Report and Review of the Literature
Abstract: Cat eye syndrome (CES) is a rare disease caused by a chromosomal abnormality with the presence of a small additional chromosome from chromosome 22. It is characterized by a variable association of congenital ma...
Sarcomatoidurothelial carcinoma of urinary bladder with heterologous smooth muscle elements-a case report and review of literature
Sarcomatoidurothelial carcinoma is a biphasic malignant neoplasm exhibiting morphologic and or immunohistochemical evidences of both epithelial and mesenchymal differentiation. This uncommon vesical neoplasm is more freq...
Primary Spelnic Hemangioma with Spenunculi at Greater Sac: A Rare Case Report
Primary tumors of the spleen are rare and with the exception of malignant lymphoma are seldom considered in the differential diagnosis of splenomegaly. Such tumors may be either cystic or solid, and the cystic variety, c...
Acute Disseminated Encephalomyelitis
Acute disseminated encephalomyelitis (ADEM) is acute multifocal white matter demyelination of central nervous system due to autoimmune response following viral infection or vaccination. We bring to your attention the cas...
Combination of Rigid and Non-Rigid Fixation in Maxillary Orthognathic Surgery: Case Report
Every reduction requires fixation. The osteotomized segments are fixed with various techniques as described in the literature. Fixation is broadly classified into rigid and non-rigid. Non-rigid fixation is the old and go...