Middle Colic Artery Originating from the Gastroduodenal Artery Discovered during a Whipple
Hepatic artery variations occur in about one-fourth of the population, are frequent questions on standardized surgery exams, and are often discussed on teaching rounds with an attending surgeon. Intraoperatively, it is important to be aware of possible vascular anomalies in order to prevent ligation...
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| Format: | Article |
| Language: | English |
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Wiley
2019-01-01
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| Series: | Case Reports in Surgery |
| Online Access: | http://dx.doi.org/10.1155/2019/1986084 |
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| _version_ | 1849308736940670976 |
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| author | Mei Li M. Kwong Jeffrey Pelton |
| author_facet | Mei Li M. Kwong Jeffrey Pelton |
| author_sort | Mei Li M. Kwong |
| collection | DOAJ |
| description | Hepatic artery variations occur in about one-fourth of the population, are frequent questions on standardized surgery exams, and are often discussed on teaching rounds with an attending surgeon. Intraoperatively, it is important to be aware of possible vascular anomalies in order to prevent ligation or injury of an essential vessel. This case report describes an extremely rare vascular anomaly encountered during a pancreaticoduodenectomy (Whipple operation). Our patient was a middle-aged woman who was incidentally diagnosed with a cystic pancreatic lesion. During the operation, an aberrant middle colic artery was found to be originating from the gastroduodenal artery instead of its usual origin at the superior mesenteric artery. This anomalous middle colic artery has not been previously reported in a live patient. It underscores the importance of being aware of possible vascular variations that may be encountered intraoperatively in order to prevent morbidity and mortality. |
| format | Article |
| id | doaj-art-1a4e3f8d82c14b04acebbefecbf4ab05 |
| institution | Kabale University |
| issn | 2090-6900 2090-6919 |
| language | English |
| publishDate | 2019-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Surgery |
| spelling | doaj-art-1a4e3f8d82c14b04acebbefecbf4ab052025-08-20T03:54:21ZengWileyCase Reports in Surgery2090-69002090-69192019-01-01201910.1155/2019/19860841986084Middle Colic Artery Originating from the Gastroduodenal Artery Discovered during a WhippleMei Li M. Kwong0Jeffrey Pelton1MedStar Washington Hospital Center, Department of General Surgery, Washington, D.C., USAKaiser Permanente, Surgical Oncology, Rockville, Maryland, USAHepatic artery variations occur in about one-fourth of the population, are frequent questions on standardized surgery exams, and are often discussed on teaching rounds with an attending surgeon. Intraoperatively, it is important to be aware of possible vascular anomalies in order to prevent ligation or injury of an essential vessel. This case report describes an extremely rare vascular anomaly encountered during a pancreaticoduodenectomy (Whipple operation). Our patient was a middle-aged woman who was incidentally diagnosed with a cystic pancreatic lesion. During the operation, an aberrant middle colic artery was found to be originating from the gastroduodenal artery instead of its usual origin at the superior mesenteric artery. This anomalous middle colic artery has not been previously reported in a live patient. It underscores the importance of being aware of possible vascular variations that may be encountered intraoperatively in order to prevent morbidity and mortality.http://dx.doi.org/10.1155/2019/1986084 |
| spellingShingle | Mei Li M. Kwong Jeffrey Pelton Middle Colic Artery Originating from the Gastroduodenal Artery Discovered during a Whipple Case Reports in Surgery |
| title | Middle Colic Artery Originating from the Gastroduodenal Artery Discovered during a Whipple |
| title_full | Middle Colic Artery Originating from the Gastroduodenal Artery Discovered during a Whipple |
| title_fullStr | Middle Colic Artery Originating from the Gastroduodenal Artery Discovered during a Whipple |
| title_full_unstemmed | Middle Colic Artery Originating from the Gastroduodenal Artery Discovered during a Whipple |
| title_short | Middle Colic Artery Originating from the Gastroduodenal Artery Discovered during a Whipple |
| title_sort | middle colic artery originating from the gastroduodenal artery discovered during a whipple |
| url | http://dx.doi.org/10.1155/2019/1986084 |
| work_keys_str_mv | AT meilimkwong middlecolicarteryoriginatingfromthegastroduodenalarterydiscoveredduringawhipple AT jeffreypelton middlecolicarteryoriginatingfromthegastroduodenalarterydiscoveredduringawhipple |