Laparoscopic Cholecystectomy in Moynihan's Hump, Varices of Paracholedochal Plexuses With Superficial Course of Inferior Vena Cava at Calot's Triangle: Case Report
ABSTRACT Anatomical variations of the vascular supply of the hepatobiliary system are rare to see. A sound knowledge of congenital variations of vascular patterns in and around Calot's triangle is essential for the safe practice of laparoscopic cholecystectomy. A case of 34‐year‐old female is r...
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Wiley
2025-07-01
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| Series: | Clinical Case Reports |
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| Online Access: | https://doi.org/10.1002/ccr3.70593 |
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| author | Imtiaz Wani |
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| author_sort | Imtiaz Wani |
| collection | DOAJ |
| description | ABSTRACT Anatomical variations of the vascular supply of the hepatobiliary system are rare to see. A sound knowledge of congenital variations of vascular patterns in and around Calot's triangle is essential for the safe practice of laparoscopic cholecystectomy. A case of 34‐year‐old female is reported who has intraoperative diagnosis of Moynihan's hump, varices of paracholedochal plexuses, superficially placed portal vein in anterior plane with superficial course of inferior vena cava at Calot's triangle during laparoscopic cholecystectomy. An uneventful laparoscopic cholecystectomy was done with utmost meticulous approach and careful surgical dissection in Calot's triangle to avoid any inadvertent injury to anomalous vasculature. An occurrence of congenital anomaly of Moynihan's hump, varices of paracholedochal plexuses, superficially placed portal vein in anterior plane with superficial course of inferior vena cava at Calot's triangle is extremely rare and incidentally diagnosed intraoperatively. This case report is the first kind of case of world reporting occurrence of a multiple vascular anomalies diagnosed during laparoscopic cholecystectomy. Culture of safe practice of laparoscopic cholecystectomy is to be advocated and this is to be called as “Srinagar Cholecystectomy”. |
| format | Article |
| id | doaj-art-405c7601128741cb9a076a2f2a7724ed |
| institution | Kabale University |
| issn | 2050-0904 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | Wiley |
| record_format | Article |
| series | Clinical Case Reports |
| spelling | doaj-art-405c7601128741cb9a076a2f2a7724ed2025-08-21T03:34:05ZengWileyClinical Case Reports2050-09042025-07-01137n/an/a10.1002/ccr3.70593Laparoscopic Cholecystectomy in Moynihan's Hump, Varices of Paracholedochal Plexuses With Superficial Course of Inferior Vena Cava at Calot's Triangle: Case ReportImtiaz Wani0Department of Minimal Access and General Surgery Government Gousia Hospital, DHS Srinagar Kashmir IndiaABSTRACT Anatomical variations of the vascular supply of the hepatobiliary system are rare to see. A sound knowledge of congenital variations of vascular patterns in and around Calot's triangle is essential for the safe practice of laparoscopic cholecystectomy. A case of 34‐year‐old female is reported who has intraoperative diagnosis of Moynihan's hump, varices of paracholedochal plexuses, superficially placed portal vein in anterior plane with superficial course of inferior vena cava at Calot's triangle during laparoscopic cholecystectomy. An uneventful laparoscopic cholecystectomy was done with utmost meticulous approach and careful surgical dissection in Calot's triangle to avoid any inadvertent injury to anomalous vasculature. An occurrence of congenital anomaly of Moynihan's hump, varices of paracholedochal plexuses, superficially placed portal vein in anterior plane with superficial course of inferior vena cava at Calot's triangle is extremely rare and incidentally diagnosed intraoperatively. This case report is the first kind of case of world reporting occurrence of a multiple vascular anomalies diagnosed during laparoscopic cholecystectomy. Culture of safe practice of laparoscopic cholecystectomy is to be advocated and this is to be called as “Srinagar Cholecystectomy”.https://doi.org/10.1002/ccr3.70593congenital anomaliesinferior vena cavaMoynihan's humpparacholedochal plexusesportal veinsafe cholecystectomy |
| spellingShingle | Imtiaz Wani Laparoscopic Cholecystectomy in Moynihan's Hump, Varices of Paracholedochal Plexuses With Superficial Course of Inferior Vena Cava at Calot's Triangle: Case Report Clinical Case Reports congenital anomalies inferior vena cava Moynihan's hump paracholedochal plexuses portal vein safe cholecystectomy |
| title | Laparoscopic Cholecystectomy in Moynihan's Hump, Varices of Paracholedochal Plexuses With Superficial Course of Inferior Vena Cava at Calot's Triangle: Case Report |
| title_full | Laparoscopic Cholecystectomy in Moynihan's Hump, Varices of Paracholedochal Plexuses With Superficial Course of Inferior Vena Cava at Calot's Triangle: Case Report |
| title_fullStr | Laparoscopic Cholecystectomy in Moynihan's Hump, Varices of Paracholedochal Plexuses With Superficial Course of Inferior Vena Cava at Calot's Triangle: Case Report |
| title_full_unstemmed | Laparoscopic Cholecystectomy in Moynihan's Hump, Varices of Paracholedochal Plexuses With Superficial Course of Inferior Vena Cava at Calot's Triangle: Case Report |
| title_short | Laparoscopic Cholecystectomy in Moynihan's Hump, Varices of Paracholedochal Plexuses With Superficial Course of Inferior Vena Cava at Calot's Triangle: Case Report |
| title_sort | laparoscopic cholecystectomy in moynihan s hump varices of paracholedochal plexuses with superficial course of inferior vena cava at calot s triangle case report |
| topic | congenital anomalies inferior vena cava Moynihan's hump paracholedochal plexuses portal vein safe cholecystectomy |
| url | https://doi.org/10.1002/ccr3.70593 |
| work_keys_str_mv | AT imtiazwani laparoscopiccholecystectomyinmoynihanshumpvaricesofparacholedochalplexuseswithsuperficialcourseofinferiorvenacavaatcalotstrianglecasereport |