A Rare Case of a Common Hepatic Duct Stricture Secondary to an Anteriorly Crossing Right Hepatic Artery in an Infant
| Autor: | B S S Ravi Kishore, Isaac Tharu Varghese, Aureen D'Cunha |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
Aberrant right hepatic artery lcsh:Surgery Case Report Anastomosis common hepatic duct stricture medicine Choledochal cysts Right hepatic artery Common bile duct business.industry lcsh:RJ1-570 lcsh:Pediatrics lcsh:RD1-811 Jaundice medicine.disease Surgery medicine.anatomical_structure Common hepatic duct Pediatrics Perinatology and Child Health Cystic duct medicine.symptom business Duct (anatomy) obstructive jaundice |
| Zdroj: | Journal of Indian Association of Pediatric Surgeons Journal of Indian Association of Pediatric Surgeons, Vol 23, Iss 3, Pp 161-163 (2018) |
| ISSN: | 1998-3891 0971-9261 |
| Popis: | A 1-year-old male child presented with progressive jaundice. Investigations were suggestive of an obstructive pathology with a suspected choledochal cyst on imaging. Intraoperative cholangiogram demonstrated runoff of contrast from the cystic duct into the common bile duct with no opacification of the biliary system proximal to this. Intraoperatively, the right hepatic artery was found anteriorly crossing the common hepatic duct (CHD) causing extrinsic compression leading to complete obstruction. Following stricture excision and anastomosis of the dilated bulbous CHD to a Roux-en-Y jejunal loop, the child recovered completely. An anteriorly crossing right hepatic artery causing obstruction to the biliary duct is a rare occurrence, more so in infancy. An excision with a hepaticojejunostomy is straight forward and curative. |
| Databáze: | OpenAIRE |
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