PDF(Pubmed)
Abstract：
UNASSIGNED: It is common for the liver to be supplied blood by a hepatic artery branching off the coeliac trunk. Occasionally, a replaced common hepatic artery (RCHA), emerges from the superior mesenteric artery (SMA), can supply the liver in 1.5-4.0% of cases. Computed tomography (CT) angiography is a highly accurate method for identifying arterial anomalies, which may remain undetected until the time of surgery, leading to unexpected complications.
UNASSIGNED: A 53-year-old male exhibiting symptoms of decreased appetite, weight loss, vomiting, and altered sclera, urine, and stool colour, underwent a contrast-enhanced CT scan revealing biliary tract dilatation and pancreatic abnormalities, leading to a pancreaticoduodenectomy. During the surgery, an uncommon arterial finding-CHA from SMA-was noted. Pancreatic cancer was confirmed. The patient was discharged a week post-surgery without issues, emphasizing perioperative care progress.
UNASSIGNED: The authors\' study focused on the detection conditions of the same hepatic artery anomaly in eight cases reported between 2017 and 2023. In two of them the anomaly was discovered in cadaver by routine autopsy. In three cases, this variation was identified before the surgery, but in three other cases it wasn\'t detected until the surgical procedure. In the authors\' case, due to multiple reasons, the anomaly remained undetectable until the surgery.
UNASSIGNED: This study underscores the importance of thorough preoperative evaluation to grasp vascular variations for better patient care. Also, a noteworthy observation in our case is that the surgeon identified an expanded hepatic vessel, prompting further investigation into this anomaly.
UNASSIGNED: A 53-year-old male exhibiting symptoms of decreased appetite, weight loss, vomiting, and altered sclera, urine, and stool colour, underwent a contrast-enhanced CT scan revealing biliary tract dilatation and pancreatic abnormalities, leading to a pancreaticoduodenectomy. During the surgery, an uncommon arterial finding-CHA from SMA-was noted. Pancreatic cancer was confirmed. The patient was discharged a week post-surgery without issues, emphasizing perioperative care progress.
UNASSIGNED: The authors\' study focused on the detection conditions of the same hepatic artery anomaly in eight cases reported between 2017 and 2023. In two of them the anomaly was discovered in cadaver by routine autopsy. In three cases, this variation was identified before the surgery, but in three other cases it wasn\'t detected until the surgical procedure. In the authors\' case, due to multiple reasons, the anomaly remained undetectable until the surgery.
UNASSIGNED: This study underscores the importance of thorough preoperative evaluation to grasp vascular variations for better patient care. Also, a noteworthy observation in our case is that the surgeon identified an expanded hepatic vessel, prompting further investigation into this anomaly.
摘要：
■肝脏通常由从腹腔干分支出来的肝动脉供血。偶尔,替换的肝总动脉（RCHA），从肠系膜上动脉（SMA）出现，可以在1.5-4.0%的病例中供应肝脏。计算机断层扫描（CT）血管造影是识别动脉异常的高度准确的方法，在手术之前可能不会被发现，导致意想不到的并发症。
■一名53岁的男性表现出食欲下降的症状，减肥,呕吐,改变巩膜，尿液,和凳子的颜色，接受了对比增强CT扫描，显示胆道扩张和胰腺异常，导致胰十二指肠切除术.在手术过程中,我们注意到来自SMA的罕见动脉发现-CHA.确诊胰腺癌。患者在手术后一周出院，没有任何问题，强调围手术期护理进展。
■作者\'研究的重点是在2017年至2023年之间报告的8例病例中相同肝动脉异常的检测条件。在其中两个尸体中，通过常规尸检发现了异常。在三种情况下，这种变异是在手术前发现的，但在另外三个病例中，直到手术后才发现。在作者的情况下，由于多种原因,异常在手术前仍未发现.
■本研究强调了彻底的术前评估以掌握血管变异对更好的患者护理的重要性。此外，在我们的案例中值得注意的观察是，外科医生发现了扩张的肝血管，促使进一步调查这一异常现象。
■一名53岁的男性表现出食欲下降的症状，减肥,呕吐,改变巩膜，尿液,和凳子的颜色，接受了对比增强CT扫描，显示胆道扩张和胰腺异常，导致胰十二指肠切除术.在手术过程中,我们注意到来自SMA的罕见动脉发现-CHA.确诊胰腺癌。患者在手术后一周出院，没有任何问题，强调围手术期护理进展。
■作者\'研究的重点是在2017年至2023年之间报告的8例病例中相同肝动脉异常的检测条件。在其中两个尸体中，通过常规尸检发现了异常。在三种情况下，这种变异是在手术前发现的，但在另外三个病例中，直到手术后才发现。在作者的情况下，由于多种原因,异常在手术前仍未发现.
■本研究强调了彻底的术前评估以掌握血管变异对更好的患者护理的重要性。此外，在我们的案例中值得注意的观察是，外科医生发现了扩张的肝血管，促使进一步调查这一异常现象。
