Abstract
Aberrant left hepatic artery from the gastroduodenal artery with no cystic branch: Case report and review of literature
Highlights
The definition “aberrant” was born from the Latin: aberrare, composed of ab “from” and errare “wander”
According to the classical textbook, the common hepatic artery originates from the celiac trunk and terminates in the gastroduodenal artery and proper hepatic artery, which is divided in two main branches: left hepatic artery and right hepatic artery [2,3] The arterial supply of gallbladder called cystic artery is a vital structure required to get ligated or clipped in the path of laparoscopic cholecystectomy [4]
The absence of the cystic artery and the presence of an aberrant left hepatic artery could confuse the correct execution of the intervention and lead to damage even fatal for the patient
Summary
The definition “aberrant” was born from the Latin: aberrare, composed of ab “from” and errare “wander”. According to the classical textbook, the common hepatic artery originates from the celiac trunk and terminates in the gastroduodenal artery and proper hepatic artery, which is divided in two main branches: left hepatic artery and right hepatic artery [2,3] The arterial supply of gallbladder called cystic artery is a vital structure required to get ligated or clipped in the path of laparoscopic cholecystectomy [4]. Our case is difficult to insert in one of these subclassifications as we did not find a real cystic artery and the left hepatic artery ran in direct contact with the gallbladder. A pulsating tubular structure was established, running on the medial side of the gallbladder, from the infundibulum to the bottom, coming from the celiac tripod (probable branch of the hepatic artery directed to vascularize the left liver) (Figures 1 and 2).
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