COMBINED ANOMALLY OF RIGHT HEPATIC ARTERY & RIGHT HEPATIC DUCT IN CHOLESYSTECTOMY: A CASE REPORT AND LITERATURE REVIEW

Dr. Pankaj Kumar Sarkar; Dr. Shibaji Basu; Dr. Shibsankar Ray Chaudhury

Volume : VII, Issue : VI, June - 2017

COMBINED ANOMALLY OF RIGHT HEPATIC ARTERY & RIGHT HEPATIC DUCT IN CHOLESYSTECTOMY: A CASE REPORT AND LITERATURE REVIEW

Dr. Pankaj Kumar Sarkar, Dr. Shibaji Basu, Dr. Shibsankar Ray Chaudhury

Abstract :

In contrast to the conventional belief that ligation & division of the cystic artery & duct almost completes the operation we would like to say dissection in gall bladder fossa also may be very dangerous. We are presenting a case here to show how dangerous gall bladder fossa may be after an easy Calot’s Triangle dissection. A 45 year old female with a history of biliary colic was scheduled for open cholecystectomy. After dissection in Calot’s triangle & removal of gall bladder from liver bed it was seen that the right hepatic artery travels a long extra– hepatic course through gall bladder fossa before entering the liver near thefundus of the gall bladder. The right hepatic duct also seen to travel an unusually long extra–hepatic coursethrough the gall bladder fossa before entering into the liver. The right hepatic duct was punctured with fine needle to confirm the presence of bile.