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Inicio Cirugía Española (English Edition) Portal Anatomic Variant as an Incidental Finding During Cholecystectomy
Información de la revista
Vol. 94. Núm. 6.
Páginas 358 (junio - julio 2016)
Vol. 94. Núm. 6.
Páginas 358 (junio - julio 2016)
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Portal Anatomic Variant as an Incidental Finding During Cholecystectomy
Variante anatómica portal como hallazgo casual durante colecistectomía
Visitas
1899
Maite Domínguez-Ayalaa,
Autor para correspondencia
maidoay@gmail.com

Corresponding author.
, Inmaculada Cruz Gonzáleza,b, Pilar Gómez Garcíaa,b, Iñaki Iturburu Belmontea,b
a Departamento de Cirugía General y Aparato Digestivo, Hospital Universitario Basurto, Bilbao, Vizcaya, Spain
b Sección Cirugía Hepatobiliopancreática, Hospital Universitario Basurto, Bilbao, Vizcaya, Spain
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The patient is a 58-year-old male with symptomatic cholelithiasis who was scheduled for laparoscopic cholecystectomy. Conversion to open surgery was necessary after iatrogenic injury to the left hepatic duct, which was confirmed by intraoperative cholangiography. Intraoperative ultrasound showed atrophy of segments V and VI as well as the right portal vein. The left hepatic duct was sutured over a T-tube. Postoperative progress was favorable. The postoperative follow-up study was completed with CT angiography.

Arterial flow to the right posterior segments was supplied by a branch of the superior mesenteric artery (Fig. 1). A type D portal vein variant was observed with premature division in the right posterior segments, which remained undivided until giving rise to the intraparenchymal branches for the left and anterior right segments (Fig. 2).

Fig. 1
(0.08MB).
Fig. 2
(0.06MB).

The consequences of a hepatectomy without having identified this anatomical anomaly would have been disastrous.

Conflict of Interests

The authors have no conflict of interests to declare.

Please cite this article as: Domínguez-Ayala M, Cruz González I, Gómez García P, Iturburu Belmonte I. Variante anatómica portal como hallazgo casual durante colecistectomía. Cir Esp. 2016;94:358.

Copyright © 2016. AEC
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