title: Unusual course of the aberrant right hepatic artery running through the pancreatic parenchyma during modified Frey's procedure.
abstract: We report a variation of an aberrant right hepatic artery arising from the superior mesenteric artery and crossing into pancreatic head without other hepatic artery substitution. The variant was discovered during radiological examinations in a patient with symptomatic chronic pancreatitis requiring Frey's procedure with reinsertion of the common bile duct into the pancreatic head. An aberrant right hepatic artery arising from the superior mesenteric artery is present in 10 to 20% of case and its course is usually retro-pancreatic. The course of this artery into the pancreatic head is uncommon and can be present up to 10% in case of ARHA. Knowledge of an aberrant right hepatic artery crossing into the pancreatic head is important before pancreatic surgery in order to avoid surgical complications, especially for liver necrosis.
authors.affiliation: Department of Digestive Surgery, Amiens North Hospital, Jules-Verne University of Picardie, place Victor Pauchet, 80054 Amiens, France.
authors.forename: L
authors.initials: L
authors.lastname: Rebibo
authors.affiliation: Laboratory of anatomy and organogenesis, Jules-Verne University of Picardie, 3 rue des Louvels, 80054 Amiens, France.
authors.forename: J
authors.initials: J
authors.lastname: Peltier
authors.affiliation: Department of Digestive Surgery, Amiens North Hospital, Jules-Verne University of Picardie, place Victor Pauchet, 80054 Amiens, France.
authors.forename: O
authors.initials: O
authors.lastname: Gerin
authors.affiliation: Departments of radiology, Amiens university medical center and the Jules-Verne university of Picardie, 80054 Amiens, France.
authors.forename: D
authors.initials: D
authors.lastname: Michel
authors.affiliation: Departments of radiology, Amiens university medical center and the Jules-Verne university of Picardie, 80054 Amiens, France.
authors.forename: B
authors.initials: B
authors.lastname: Robert
authors.affiliation: Department of Digestive Surgery, Amiens North Hospital, Jules-Verne University of Picardie, place Victor Pauchet, 80054 Amiens, France. Electronic address: regimbeau.jean-marc@chu-amiens.fr.
authors.forename: J-M
authors.initials: JM
authors.lastname: Regimbeau
mesh_terms: D002114:Calcinosis / Q000601:surgery; D003135:Common Bile Duct / Q000601:surgery; D006499:Hepatic Artery / Q000033:anatomy & histology*; D006801:Humans; D007565:Jaundice / Q000209:etiology; D008297:Male; D017538:Mesenteric Artery, Superior / Q000033:anatomy & histology; D008875:Middle Aged; D010179:Pancreas / Q000601:surgery; D050500:Pancreatitis, Chronic / Q000601:surgery; D018084:Ultrasonography, Interventional
keywords: Aberrant right hepatic artery; Anatomical variant; Artère hépatique droite aberrante; Chronic pancreatitis; Frey's procedure; Intervention de Frey; Pancréatite chronique; Variation anatomique