Department of General Surgery, Central Hospital, IndiaFulltext PDF
A pure vascular lesion of the right hepatic artery can be asymptomatic, while in some cases may cause infarct, necrosis, and abscess of the right lobe of the liver. We hereby report a case of right hepatic injury which was clipped and cut during laparoscopic cholecystectomy which was mistakenly thought to be the cystic artery. We observed the liver intraoperatively for quite some time and no line of demarcation or necrosis was noticed. We conclude that this is probably due to the extensive collateral circulation between the right and left hepatic arteries. However, this by no means supports the fact that the right hepatic artery is expendable. There have been multiple reports of hepatic atrophy, necrosis, and abscess after right hepatic ligation.
Vascular injury; Cholecystectomy; Right hepatic artery injury
Anupam Lahiri (2021) A Case of Right Hepatic Artery Injury. WJ Med Res 1(1): 1-4.