Pancreatic head carcinoma and right hepatic artery: embolization management-A case report

Mehdi El Amrani; Emmanuelle Leteurtre; Géraldine Sergent; Olivier Ernst; Vincent Maunoury; Julien Branche; François-René Pruvot; Stéphanie Truant

doi:10.3978/j.issn.2078-6891.2014.040

Pancreatic head carcinoma and right hepatic artery: embolization management-A case report

J Gastrointest Oncol. 2014 Aug;5(4):E80-3. doi: 10.3978/j.issn.2078-6891.2014.040.

Authors

Mehdi El Amrani¹, Emmanuelle Leteurtre¹, Géraldine Sergent¹, Olivier Ernst¹, Vincent Maunoury¹, Julien Branche¹, François-René Pruvot¹, Stéphanie Truant¹

Affiliation

¹ 1 Department of Gastrointestinal Surgery and Transplantation, Lille University and Hospital, France ; 2 Department of Pathology, 3 Department of Radiology, 4 Gastroenterology Unit, Hôpital Huriez, Lille University and Hospital, France.

Abstract

A replaced right hepatic artery (RHA) is the most common anatomical variation in pancreatic surgery. The RHA is frequently encountered and can be problematic in pancreatic carcinoma. The preservation of the RHA is necessary to avoid ischemic complications but can impact margins resection in pancreaticoduodenectomy (PD). We report a case of a 53-year-old man with a head pancreatic carcinoma. There was a close contact between the tumor and the RHA arising from superior mesenteric artery (SMA). Preoperative embolization of the RHA was performed prior to PD.

Keywords: Pancraticoduodenectomy (PD); embolization; pancreatic head carcinoma; right hepatic artery (RHA).

Publication types

Case Reports