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Proximal duodenal obstruction associated with compression from a replaced right hepatic artery

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Abstract

Replaced right hepatic artery is a well-described normal anatomical variant, not previously associated with acute or chronic abdominal symptoms or long-term sequelae. We report a 15-year-old girl presenting with nearly a decade of symptoms secondary to external compression of the proximal duodenum by the ventral passage of a replaced right hepatic artery. Surgical bypass of the duodenal obstruction significantly improved her symptoms. Replaced right hepatic artery related duodenal compression should be considered in the differential diagnosis of proximal duodenal obstruction. The presence of the replaced right hepatic artery should be clearly communicated to allow optimal presurgical planning.

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References

  1. Long FR, Mutabagani KH, Caniano DA et al (1999) Duodenum inversum mimicking mesenteric artery syndrome. Pediatr Radiol 29:602–604

    Article  CAS  PubMed  Google Scholar 

  2. Corness JAG, McHugh K, Roebuck DJ et al (2006) The portal vein in children: radiological review of congenital anomalies and acquired abnormalities. Pediatr Radiol 36:87–96

    Article  PubMed  Google Scholar 

  3. Biank V, Werlin S (2006) Superior mesenteric artery syndrome in children: a 20-year experience. J Pediatr Gastroenterol Nutr 42:522–555

    Article  PubMed  Google Scholar 

  4. Geskey JM, Erdman HJ, Bramley HP et al (2012) Superior mesenteric artery syndrome in intellectually disabled children. Pediatr Emerg Care 28:351–353

    Article  PubMed  Google Scholar 

  5. Tsirikos K, Jeans LA (2005) Superior mesenteric artery syndrome in children and adolescents with spine deformities undergoing corrective surgery. J Spinal Disord Tech 18:263–271

    PubMed  Google Scholar 

  6. Agrawal GA, Johnson PT, Fishman EK (2007) Multidetector row CT of superior mesenteric artery syndrome. J Clin Gastroenterol 41:62–65

    Article  PubMed  Google Scholar 

  7. Chaib E, Bertevello P, Saad WA et al (2007) The main hepatic anatomic variations for the purpose of split-liver transplantation. Hepatogastroenterology 54:688–692

    PubMed  Google Scholar 

  8. Hiatt JR, Gabbay J, Busutti RW (1994) Surgical anatomy of the hepatic arteries in 1000 cases. Ann Surg 220:50–52

    Article  CAS  PubMed  Google Scholar 

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Correspondence to Lane F. Donnelly.

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Dinan, D., Epelman, M., Guimaraes, C.V. et al. Proximal duodenal obstruction associated with compression from a replaced right hepatic artery. Pediatr Radiol 44, 226–229 (2014). https://doi.org/10.1007/s00247-013-2783-1

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  • DOI: https://doi.org/10.1007/s00247-013-2783-1

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