HCC is the fourth most common hepatic
disorder in Pakistan3.
Calot's triangle (or the cystohepatic triangle) is an anatomic space bounded superiorly by the inferior surface of the liver, laterally by the CD, and medially by the common hepatic
It is the second most common hepatic
primary malignancy (accounting for 15-20% of cases).
Right hepatic artery usually crosses posterior to common hepatic
Two trunks arose separately from a very short CMT: 1) the gastro-splenic trunk divided into the left gastric artery and the splenic artery; and 2) the hepatomesenteric trunk divided into the common hepatic
artery and the superior mesenteric artery.
The right and left hepatic ducts and proximal of the common hepatic
duct were involved in the mass, resulting in dilatation of intrahepatic ducts.
We present a case of a 78-year-old jaundiced male patient who sustained common hepatic
duct injury during laparoscopic cholecystectomy eight months earlier.
An ERCP was then performed revealing external common hepatic
duct obstruction at the neck of the gallbladder.
CT chest abdomen and pelvis was ordered which revealed a 3 x 5 cm mass arising from the apical segment of the upper lobe of right lung, a 1 cm peripheral nodule in upper lobe of left lung, a 2 cm mass along margin of pancreatic head causing obstruction to the common hepatic
duct resulting in diffuse intra hepatic biliary dilatation, and a mass in fundus of gall bladder invading into adjacent liver.
Hepatic hemangioma/hemangioendothelioma is the most common hepatic
tumor of infancy.
Following inflation and fixation of the microballoon catheter, the parent catheter was advanced to the proper or common hepatic
artery by gentle retraction of the microballoon catheter as a guide wire.
Subsequently, he underwent hepatic artery angiogram (day 21), which showed critical anastomotic stenosis of the replaced common hepatic
artery that arose directly off the aorta.