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Compression of the Common Hepatic Duct by Right Hepatic Artery in a Case with Cholecystolithiasis S. Doi 1 , S. Yoshimoto 2 , K. Hikita 3 , M. Beppu 3 1Dept. of Radiology, Kobe University School of Medicine 2Dept. of Radiology, Hyogo Prefectural Nishinomiya Hospital 3Dept. of Surgery, Hyogo Prefectural Nishinomiya Hospital pp.687-690
Published Date 1979/5/25
DOI https://doi.org/10.11477/mf.1403107682
  • Abstract
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 A case with compression of the common hepatic duct by right hepatic artery is reported in this paper.

 A 38-year-old man complained of right hypochondral pain with nausea. Physical examination on admission revealed the patient in good nutritional state. Only serum alkaline phosphatase was a little elevated. No cholangiogram was obtained by drip infusion cholangiography, and only the round calcified shadow, 7×7 mm in diameter, was visible.

 Endoscopic retrograde cholangiogram showed a localized defect of the common hepatic duct. By angiogram it was diagnosed as it a compression by the right hepatic artery. By operation right hepatic artery crossing the anterior part of the common hepatic duct was comfirmed.

 There are many diseases with the defect of the common hepatic duct as revealed by cholangiography such as polyp, gallstone, Mirrizi's syndrome and so on. Right hepatic artery usually crosses the posterior part of common hepatic duct but scarcely anterior as in our case. Other vessels, for example, right gastric artery, cystic artery and collateral portal vein with portal hypertension, cross the anterior part of the common bile duct.


Copyright © 1979, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1219 印刷版ISSN 0536-2180 医学書院

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