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Case Reports in Medicine
Volume 2014 (2014), Article ID 403104, 3 pages
Case Report

Prebiliary Right Hepatic Artery Resulting in Common Hepatic Duct Compression and Subsequent Intrahepatic Stone Formation: Myth or Reality?

1Université Libre de Bruxelles (ULB), 1000 Brussels, Belgium
2Lebanese University, Beirut 961, lebanon

Received 10 October 2013; Revised 11 December 2013; Accepted 11 December 2013; Published 9 January 2014

Academic Editor: Gianfranco D. Alpini

Copyright © 2014 Vanessa Marron Mendes et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


The vascular anatomy of the liver is subjected to many variations. Aberrant hepatic artery is not an uncommon finding during visceral surgery; however, topographic variations are less reported in the literature. Prebiliary artery crossing anteriorly to the common hepatic duct was firstly reported in 1984. We present here a case of a 52-year-old lady who presented with obstructive jaundice and right upper quadrant pain. Paraclinical investigations were consistent with intrahepatic stones and a benign stricture on the CBD. During surgery, a prebiliary right hepatic artery compressing the CHD was noted. The liver pedicle was dissected and a hepaticojejunostomy was performed that resulted in a good outcome after 24 months of followup.