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Case Reports in Surgery
Volume 2016, Article ID 5792980, 4 pages
Case Report

Vascular Anomalies in Pancreaticoduodenectomy: A Lesson Learned

Department of Surgery, Tulane University School of Medicine, New Orleans, LA 70112, USA

Received 8 March 2016; Accepted 7 April 2016

Academic Editor: Paola De Nardi

Copyright © 2016 Joana E. Ochoa 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.


It is essential to identify any variant anatomy prior to surgery as this could have a drastic effect on surgical planning. We describe a case in which two vascular irregularities, an Arc of Buhler and celiac stenosis, were identified on angiogram after completion of a pancreaticoduodenectomy. While there could have been catastrophic results from his surgery in the setting of celiac stenosis, the presence of the aberrant Arc of Buhler allowed this patient to emerge without any permanent morbidity.