Mariolis-Sapsakos Theodoros, Zarokosta Maria, Nikas Dimitrios, Foutsitzi Aikaterini, Angelis Stavros, Noussios George, Filippou Dimitrios
University Department of Surgery, General and Oncologic Hospital of Kifissia "Agii Anargiri", Athens, Greece.
Anatomy and Histology Laboratory, School of Nursing, University of Athens, Athens, Greece.
Oman Med J. 2022 Jul 31;37(4):e410. doi: 10.5001/omj.2022.19. eCollection 2022 Jul.
Anatomical variations of the cystic artery are frequently documented, but variations of the artery to the cystic duct are extremely uncommon. We report a rare duplication of the artery to the cystic duct, revealed during laparoscopic cholecystectomy on an 18-year-old Caucasian female treated for gallstone disease. Both arterial branches were meticulously and carefully retracted and cauterized to avoid bleeding and subsequent postoperative complications. To our knowledge, this is the first reported case of an artery to the cystic duct duplication. The presence of congenital variations of the artery to the cystic duct encumbers surgical maneuvers and increases the potentiality of intraoperative injury and hemorrhage.
胆囊动脉的解剖变异经常被记录，但至胆囊管的动脉变异极为罕见。我们报告了一例罕见的至胆囊管动脉重复畸形，在一名因胆结石疾病接受治疗的18岁白种女性腹腔镜胆囊切除术期间被发现。两根动脉分支均被小心细致地牵开并烧灼，以避免出血及随后的术后并发症。据我们所知，这是首例报道的至胆囊管动脉重复畸形病例。至胆囊管动脉的先天性变异的存在妨碍手术操作，并增加术中损伤和出血的可能性。
