Hazazi Ibrahim, Alyami Hassan, Alowairdhi Tumadher, Almaghrabi Leena, ALQahtani Abdulaziz A
General Surgery, King Fahad Military Medical Complex, Dammam, SAU.
General Surgery, Security Forces Hospital, Dammam, SAU.
Cureus. 2023 Feb 2;15(2):e34559. doi: 10.7759/cureus.34559. eCollection 2023 Feb.
Anatomical diversity is rather typical in the biliary region. However, it has only sometimes been documented that the arteries of a hepatobiliary origin compressed the extrahepatic bile duct. Biliary obstruction may be caused by a myriad of benign and malignant diseases. Right hepatic artery syndrome (RHAS) is described as the consequence of right hepatic artery compression of the extrahepatic bile duct. We report a case of a 22-year-old male who presented with a complaint of abdominal pain and was later admitted as a case of acute calculous cholecystitis with obstructive jaundice. Abdominal ultrasound showed a picture of the so-called Mirizzi. However, A magnetic resonance cholangiopancreatography showed a picture of RHAS, so the patient needed endoscopic retrograde cholangiopancreatography to decompress the biliary system which was later performed successfully followed by cholecystectomy. The diagnosis of RHAS is well established in the literature, and it depends on the facility of the institute, cholecystectomy versus hepaticojejunostomy or endoscopic treatment alone are the management options that have been utilized to manage such cases.
胆道区域的解剖学变异相当常见。然而，仅有少数情况记录了肝胆源性动脉压迫肝外胆管的情况。胆道梗阻可能由多种良性和恶性疾病引起。右肝动脉综合征（RHAS）被描述为肝外胆管受右肝动脉压迫的结果。我们报告一例22岁男性患者，其主诉腹痛，后来以急性结石性胆囊炎伴梗阻性黄疸入院。腹部超声显示为所谓的Mirizzi综合征表现。然而，磁共振胰胆管造影显示为右肝动脉综合征表现，因此患者需要进行内镜逆行胰胆管造影以解除胆道系统梗阻，该操作随后成功进行，之后进行了胆囊切除术。右肝动脉综合征的诊断在文献中已有充分记载，其治疗取决于机构的设备条件，胆囊切除术、肝空肠吻合术或单纯内镜治疗是用于处理此类病例的治疗选择。
