Document Detail

Hepatocellular carcinoma fed by an aberrant posterior right hepatic artery.
MedLine Citation:
PMID:  14571806     Owner:  NLM     Status:  MEDLINE    
An aberrant hepatic artery arising from the dorsal pancreatic artery is extremely rare, although the arterial blood supply to the liver is variable. A 56-year-old Japanese man was admitted to our hospital with a lesion in the right hepatic lobe. Serum concentrations of alpha-fetoprotein, carcinoembryonic antigen, and carbohydrate antigen 19-9 were within the reference range. Abdominal arteriography showed a hypervascular lesion measuring 3.0 cm in diameter in the right hepatic lobe. The left hepatic artery, the middle hepatic artery, and the anterior branch of the right hepatic artery were derived from the common hepatic artery, while the posterior branch originated from the dorsal pancreatic artery. Computed tomography performed during arteriography via the common hepatic artery showed an arterial perfusion defect in the posterior segment of the right hepatic lobe and enhancement of the ventral portion of the tumor, while the dorsal portion was not enhanced. However, the dorsal portion of the tumor was enhanced when arteriography was performed via the dorsal pancreatic artery. A limited hepatic resection was performed. Histologically, the tumor was a moderately differentiated hepatocellular carcinoma with a thick trabecular pattern.
Takahiro Uenishi; Shoji Kubo; Takatsugu Yamamoto; Shuhei Nishiguchi; Kazuhiro Hirohashi; Hiromu Tanaka; Taichi Shuto; Shogo Tanaka; Masao Ogawa; Hiroaki Kinoshita
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Hepato-gastroenterology     Volume:  50     ISSN:  0172-6390     ISO Abbreviation:  Hepatogastroenterology     Publication Date:    2003 Sep-Oct
Date Detail:
Created Date:  2003-10-23     Completed Date:  2004-02-24     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8007849     Medline TA:  Hepatogastroenterology     Country:  Greece    
Other Details:
Languages:  eng     Pagination:  1644-6     Citation Subset:  IM    
Department of Gastroenterological and Hepato-biliary-pancreatic Surgery, Osaka City University Graduate School of Medicine, 1-4-3 Asahimachi, Abeno-ku, Osaka 545-8585, Japan.
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MeSH Terms
Carcinoma, Hepatocellular / blood supply*,  radiography
Hepatic Artery / abnormalities*,  radiography
Liver Neoplasms / blood supply*,  radiography
Middle Aged

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