| Reversed arterial flow in the paramedian segments of the liver after pancreaticoduodenectomy. | |
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MedLine Citation:
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PMID: 20533445 Owner: NLM Status: In-Process |
Abstract/OtherAbstract:
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Variation of splanchnic arterial anatomy is frequent and may complicate pancreatic surgery, leading to life-threatening postoperative complications. We report a case of severe hepatic dysfunction after pancreaticoduodenectomy due to accidental section of the right hepatic artery. Bedside ultrasound examination showed a reversed arterial flow in the paramedian segments of the liver. Based on intraoperative and ultrasound findings, a retrograde arterial supply of the right liver from the left hepatic artery through spontaneous anastomosis between the arteries of segment 4 and the right paramedian segments was assumed and confirmed by postoperative CT examination. |
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Authors:
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Stefano Di Domenico; Elena Santacroce; Arianna Magoni Rossi; Antonella Giannone; Umberto Valente |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Journal of clinical ultrasound : JCU Volume: 39 ISSN: 1097-0096 ISO Abbreviation: J Clin Ultrasound Publication Date: 2011 Feb |
Date Detail:
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Created Date: 2011-01-07 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0401663 Medline TA: J Clin Ultrasound Country: United States |
Other Details:
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Languages: eng Pagination: 99-103 Citation Subset: IM |
Copyright Information:
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Copyright © 2010 Wiley Periodicals, Inc. |
Affiliation:
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Department of General Surgery and Organ Transplantation, San Martino University Hospital of Genoa, Italy. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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