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2014•The Korean Journal of Pancreas and Biliary TractOpen access

Obstructive Jaundice Due to Compression of the Common Bile Duct by Variant Right Hepatic Artery

Min Jae Kim, Young Hyun Choi, Gun Jung Youn, Raeseok Lee, Jong Ho Park, Jue Young Lee, Yeon Ho Joo, Yun Bok Lee

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Abstract

Extrahepatic bile duct can be compressed by right hepatic artery (RHA) and cause a variety of hepatobiliary symptoms.This condition is referred to as RHA syndrome.A 20-year-old man was admitted because of jaundice.No stones or tumor were visible on CT scan and endoscopic retrograde cholangiopancreatography.However, RHA was seen traversing and compressing the mid common bile duct (CBD) with resultant upstream dilatation.The patient was diagnosed with obstructive jaundice due to compression of the CBD by variant RHA originating from gastroduodenal artery.After separation and mobilization of the variant RHA, obstructive jaundice was resolved.Herein, we report a case of a variant form of RHA syndrome that was successfully managed by surgery.

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Extrahepatic bile duct can be compressed by right hepatic artery (RHA) and cause a variety of hepatobiliary symptoms.This condition is referred to as RHA syndrome.A 20-year-old man was admitted because of jaundice.No stones or tumor were visible on CT scan and endoscopic retrograde cholangiopancreatography.However, RHA was seen traversing and compressing the mid common bile duct (CBD) with resultant upstream dilatation.The patient was diagnosed with obstructive jaundice due to compression of the CBD by variant RHA originating from gastroduodenal artery.After separation and mobilization of the variant RHA, obstructive jaundice was resolved.Herein, we report a case of a variant form of RHA syndrome that was successfully managed by surgery.

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Available abstract

Extrahepatic bile duct can be compressed by right hepatic artery (RHA) and cause a variety of hepatobiliary symptoms.This condition is referred to as RHA syndrome.A 20-year-old man was admitted because of jaundice.No stones or tumor were visible on CT scan and endoscopic retrograde cholangiopancreatography.However, RHA was seen traversing and compressing the mid common bile duct (CBD) with resultant upstream dilatation.The patient was diagnosed with obstructive jaundice due to compression of the CBD by variant RHA originating from gastroduodenal artery.After separation and mobilization of the variant RHA, obstructive jaundice was resolved.Herein, we report a case of a variant form of RHA syndrome that was successfully managed by surgery.

Key concepts: Medicine, Obstructive jaundice, Jaundice, Common bile duct, Bile duct, Internal medicine, Artery, Gastroenterology

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