BMJ Case Reports 2017; doi:10.1136/bcr-2016-218345

Replaced right and left hepatic arteries: a variation in origin and course

  1. Farrukh A Khan2
  1. 1Department of Surgery, Mercy Fitzgerald Hospital, Darby, Pennsylvania, USA
  2. 2Department of Surgery, Mercy Catholic Medical Center, Darby, Pennsylvania, USA
  3. 3Philadelphia College of Osteopathic Medicine, Philadelphia, Pennsylvania, USA
  1. Correspondence to Dr Mohammed Asif, mohammedasifmd12{at}
  • Accepted 15 January 2017
  • Published 31 January 2017


In ∼60% of cases, hepatic artery anatomy is of the normal variant. However, in 40% of cases, anomalies can exist. Preserving the hepatic blood supply is paramount in hepatobiliary procedures. We report an aberrant right hepatic artery coursing retroportally, with an aberrant left hepatic artery originating directly from the coeliac artery in a patient who underwent an elective pancreaticoduodenectomy (Whipple procedure).


  • Contributors MA participated in conception and design, acquisition of data, analysis and interpretation of data, writing and reviewing of manuscript. NR participated in data collection, writing and reviewing the manuscript. LA and FK took part in writing and reviewing of manuscript.

  • Competing interests None declared.

  • Patient consent Not obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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