Obstructive jaundice due to compression of the common hepatic duct by right hepatic artery: a case associated with the absence of the lateral segment of the left hepatic lobe.
10.3349/ymj.1994.35.2.231
- Author:
Jun Pyo CHUNG
1
;
Ki Whang KIM
;
Hoon Sang CHI
;
Sang In LEE
;
Eun Tack SHIN
;
Jae Hwa CHO
;
Hong Woo LEE
;
Jin Kyung KANG
;
In Suh PARK
Author Information
1. Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Obstructive jaundice;
compression of common hepatic duct;
right hepatic artery;
absence of a hepatic segment
- MeSH:
Adult;
Bile Duct Diseases/complications;
Case Report;
Cholestasis/*etiology;
Female;
*Hepatic Artery;
*Hepatic Duct, Common;
Human;
Liver/*abnormalities
- From:Yonsei Medical Journal
1994;35(2):231-238
- CountryRepublic of Korea
- Language:English
-
Abstract:
Various benign and malignant conditions can cause biliary obstruction. We present a rare case of obstructive jaundice due to the compression of the common hepatic duct by the anteriorly overriding right hepatic artery. This case was also associated with the absence of the lateral segment of the left hepatic lobe. The patient was a 39 year-old housewife with a 4-day history of jaundice and occasional febrile sensation. An abdominal computed tomography showed absence of the lateral segment of the left hepatic lobe and a percutaneous transhepatic cholangiography showed a band-like filling defect of 2 mm width at the level of the upper common hepatic duct. The anteriorly overriding right hepatic artery compressing the common hepatic duct and the absence of the lateral segment of the left hepatic lobe were confirmed by operation.