Identification of 3 Cystic Arteries during a Laparoscopic Cholecystectomy: A Case Report
Peyman Virani, Changiz Gholipur, Aisan Akhgari, Mahshid Dehghan
Asian Journal of Research and Reports in Hepatology · pp. 23–26 · Published 3 Feb 2021
Abstract
Introduction: There are different anatomical variations of cystic artery. In this article we report a case with presence of a rare number of arteries supplying the gallbladder. Variations in the cystic artery and its branches are clinically significant for General and Hepatobiliary surgeons. Presentation of Case: We report a case with presence of 3 arteries supplying the gallbladder in 57 years Old Iranian male patient with symptomatic cholelithiasis. Laparoscopic cholecystectomy was done and all 3 arteries were explored and ligated safely. Conclusion: With poor visualization intra-operatively, such branches of the cystic artery can be mistaken as the biliary ducts and can lead to intra-operative complications such as hemorrhage, damage to surrounding structures or conversion to open cholecystectomy.
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