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- W2894969971 abstract "Introduction: Hepatic artery (HA) contributes to 35% of liver blood flow and 50% of oxygen supply. The impact of its ligation on liver function isn't well established. Some studies have shown collateral arterial supply to the liver and portal venous compensation. Here, we present our experience of proper HA ligation in a case of large pancreas tumor. Case description: A 24-year-old male with pain abdomen was found to have a large pancreas head neuroendocrine tumour with no vascular involvement on evaluation with imaging. A pancreatoduodenectomy was planned. During dissection the large tumour with necrosis and vascular stroma got ruptured and bled which necessitated accelerated resection. Due to the presence of collaterals and lack of space in the hepatoduodenal ligament, the tissues were taken down in bunches that included the proper HA. Arterial reconstruction was not possible because the distal end could not be identified. Post-operatively there was mild hyperbilirubinemia (maximum 5.2mg/dL) and transaminitis (maximum AST and ALT of 3222 and 1802 U/L respectively) that subsided by itself in early post-operative period. Follow-up CT at one month showed a small infarct in segment 8 of the liver and faint opacification of intrahepatic arterial channels. Both of these had improved further by 3 months, possibly from collaterals in bare area of liver. Conclusions: Collateral arterial supply to the liver can compensate for HA blood supply in some instances if the ligamentous attachments to the liver are not divided." @default.
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- W2894969971 date "2018-09-01" @default.
- W2894969971 modified "2023-10-16" @default.
- W2894969971 title "Collateral arterial flow of liver – A Case Report" @default.
- W2894969971 doi "https://doi.org/10.1016/j.hpb.2018.06.2999" @default.
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