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首页> 外文期刊>Journal of Clinical Ultrasound: JCU >Reversed arterial flow in the paramedian segments of the liver after pancreaticoduodenectomy.
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Reversed arterial flow in the paramedian segments of the liver after pancreaticoduodenectomy.

机译:胰十二指肠切除术后,肝中段中的动脉血流反向。

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摘要

Variation of splanchnic arterial anatomy is frequent and may complicate pancreatic surgery, leading to life-threatening postoperative complications. We report a case of severe hepatic dysfunction after pancreaticoduodenectomy due to accidental section of the right hepatic artery. Bedside ultrasound examination showed a reversed arterial flow in the paramedian segments of the liver. Based on intraoperative and ultrasound findings, a retrograde arterial supply of the right liver from the left hepatic artery through spontaneous anastomosis between the arteries of segment 4 and the right paramedian segments was assumed and confirmed by postoperative CT examination.
机译:内脏动脉解剖结构变化频繁,可能使胰腺手术复杂化,导致危及生命的术后并发症。我们报告了因右肝动脉意外切开而在胰十二指肠切除术后发生严重肝功能障碍的病例。床旁超声检查显示肝旁中段动脉血流反向。根据术中和超声检查的结果,假定并通过术后CT检查确认并确认了第4段动脉与右中旁段动脉之间通过自发吻合从左肝动脉向右肝的逆行动脉供血。

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