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Case Reports
. 2023 Nov 6;10(4):e2023.00038.
doi: 10.4293/CRSLS.2023.00038. eCollection 2023 Oct-Dec.

Aberrant Vascular Anatomy During Laparoscopic Cholecystectomy: A Case Report of Double Cystic Artery

Alison Y Zhu  1 , Doruk Seyfi  2 , Charbel Sandroussi  2 , Jayantha D Abeysinghe  3
Affiliations
Case Reports

Aberrant Vascular Anatomy During Laparoscopic Cholecystectomy: A Case Report of Double Cystic Artery

Alison Y Zhu et al. CRSLS. .

Abstract

Introduction: Laparoscopic cholecystectomy is the standard surgical procedure for the management of benign gallbladder pathology. Anatomical variation, including aberrant cystic artery, increases the risk of complications during laparoscopic cholecystectomy. Obtaining a critical view of safety is important to avoid major vascular and bile duct injury.

Case description: We present a case of aberrant anatomy with two cystic arteries of equal caliber in a 41-year-old female undergoing laparoscopic cholecystectomy for acute cholecystitis.

Discussion: This case report aims to emphasize the importance of thorough knowledge of hepatobiliary vascular anatomy, as well as variations beyond the critical view of safety, which will contribute to the safety and success of laparoscopic cholecystectomy.

Keywords: Anatomic variation; Cholecystectomy; Double cystic artery; Laparoscopic.

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Conflict of interest statement

Conflict of interests: none.

Figures

Figure 1.
Figure 1.
Hepatocystic triangle with three structures seen entering the gallbladder. A and C) double cystic artery, B) Cystic duct, D) Gallbladder.
Figure 2.
Figure 2.
Arterial blood flow confirming presence of double cystic artery.
See this image and copyright information in PMC

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