Exam questionKROK 1Medicine ยท 2017
During cholecystectomy besides a. cystyca another artery was pulled into the ligature. Ligation of this artery resulted in right-sided necrosis of the liver which led to the death of the patient. What artery was mistakenly ligated along with a. cystyca?
Answer options
- Ramus dexter a. hepatica propria
- Ramus sinister a. hepatica propria
- A. hepatica communis
- A. gasro-duodenalis
- A. pancreato-duodenalis sup
Correct answer
Ramus dexter a. hepatica propria
Explanation
The cystic artery branches from the hepatic artery proper. Right hepatic artery injury is most associated with injury to the right hepatic duct or with dissection under the mistakenly identified common bile duct for the cystic duct, ligation may lead to ischemia, liver failure. ligating the branch of the right lobe leads to necrosis of that part of the liver.
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