{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T09:53:42Z","timestamp":1777542822498,"version":"3.51.4"},"reference-count":8,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T00:00:00Z","timestamp":1777334400000},"content-version":"vor","delay-in-days":27,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,4,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Anomalous hepatic arterial anatomy is a critical consideration during pancreaticoduodenectomy. We report a rare case of a solitary right hepatic artery (RHA) arising from the superior mesenteric artery with complete absence of the common hepatic artery, coursing through the pancreatic parenchyma and supplying the entire liver. A 62-year-old man underwent a Whipple procedure for a pancreatic head tumour. Intraoperatively, the RHA was preserved and reconstructed using an interposition graft from the great saphenous vein to maintain hepatic perfusion. The postoperative course was uncomplicated, and the patient was discharged on postoperative Day 9. Awareness of such variants is essential to prevent catastrophic hepatic ischemia during pancreatic surgery.<\/jats:p>","DOI":"10.1093\/jscr\/rjag312","type":"journal-article","created":{"date-parts":[[2026,4,11]],"date-time":"2026-04-11T11:40:57Z","timestamp":1775907657000},"source":"Crossref","is-referenced-by-count":0,"title":["Solitary right hepatic artery passing anterior to the pancreas: a rare and challenging anatomical variant during Whipple procedure"],"prefix":"10.1093","volume":"2026","author":[{"given":"Hazem","family":"Alouani","sequence":"first","affiliation":[{"name":"Department of General Surgery B, Charles Nicolle Hospital , Tunis ,","place":["Tunisia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Annouar","family":"Oueslati","sequence":"additional","affiliation":[{"name":"Department of General Surgery B, Charles Nicolle Hospital , Tunis ,","place":["Tunisia"]},{"name":"Facult\u00e9 de M\u00e9decine de Tunis, Universit\u00e9 Tunis el Manar , Boulevard Avril 1938, 1006, Tunis ,","place":["Tunisia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Salsabil","family":"Nasri","sequence":"additional","affiliation":[{"name":"Department of General Surgery B, Charles Nicolle Hospital , Tunis ,","place":["Tunisia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Raja","family":"Boussassi","sequence":"additional","affiliation":[{"name":"Facult\u00e9 de M\u00e9decine de Tunis, Universit\u00e9 Tunis el Manar , Boulevard Avril 1938, 1006, Tunis ,","place":["Tunisia"]},{"name":"Department of Anesthesiology and Critical Care, Charles Nicolle Hospital \u00a0 Tunis ,","place":["Tunisia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fares Ben","family":"Saad","sequence":"additional","affiliation":[{"name":"Department of General Surgery B, Charles Nicolle Hospital , Tunis ,","place":["Tunisia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hichem","family":"Jerraya","sequence":"additional","affiliation":[{"name":"Department of General Surgery B, Charles Nicolle Hospital , Tunis ,","place":["Tunisia"]},{"name":"Facult\u00e9 de M\u00e9decine de Tunis, Universit\u00e9 Tunis el Manar , Boulevard Avril 1938, 1006, Tunis ,","place":["Tunisia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ramzi","family":"Nouira","sequence":"additional","affiliation":[{"name":"Department of General Surgery B, Charles Nicolle Hospital , Tunis ,","place":["Tunisia"]},{"name":"Facult\u00e9 de M\u00e9decine de Tunis, Universit\u00e9 Tunis el Manar , Boulevard Avril 1938, 1006, Tunis ,","place":["Tunisia"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2026,4,28]]},"reference":[{"key":"2026042813250022200_ref1","doi-asserted-by":"publisher","first-page":"1593800","DOI":"10.3389\/fsurg.2025.1593800","article-title":"Anatomical variations of hepatic arteries: implications for clinical practice","volume":"12","author":"Samuolyte","year":"2025","journal-title":"Front Surg"},{"key":"2026042813250022200_ref2","doi-asserted-by":"publisher","first-page":"1413","DOI":"10.1007\/s00276-021-02786-7","article-title":"Prepancreatic common hepatic artery arising from superior mesenteric artery: an exceptional but important finding during pancreaticoduodenectomy","volume":"43","author":"Cinelli","year":"2021","journal-title":"Surg Radiol Anat"},{"key":"2026042813250022200_ref3","doi-asserted-by":"publisher","first-page":"45","DOI":"10.1186\/s43055-022-00721-3","article-title":"Replaced right hepatic artery passing anterior to pancreas: a rare and challenging anatomical variant during pancreaticoduodenectomy","volume":"53","author":"Raghavendra","year":"2022","journal-title":"Egypt J Radiol Nucl Med"},{"key":"2026042813250022200_ref4","doi-asserted-by":"publisher","first-page":"261","DOI":"10.1016\/j.jviscsurg.2017.05.013","article-title":"How to deal with hepatic artery injury during pancreaticoduodenectomy. A systematic review","volume":"154","author":"Landen","year":"2017","journal-title":"J Visc Surg"},{"key":"2026042813250022200_ref5","doi-asserted-by":"publisher","first-page":"969","DOI":"10.3748\/wjg.v21.i3.969","article-title":"Accuracy of routine multidetector computed tomography to identify arterial variants in patients scheduled for pancreaticoduodenectomy","volume":"21","author":"Yang","year":"2015","journal-title":"World J Gastroenterol"},{"key":"2026042813250022200_ref6","doi-asserted-by":"publisher","first-page":"2057","DOI":"10.3748\/wjg.v28.i19.2057","article-title":"Clinical significance of variant hepatic artery in pancreatic resection: a comprehensive review","volume":"28","author":"Xu","year":"2022","journal-title":"World J Gastroenterol"},{"key":"2026042813250022200_ref7","doi-asserted-by":"publisher","first-page":"141","DOI":"10.1186\/s12893-019-0560-2","article-title":"Arterial resection and reconstruction in pancreatectomy: surgical technique and outcomes","volume":"19","author":"Zhang","year":"2019","journal-title":"BMC Surg"},{"key":"2026042813250022200_ref8","doi-asserted-by":"publisher","first-page":"67","DOI":"10.1007\/s00423-026-03965-z","article-title":"Robotic pancreaticoduodenectomy in patients with hepatic arterial variants: surgical outcomes and technical considerations in a single-center cohort","volume":"411","author":"Imamura","year":"2026","journal-title":"Langenbecks Arch Surg"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2026\/4\/rjag312\/68180489\/rjag312.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2026\/4\/rjag312\/68180489\/rjag312.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T17:25:09Z","timestamp":1777397109000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjag312\/8664204"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,1]]},"references-count":8,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026,4,1]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjag312","relation":{},"ISSN":["2042-8812"],"issn-type":[{"value":"2042-8812","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2026,4]]},"published":{"date-parts":[[2026,4,1]]},"article-number":"rjag312"}}