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11 May 2025 : Case report  Greece

Anatomical Challenges in Laparoscopic Cholecystectomy: Five Arterial Branches from a Right Hepatic Caterpillar Hump

Rare disease

Odysseas Mouzakis ORCID logo ABCDEF 1*, Efstratios Konidis ORCID logo DE 1, Panagiotis Poulokefalos ORCID logo E 1, Spyridon Stavros Arnaoutos BE 1

DOI: 10.12659/AJCR.947240

Am J Case Rep 2025; 26:e947240

Figure 1 Operative screenshots. (A) An anterior view of the primary steps of dissection through the anterior plane. A vessel-like structure was thought to be a caterpillar hump. (B) An anterior view of the expected critical view of safety. (C) An anterior view of the expected critical view of safety with highlights. (D) The anterior view of the clipped cystic duct and of the 4 out of 5 arteries, with the grasping still in place. The right hepatic artery exhibits a more linear form. (E) The anterior view at the end of the resection reveals a fully visible caterpillar hump.

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American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923