Korean J Pancreas Biliary Tract.  2014 Apr;19(2):79-83.

Obstructive Jaundice Due to Compression of the Common Bile Duct by Variant Right Hepatic Artery

  • 1Department of Internal Medicine, The Catholic University of Korea College of Medicine, Seoul, Korea.
  • 2Department of Internal Medicine, Changwon Fatima Hospital, Changwon, Korea. 4796pjhsms@naver.com
  • 3Department of Surgery, Changwon Fatima Hospital, Changwon, Korea.


Extrahepatic bile duct can be compressed by right hepatic artery (RHA) and cause a variety of hepatobiliary symptoms. This condition is referred to as RHA syndrome. A 20-year-old man was admitted because of jaundice. No stones or tumor were visible on CT scan and endoscopic retrograde cholangiopancreatography. However, RHA was seen traversing and compressing the mid common bile duct (CBD) with resultant upstream dilatation. The patient was diagnosed with obstructive jaundice due to compression of the CBD by variant RHA originating from gastroduodenal artery. After separation and mobilization of the variant RHA, obstructive jaundice was resolved. Herein, we report a case of a variant form of RHA syndrome that was successfully managed by surgery.


Obstructive jaundice; Hepatic artery; Common bile duct
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