Snapshot quiz 16/10

Published: 09/15/2016

Authors: Hirooka S, Matsui Y and Kwon A-H

This patient previously underwent coronary artery bypass grafting using the right gastroepiploic artery. During laparoscopic cholecystectomy for gallstone removal, it was confirmed that an artery was running adjacent to the left side of the falciform ligament from the pylorus to the mediastinum through a hole in the left diaphragm. The most important point in this case is that the surgeons were aware of the existence of this graft before surgery, allowing easy and safe completion of standard laparoscopic cholecystectomy while protecting the graft.