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Rare vascular anomalies were observed postmortem in a Japanese female (60-yearold). 1) The common hepatic artery arose from the superior mesenteric artery, ascended on the anterior surface of the pancreas, where the right gastro-epiploic and right gastric arteries branched, and continued as a normally-positioned proper hepatic artery. 2) Superior to the inferior phrenic arteries and along the caudal surface of the diaphragm, the left renal vein ran, collecting its usual tributaries; it emptied into the inferior vena cava 4 cm rostral and oppositethe right renal vein. The unusual common hepatic artery is thought to be comprised of the anterior branches of the superior and inferior pancreatico-duodenal arteries which enlarged in a compensation for dysgenesis of the usual common hepatic artery. The anomalous left renal vein suggests additional embryological anastomoses between the subcardinal veins rostral or superior to the omphalomesenteric artery.

Common Hepatic Artery Ascending on the Anterior Surface of the Pancreas and Left Renal Vein Running Beneath the Diaphragm