ArticleCureus2026
Ischemic Duodenal Ulcers Secondary to Superior Mesenteric Artery Stenosis in a Patient With an Aberrant Common Hepatic Artery: A Case Report and Review of the Literature.
Article in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Authors and funding
5 authors.
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No grant is acknowledged in the PubMed record.
Abstract
A 77-year-old male patient presented with persistent abdominal pain, nausea, vomiting, and diarrhea. Esophagogastroduodenoscopy (EGD) revealed duodenal ulcers suggestive of ischemia. Vascular imaging demonstrated a replaced common hepatic artery arising from the superior mesenteric artery (SMA), with the gastroduodenal artery originating from this SMA-dependent circulation, consistent with Michels' type IX anatomy. Significant stenosis at the SMA origin was identified. Endovascular stenting of the SMA resulted in symptom resolution and complete endoscopic healing of the ulcers. This case highlights the clinical importance of hepatic arterial variants and demonstrates how single-vessel disease can result in multi-territory ischemia when vascular anatomy is altered.
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