Absence of the celiac trunk and trifurcation of the common hepatic artery: a case report
Ausência de tronco celíaco e trifurcação da artéria hepática comum: relato de caso
Satheesha Nayak Badagabettu, Ashwini Aithal Padur, Naveen Kumar, Deepthinath Reghunathan
Abstract
Anatomical variations of the celiac trunk and its branches are particularly important from a surgical perspective due to their relationships with surrounding structures. We report here a particularly rare variant involving absence of the celiac trunk in association with trifurcation of the common hepatic artery. These variations were found in an adult male cadaver. We perform a review of the literature and discuss the clinical and embryological significance of these variations. Recognition of celiac trunk and hepatic artery variations is of utmost importance to surgeons and radiologists because multiple variations can lead to undue complications.
Keywords
Resumo
As variações anatômicas do tronco celíaco e seus ramos são particularmente importantes do ponto de vista cirúrgico devido a sua relação com as estruturas adjacentes. Nós descrevemos aqui uma variante particularmente rara envolvendo ausência do tronco celíaco associada a trifurcação da artéria hepática comum. Essas variações foram observadas no cadáver de um adulto do sexo masculino. Neste artigo revisamos a literatura e discutimos a significância clínica e embriológica dessas variações. O reconhecimento das variações do tronco celíaco e da artéria hepática é extremamente importante para cirurgiões e radiologistas uma vez que variações múltiplas podem levar a complicações inesperadas.
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References
1. Standring S. Gray’s anatomy, anatomical basis of clinical practice. 40th ed. New York: Elsevier Churchill Livingstone; 2008. 1073 p.
2. Yi SQ, Terayama H, Naito M, et al. Absence of the celiac trunk: case report and review of the literature. Clin Anat. 2008;21(4):283-6. PMid:18428985. http://dx.doi.org/10.1002/ca.20627.
3. Mburu KS, Alexander OJ, Hassan S, Bernard N. Variations in the branching pattern of the celiac trunk in a Kenyan population. Int J Morphol. 2010;28(1):199-204. http://dx.doi.org/10.4067/S0717-95022010000100028.
4. Cavdar S, Sehirli U, Pekin B. Celiacomesenteric trunk. Clin Anat. 1997;10(4):231-4. PMid:9213038. http://dx.doi.org/10.1002/(SICI)1098-2353(1997)10:4<231::AID-CA2>3.0.CO;2-V.
5. Ucerler H, Ikiz ZAA. Multiplicity of the variations in the ventral branches of abdominal aorta. Ital J Anat Embryol. 2006;111(1):15-22. PMid:16736714.
6. Bordei P, Antohe DS. Variations of the celiac trunk branches in the fetus. Morphologie. 2002;86(274):43-7. PMid:12572348.
7. Yuksel M, Sargon M. A variation of a coeliac trunk. Okajimas Folia Anat Jpn. 1992;69(4):173-5. PMid:1436959.http://dx.doi.org/10.2535/ofaj1936.69.4_173.
8. Cavdar S, Gurbuz J, Zeybek A, Sehirli U, Abik L, Ozdogmus O. A variation of coeliac trunk. Kaibogaku Zasshi. 1998;73(5):505-8. PMid:9844341.
9. Demirtas K, Gulekon N, Kurkcuoglu A, Yildirim A, Gozil R. Rare variation of the celiac trunk and related review. Saudi Med J. 2005;26(11):1809-11. PMid:16311672.
10. Yildirim M, Celik HH, Yildiz Z, Tatar I, Aldur MM. The middle colic artery originating from the coeliac trunk. Folia Morphol. 2004;63(3):363-5. PMid:15478118.
11. Cicekcibasi AE, Uysal II, Seker M, Tuncer I, Büyükmumcu M, Salbacak A. A rare variation of the coeliac trunk. Ann Anat. 2005;187(4):387-91. PMid:16163851. http://dx.doi.org/10.1016/j.aanat.2005.02.011.
12. Nayak S. Common celiaco-mesenterico-phrenic trunk and renal vascular variations. Saudi Med J. 2006;27(12):1894-6. PMid:17143371.
13. Song SY, Chung JW, Yin YH, et al. Celiac axis and common hepatic artery variations in 5002 patients: systematic analysis with spiral CT and DSA. Radiology. 2010;255(1):278-88. PMid:20308464. http://dx.doi.org/10.1148/radiol.09090389.
14. Moore KL, Persaud TVN. The developing human: clinically oriented embryology. 7th ed. Philadelphia: Saunders; 2003. 335 p.
15. Douard R, Chevallier JM, Delmas V, Cugnenc PH. Clinical interest of digestive arterial trunk anastomoses. Surg Radiol Anat. 2006;28(3):219-27. PMid:16547602. http://dx.doi.org/10.1007/s00276-006-0098-8.
16. Vandamme JP, Bonte J. The branches of the coeliac trunk. Acta Anat (Basel). 1985;122(2):110-4. PMid:4013640. http://dx.doi.org/10.1159/000145991.
17. Venieratos D, Panagouli E, Lolis E, Tsaraklis A, Skandalakis P. A morphometric study of the celiac trunk and review of the literature. Clin Anat. 2013;26(6):741-50. PMid:22886953. http://dx.doi.org/10.1002/ca.22136.
18. Iacob N, Sas I, Joseph SC, et al. Anomalous pattern of origin of the left gastric, splenic, and common hepatic arteries arising indepently from the abdominal aorta. Rom J Morphol Embryol. 2014;55(4):1449-53. PMid:25611280.
19. Morita M. Reports and conception of three anomalous cases on the area of the celiac and the superior mesenteric arteries. Igaku Kenkyu. 1935;9:159-72.
20. Lee JK, Kang SR, Kim J, Yoon SP. A rare variation of the incomplete celiac trunk. Folia Morphol (Warsz). 2015;75(1):122-4. PMid:26365854. http://dx.doi.org/10.5603/FM.a2015.0074.
21. Gluck E, Gerhardt P, Schröder J. Value of vascular morphology for the selection of catheters in selective celiacography and mesentericography. Rofo. 1983;138(6):664-9. PMid:6407931.
22. Aigner KR, Gailhofer S. Celiac axis infusion and microembolization for advanced stage III/IV pancreatic cancer-a phase II study on 265 cases. Anticancer Res. 2005;25(6C):4407-12. PMid:16334117.
23. Huang Y, Mu GC, Qin XG, Chen ZB, Lin JL, Zeng YJ. Study of celiac artery variations and related surgical techniques in gastric cancer. World J Gastroenterol. 2015;21(22):6944-51. PMid:26078572.
24. Nayak SB, Vasudeva SK. Vascular variations of liver and gall bladder:a case report. Anat Cell Biol. 2013;46(3):217-9. PMid:24179698. http://dx.doi.org/10.5115/acb.2013.46.3.217.
25. Rogiers X, Malago M, Nollkemper D, Sterneck M, Burdelski M, Broelsch CE. The Hamburg liver transplant program. Clin Transpl. 1997;12:183-90. PMid:9919403.
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