Unusual development of the celiac trunk and its clinical significance

Covanţev, Serghei; Mazuruc, Natalia; Drangoi, Irina; Belic, Olga

doi:10.1590/1677-5449.200032

Cited by 4 publications

(2 citation statements)

References 22 publications

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“… 16 - 18 Another procedure that interrupts the blood flow to the spleen is splenic artery embolization, used to treat an aneurysm of this artery or hypersplenism. 18 - 20 In this case, the splenogastric and gastro-omental arteries supply the spleen.…”

Section: Discussionmentioning

confidence: 85%

The left gastro-omental vessels are able to maintain the entire spleen blood supply

Petroianu

2022

J. vasc. bras.

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The spleen is supplied by blood flow through the splenic artery and vein. The purpose of this communication is to report an ectopic spleen supplied only by reverse flow through the left gastro-omental vessels. A 14-year-old boy presented with pelvic splenomegaly supplied only by the left gastro-omental artery and veins connected to the inferior polar vessels, which were the only vessels communicating with the spleen. After detorsion of the spleen and splenopexy, the spleen returned to normal dimensions. The patient had uneventful follow-up. In conclusion, the left gastroepiploic vessels are able to maintain the entire spleen blood supply.

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Section: Discussionmentioning

confidence: 85%

The left gastro-omental vessels are able to maintain the entire spleen blood supply

Petroianu

2022

J. vasc. bras.

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“…Complete understanding of anatomy of celiac trunk and its vascular variations before any upper abdominal procedures is important. Variations of Celiac trunk may increase the difficulty and risk of various surgical procedures, especially laparoscopic cholecystectomy, liver & gastric resections or transplant surgeries (13,14) .…”

Section: Introductionmentioning

confidence: 99%

Anatomical Variations of Celiac Trunk Branching Pattern in Different Ethnic Groups in Population of Karachi by 3D MDCTA

Khan¹,

Rehman²,

Perveen³

et al. 2023

PJMHS

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Objective: To evaluate the frequency of branching pattern of celiac trunk variations in different ethnic group in population of Karachi. Study Design: Cross- sectional study Duration: March, 2017- August, 2017. Place: Ziauddin hospital Karachi, Clifton campus, Department of Radiology & Anatomy Method: Total 160 participants were selected with the age range between 20-60 years old male & female adults. The subjects who were recruited in present study were those who came for 3D MDCTA without any upper abdominal vascular or visceral pathologies. Participants were interviewed to collect their demographic particulars and categorize them in different ethnic groups. Variation of Celiac trunk was analysed by Uflacker’s classification. Statistical analysis was completed on SPSS (version 20) and all the data has been presented in percentage and frequency. Results: Classical celiac trunk was found to be the highest in Urdu Speaking i.e. 52 (32.5%) individuals followed by Punjabi speaking 36(22.5%) and 28(17.5%) individuals in Sindhi speaking and least was found in pakhtoon speaking 18(11.25 %) individuals in our study participants. Variant of Celiac trunk was found to be highest in Urdu speaking exhibiting a frequency of 13(8.125 %) individuals. It was followed by Pakhtoon, Sindhi and Punjabi speaking with the frequency of 7(4.375%), 4 (2.5%) and 2(1.25%) individuals respectively. Practical Implication: Present study reports celiac trunk variations in Pakistani population in different ethnic groups. The prevalence of celiac trunk variations in different ethnic groups found in our study was low but these variations may cause catastrophic injuries while doing laproscopic surgeries or Chemoembolization for liver cancer. Vascular anatomical variations of celiac trunk mostly found accidently during interventional or radiological procedures so it should be reported routinely to create awareness regarding vascular variations specifically in different ethnic groups. This data may be utilized by the radiologists and surgeon to reduce catastrophic injuries for patient well being. Conclusion: It has been concluded that vascular anatomical variations of celiac trunk found accidently during interventional or radiological procedures so it is essential to have a knowledge of vascular variations and their presence in different ethnic groups. This data may be utilized by the radiologists and surgeon to avoid injuries specific to Pakistani population. Keywords: Anastomosis, Celiac Trunk, Variations, Multidetector Computer Tomographic Angiography, Laproscopic

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Prevalence and Clinical Consideration of Anatomical Variants of the Splenic Artery: A Systematic Review and Meta-Analysis

Valenzuela-Fuenzalida

Martínez-Hernández

Pérez-Jiménez

et al. 2023

Applied Sciences

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Background: The spleen is the largest secondary immune organ in the body. Knowledge regarding the normal splenic vascular anatomy and its anatomical variants is crucial in the medical practice of surgeons and radiologists and is useful for diagnostic evaluations and the guidance of various surgical procedures. Hence, in this research, we aim to characterize the behavior of the lineal or splenic artery in humans from an anatomoclinical point of view. Methods: A systematic search was carried out in electronic databases to compile the available literature on the research subject. Searches were undertaken in the following databases: Medline, Scielo, Wos, Cinahl, Scopus, and Google Scholar. The search terms were “Splenic artery”, “Splenic vascularization”, “Anatomical variations’’, “Splenic organ”, and “Clinical anatomy”. Results: From the 35 studies included in this review, clinical correlations of anatomical variations in the splenic artery with surgical procedures in the abdominal region were reported in 8 studies. These correlations are mainly associated with surgical procedures for the pancreas, liver, stomach, and bile ducts through imaging of the spleen. To verify our conclusions, the risk of bias of the anatomical studies was measured using the AQUA checklist. Conclusions: Recognition of the usual anatomy and anatomical variants of the splenic artery is crucial for both morphology professionals and clinicians addressing the abdominal region and its vascular components. In this review, we determined that the splenic artery could present a variation in its origin or entry into the splenic hilum, which could mean that in any abdominal intervention there may be complications if the splenic artery variation is overlooked. More anatomic clinical studies considering this variation in both diagnostic and surgical processes are suggested for further investigations.

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Unusual development of the celiac trunk and its clinical significance

Cited by 4 publications

References 22 publications

The left gastro-omental vessels are able to maintain the entire spleen blood supply

The left gastro-omental vessels are able to maintain the entire spleen blood supply

Anatomical Variations of Celiac Trunk Branching Pattern in Different Ethnic Groups in Population of Karachi by 3D MDCTA

Prevalence and Clinical Consideration of Anatomical Variants of the Splenic Artery: A Systematic Review and Meta-Analysis

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