Absence of the celiac trunk in a rectal cancer patient: case report

Tıhan, Deniz; Babacan, Serdar; Ergin, Tuncer; Teomete, Uygar; Dandin, Özgür; Kafa, İ̇lker Mustafa

doi:10.2399/ana.16.038

Cited by 3 publications

(6 citation statements)

References 9 publications

(23 reference statements)

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“…This type of variation most commonly has no negative effect on blood supply to the visceral organs. In fact, the independent origin of the common hepatic, left gastric and splenic artery, directly from the abdominal aorta, may even prevent severe visceral ischemia, which occurs in case of massive thromboembolism of the celiac trunk [27].…”

Section: Diskusijamentioning

confidence: 99%

Absence of the celiac trunk: A case report

Pavlović-Stojanović¹,

Perović²,

Stojanović³

et al. 2022

Srpski medicinski časopis Lekarske komore

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Introduction: The celiac trunk is an arterial trunk that has been the subject of numerous anatomical and radiological studies. From its origin, at the front of the abdominal aorta, the trunk extends for 1.5 - 2 cm and then divides into three branches: the left gastric artery, the common hepatic artery and the splenic artery. This type of trifurcation was first described by Haller, in 1756, and is considered the most common anatomical pattern. Anatomical variations of the celiac trunk are numerous, both in terms of branching and dimensions. The complete absence of the celiac trunk is a rare anatomical variation, wherein all three branches arise directly and independently from the abdominal aorta. Case report: A 63-year-old oncology patient was referred to the radiology department for an Mr examination of the abdomen, in order to differentially diagnose changes in the adrenal glands. During the examination, complete absence of the celiac trunk was observed. The left gastric artery, splenic artery, and common hepatic artery arose directly and independently from the abdominal aorta. Conclusion: A variation of this type is mostly asymptomatic and has no negative effect on the blood supply of visceral organs. In literature, the prevalence of this vascular pattern ranges from 0.1% to 4%. Knowledge of vascular variations in the abdomen is very important during surgical, diagnostic and endovascular procedures.

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Section: Diskusijamentioning

confidence: 99%

Absence of the celiac trunk: A case report

Pavlović-Stojanović¹,

Perović²,

Stojanović³

et al. 2022

Srpski medicinski časopis Lekarske komore

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“…Thus, alterations both in fusion and regression result in branching variation of the three major abdominal aortic branches. In addition, because their embryonic origins are closely related, persistence of interconnections or overlapping of the territories of the CT, SMA, and IMA are common [3,4,[8][9][10][11][12][13][14]18,30,31,34,[36][37][38].…”

Section: Branching Pattern Variations Of the Celiac Trunk And Superiomentioning

confidence: 99%

“…The CT, also known as the coelic artery, coelic axis or truncus coeliakus, usually arises just below the aortic hiatus at the level of the intervertebral disc between the T12 and L1 vertebrae. The CT is normally 1.5 to 2.3 cm long, and its trunk traverses horizontally forward, trifurcating into the LGA, CHA, and SA (55-100% of the population) [1,3,4,[6][7][8][9][10]12,14,16,18,[23][24][25][26]28,29,33,34,[39][40][41][42][43][44]. This trifurcation was first described by Haller in 1756 as tripus Halleri [7,8,18,21,22,24,28,30,35,45,46].…”

Section: Celiac Trunk Variationsmentioning

confidence: 99%

“…Makisalo et al (1993) and Raviprasanna and Kulkarni (2018) reported one case in each of their cohorts that had an accessory LHA arising from the CT [45,56,57]. In its absence (0.38-1.4%), branches of the CT may arise from the aorta [4,7,8,27,28,34,35,38,[42][43][44]58].…”

Section: Embryonic Developmentmentioning

confidence: 99%

“…V ariations in the branching patterns of the celiac trunk and superior mesenteric artery occur frequently and are usually asymptomatic [1][2][3][4][5][6][7][8].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Branching pattern variations of the celiac trunk and superior mesenteric artery in a 72-year-old white female cadaver

Granite¹,

Meshida²,

Wind³

2019

Int J Anat Var

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Clinical significance of variant anatomy of the celiac trunk

Gaivoronsky¹,

Котив²,

Kovalenko³

et al. 2018

Bulletin of the Russian Military Medical Academy

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Data on variant anatomy of the celiac trunk, typical and atypical variants of its architectonics, topography, existing classifications, morphometric characteristics, development of the vessels of abdominal aorta in embryogenesis and the clinical significance of anatomical features is presented. The issues under consideration are important for surgical practice, in particular, for abdominal surgery, transplantology, interventional X-ray endovascular surgery and oncosurgery. It is shown that the anatomy of the celiac trunk and its branches have a pronounced variability, and more than 15% of the population have significant deviations from the typical branching variant. A significant number of different variants of the celiac trunk dividing, a different frequency of occurrence of these variants, morphometric indices, apparently depends on the size of the sample of the investigated objects, gender and other reasons. Data on the development of branches of the abdominal aorta in embryogenesis and the causes of atypical variants is presented. In a comparative aspect, existing classifications of the most authoritative authors are considered. It is shown that, despite the large number, there is no universal, simplest in practice, classification of variants of the celiac trunk branching. Nosological examples that demonstrate the need to take into account the variant of formation of the celiac trunk and its morphometric features in operative and diagnostic manipulations on the organs and vessels of the upper floor of the peritoneal cavity are analyzed. Certainly without understanding the architectonics of the gastrosplenicpancreatoduodenal zone arteries, there is a significant risk of error, which can even lead to lethal complications.

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Absence of the celiac trunk in a rectal cancer patient: case report

Cited by 3 publications

References 9 publications

Absence of the celiac trunk: A case report

Absence of the celiac trunk: A case report

Branching pattern variations of the celiac trunk and superior mesenteric artery in a 72-year-old white female cadaver

Clinical significance of variant anatomy of the celiac trunk

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