Anatomical variations of the coeliac trunk in the homogeneous Polish population

Torres, Kamil; Staśkiewicz, Grzegorz; Denisow, M.; Pietrzyk, Łukasz; Torres, Anna; Szukała, Magdalena; Czekajska−Chehab, Elżbieta; Drop, Andrzej

doi:10.5603/fm.2014.0059

Cited by 17 publications

(26 citation statements)

References 28 publications

(44 reference statements)

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“…In 2 cases the absence of the celiac trunk was noted (0.1%). The hepatosplenomesenteric trunk and the coeliaco-colic trunk were not detected [26]. Kurcz et al presented results of the another study on 240 patients.…”

Section: Discussionmentioning

confidence: 96%

“…In our study we referred to Adachi and Michels who have classified the celiac trunk into six different types [2,12]. However, these classifications do not include all observed variants of the celiac trunk as well as accessory or replaced hepatic arteries, both of them are still being mentioned and compared with newly described ones [5,20,22,23,24,25,26]. Furthermore, Adachi's and Michel's classifications described in textbooks were recently considered to create a scheme of the most frequent variants of the celiac trunk and anatomy of the hepatic circulation [19,24].…”

Section: Discussionmentioning

confidence: 99%

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Coeliac trunk and its anatomic variations: a cadaveric study

et al. 2021

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Background: Celiac trunk is the first major visceral branch of the abdominal aorta. The aim of this work was to present the celiac trunk division pattern and its anatomical variants in a sample of Polish population. Materials and methods: Celiac trunk dissection was performed in 50 adult cadavers in the Department of Anatomy, Jagiellonian University Medical College. Cadavers of Polish subjects were included. Cadavers with previous upper abdominal surgery, abdominal trauma, disease process that distorted arterial anatomy or signs of putrefaction were excluded. Celiac trunk variations, accessory vessels, and vertebral level of origin were described. Celiac trunk patterns were reported according to the Adachi classification. This study was reviewed and approved by the local Ethics Committee. Results: Celiac trunk consisting of the left gastric, common hepatic and splenic artery (type 1 according to the Adachi classification) was found in 82% of cadavers. The true tripod was found in 20% and the false one in 80%. Additional vessels were also found: greater pancreatic from the splenic artery and left inferior phrenic from the left gastric artery, which accounted for 2% sections. Type 2 according to the Adachi classification (i.e. the hepatosplenic trunk) were found in 16% of the sections. Other types of celiac trunk were not observed. The level of origin was found to be at the inter-vertebral disc between T12 and L1 in all of the cases. Conclusions: Based on the analysis of the sectional material of the Department of Anatomy, it was found that the typical visceral segmental division is approximate to that observed by Adachi in its classification, whereas the second type of celiac trunk was twice as frequent and no other, less frequent were found. variety.

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Section: Discussionmentioning

confidence: 96%

Section: Discussionmentioning

confidence: 99%

Coeliac trunk and its anatomic variations: a cadaveric study

et al. 2021

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“…In a retrospective analysis of MDCT scans of 1500 patients Wang et al (2014) noted the presence of SMT in 1.2% cases [20]. Analysing the celiac trunk variations in MDCT scans of 1569 patients, Torres et al (2015) reported the presence of SMT with HGT in 0.1% cases (2 out of 1569) [22]. Recently, in a MDCT study on 607 patients splenic artery origin from superior mesenteric was observed in a male patient with a frequency of 0.2 % [23].…”

Section: Methodsmentioning

confidence: 99%

Splenomesenteric Trunk- Computed Tomographic Study

Babu¹,

Agrawal²,

Kumar³

et al. 2017

IJAR

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“…Vascular anomalies in the peripancreatic region include variations of the superior mesenteric artery (SMA), the celiac trunk (CT) or the hepatic artery (HA) [ 23 ]. In normal anatomical pattern the liver blood supply involves the common hepatic artery (CHA) arising from the celiac trunk [ 3 , 23 ]. The CHA gives origin to the proper hepatic artery, which bifurcates into the right and left hepatic arteries (RHA and LHA) [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

“…The CHA gives origin to the proper hepatic artery, which bifurcates into the right and left hepatic arteries (RHA and LHA) [ 3 ]. Normal liver vascularization pattern is reported in 50–80 % of cases [ 1 , 9 , 17 , 23 ]. The most common HA-replacement found in 13–26 % of cases, is the right hepatic artery (RHA) branching from SMA [ 9 , 11 , 29 ].…”

Section: Introductionmentioning

confidence: 99%

Clinically relevant anatomical parameters of the replaced right hepatic artery (RRHA)

et al. 2015

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PurposeVascular anatomy of the liver is subjected to many variations. The most common hepatic artery (HA) replacement is the right hepatic artery (RRHA). Variations of the HA are particularly important consideration when choosing the best surgical procedure or if radiological abdominal intervention is required. In this study, we evaluated the anatomical details of the RRHA origin.MethodsRetrospective investigation of clinical data from 1569 patients who underwent an abdominal MDCT was performed. The anatomy of RRHA origin was described based on four parameters measured: D—the distance between SMA origin and the RRHA origin, L—the lumen at the place of origin, AH—the origin angle from the SMA in horizontal plane, and AV—the origin angle from the SMA in vertical plane.ResultsRRHA arising from SMA was detected in 10.13 % of cases (159/1569) and its anatomy was subjected to variations. Mean (±SD) of parameters D, L, AH and AV was 27.34 mm ± 6.83, 3.29 mm ± 1.17, 97.27º ± 26.69 and 89.73º ± 20.81, respectively. Values of parameters D and L were significantly higher in males compared to females.ConclusionAlthough radiologists are not always aware of the clinical significance of the RRHA origin, the evaluation of its anatomy is thought to help reduce the risk of inadvertent vascular injury, especially in pancreatoduodenectomy. Detection and evaluation of the RRHA does not necessarily require angio-CT examination. Our study demonstrated that the MDCT, the standard imaging modality for diagnosing the abdominal symptoms, is sufficient to provide the knowledge of the HA abnormalities.

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Anatomical variations of the coeliac trunk in the homogeneous Polish population

Abstract: (Folia Morphol 2015; 74, 1: 93-99)

Cited by 17 publications

References 28 publications

Coeliac trunk and its anatomic variations: a cadaveric study

Coeliac trunk and its anatomic variations: a cadaveric study

Splenomesenteric Trunk- Computed Tomographic Study

Clinically relevant anatomical parameters of the replaced right hepatic artery (RRHA)

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