Celiac trunk and common hepatic artery variations in children: an analysis with CT angiography

Çalışkan, Emine; Acar, Türker; Öztürk, Mehmet Adnan; Bayramoğlu, Zuhal; Yılmaz, Ravza; Elbüken, Filiz; Adaletli, İbrahim

doi:10.5603/fm.a2018.0037

Cited by 9 publications

(17 citation statements)

References 19 publications

(29 reference statements)

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“…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]. Michel's classification was also used for depiction of CT and CHA variations in children [27]. Favelier et al mentioned that this classification provides the best anatomical approach [28].…”

Section: Discussionmentioning

confidence: 99%

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: 99%

Coeliac trunk and its anatomic variations: a cadaveric study

et al. 2021

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“…(14) Another study, found 90.2 % of population with type I classification and 9.8% with other variations. (15)…”

Section: Image Processingmentioning

confidence: 99%

Anatomical Variations of the Celiac Artery Detected by Multidecteor Computated Tomography

reda¹,

Refaat

Aziz

2021

Benha Medical Journal

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Background: Multi detector computed tomography (MDCT) is form of computed tomography technology for diagnostic imaging for diagnosis of celiac trunk variations. Purpose: This study aims to describe the main anatomical variations of the celiac artery and its branches using Multi detector computed tomography. Patients and Methods: This study included 30 patients with signs and symptoms of various liver and other abdominal pathologies in which biphasic or triphasic contrastenhanced CT was indicated (to study early arterial phase). Results: The commonest variant in our study was Uflacker type II (hepato-splenic trunk) in which CHA and SA have common trunk and LGA arises separately from aorta representing 40% while Uflacker type V (gastro-splenic trunk) in which the origin of the CHA from either the SMA or the aorta was the second common variants representing 20%. Conclusion:Knowledge of the celiac trunk anatomical variants is very important presurgical, pre-laparoscopic or even pre-interventional and this can be achieved using MDCT to minimize and avoid the major vascular complications and decrease the morbidity of patients , late arterial phase of computed tomography is sufficient for assessing celiac trunk variants.

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“…The CT normally originates as the first ventral branch, supplying the foregut (i.e. the stomach, spleen, pancreas, liver, and part of the duodenum) [3,4,7,9,10,12,14,16,18,[24][25][26]33,34,[39][40][41][42]. Venous drainage of the foregut is principally through the portal vein (PV).…”

Section: Celiac Trunk Variationsmentioning

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%