Coeliac trunk and its anatomic variations: a cadaveric study

Abstract

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.

Anomalous Anatomical Variations of Coeliac Trunk: A Cadaveric Study

“…Pinal-Garcia et al (2018) studied 140 cadavers and found this configuration in 7.1% of cadavers [8]. Juszczak et al (2020) did a cadaveric study on 50 cadavers and found this configuration in 20% of cadavers [9]. In our study, we found this configuration in 76% of cadavers.…”

“…The coeliac trunk forms a False tripus Halleri, in which one branch arises proximally before bifurcation of the coeliac trunk into the remaining two branches. Lipshutz found this configuration in 24.1% of cadavers [2], Adachi in in 8.7% of cadavers [3], Panagouli et al in 7.4% [7], Pinal-Garcia et al in 36.4% of cadavers [8], and Juszczak et al in 80% of cadavers [9]. In our study, we found the False tripus Halleri in 10% of cadavers.…”

Unusual variations in the branching pattern of the coeliac trunk and their clinical significance

“…Preoperative knowledge of variant arterial anatomy may reduce extensive exploration during surgery and consequently decrease the risk of vascular damage [51]. According to our current and previous findings, we suggest to apply reconstruction method for evaluation of variations at least in patients who are candidate for mentioned surgical or interventional procedures [20,21]. Preoperative MDCTA with three-dimensional reconstruction should be performed before any major surgery on the upper gastrointestinal organs to identify all vascular variations to allow optimal preoperative planning.…”

Aortic Origins of the Celiac Trunk and Superior Mesenteric Artery

“…Venieratos et al (2013) found the vertebral levels of origin of the CT ranged from the middle 3rd of the 10th thoracic vertebra to the intermediate 3rd of the 2nd lumbar vertebra, the median level being at the upper 3rd of the 1st lumbar vertebra [ 31 ]. A recent study by Juszczak et al (2020), performed on 50 cadavers found that the CT’s level of origin was at the intervertebral disc between T12 and L1 in all the cases [ 32 ].…”