Rare Anatomic Variation: The Hepatosplenomesentericophrenic Trunk

Hogea, Bogdan Gheorghe; Rusu, Mugurel Constantin; Jianu, Adelina Maria; Manta, Bogdan Adrian; Ilie, Adrian Cosmin

doi:10.3390/medicina57020170

Cited by 2 publications

(2 citation statements)

References 23 publications

(39 reference statements)

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“…The celiac trunk originates at the T12 thoracic vertebrae level as the first ventral branch of the abdominal aorta and divides into the left gastric, common hepatic and splenic artery. Many researchers have reported variations of celiac trunk, such as bifurcation, additional branching, combined origin of celiac trunk and superior mesenteric artery (celiacomesenteric trunk), combined origin of celiac trunk, superior and inferior mesenteric artery (celiacobimesenteric trunk) and complete absence [ 1 , 2 , 3 , 4 , 5 , 6 , 7 , 8 , 9 , 10 , 11 , 12 , 13 , 14 , 15 , 16 ]. The reported variations in origin and branching pattern of celiac trunk have been found to be valuable for surgical and radiological procedures in the epigastric region [ 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 ].…”

Section: Introductionmentioning

confidence: 99%

Unraveling Variations in Celiac Trunk and Hepatic Artery by CT Angiography to Aid in Surgeries of Upper Abdominal Region

et al. 2021

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Understanding of variations in the course and source of abdominal arteries is crucial for any surgical intervention in the peritoneal space. Intricate surgeries of the upper abdominal region, such as hepato-biliary, pancreatic, gastric and splenic surgeries, require precise knowledge of regular anatomy and different variations related to celiac trunk and hepatic artery. In addition, information about the origin of inferior phrenic artery is important in conditions such as hepatocellular carcinoma and gastroesophageal bleeding management. The present study gives an account of anatomical variations in origin and branching pattern of celiac trunk and hepatic artery by the use of CT (computed tomographic) angiography. The study was performed on 110 (66 females and 44 males) patients in a north Indian population. Results unraveled the most common celiac trunk variation as hepatosplenic trunk with left gastric artery, which was observed in 60% of cases, more common in females than in males. Gastrosplenic and hepato-gastric trunk could be seen in 4.55% and 1.82% cases respectively. Gastrosplenic trunk was more commonly found in females, whereas hepato-gastric trunk was more common in males. A gastrosplenic trunk, along with the hepato-mesenteric trunk, was observed in 1.82% cases and was more common in males. A celiacomesenteric trunk, in which the celiac trunk and superior mesenteric artery originated as a common trunk from the aorta, was seen only in 0.91% of cases, and exhibited an origin of right and left inferior phrenic artery from the left gastric artery. The most common variation of hepatic artery, in which the right hepatic artery was replaced and originated from the superior mesenteric artery, was observed in 3.64%, cases with a more common occurrence in males. In 1.82% cases, the left hepatic artery was replaced and originated from the left gastric artery, which was observed only in females. Common hepatic artery originated from the superior mesenteric artery, as observed in 1.82% cases, with slightly higher occurrence in males. These findings not only add to the existing knowledge apart from giving an overview of variations in north Indian population, but also give an account of their correlation with gender. The present study will prove to be important for various surgeries of the upper abdominal region.

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Section: Introductionmentioning

confidence: 99%

Unraveling Variations in Celiac Trunk and Hepatic Artery by CT Angiography to Aid in Surgeries of Upper Abdominal Region

et al. 2021

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“…The presence of a HGPT, as seen in this donor, has been cited in only a few case reports. Prevalence has been cited to be as low as 0.3% and as high as 1% [ 24 ]. According to Aslaner et al 2017, when both IPAs originate from a common trunk, the most common location for the trunk is the AA [ 25 ].…”

Section: Discussionmentioning

confidence: 99%