Variabilität des Truncus coeliacus und seiner Anastomosen mit der Arteria mesenterica superior

Feigl, W; Firbas, W; Sinzinger, H; Wicke, L

doi:10.1159/000144446

Cited by 10 publications

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“…Morris [19] described in his textbook that the middle colic artery arising from the celiac trunk, the hepatic or the splenic artery was frequently observed. However, such cases are supposed to be rather few: 0.5% |11]: 1/204 [13]; 5% [9], or 1 case [10,12,14], Of those, only in 3 cases reported by Adachi [ 17], Matsuzaki [ 10] and Sato et al [ 14] is the accessory colic artery from the celiac trunk certified as homologous with the CSS arising from the celiac trunk.…”

Section: Discussionmentioning

confidence: 99%

“…This process is supposed to occur secondarily after the completion of rotation of the midgut loop around the superior mesenteric artery, because it seems very improbable that the anastomosis between the celiac trunk supplying the foregut and the CSS supplying the most caudal part of the midgut is formed before the rotation of the midgut. Schaeffer 119], Feigl et al [13] and Netter [ 18] understood the formation of the middle colic artery derived from the celiac trunk in the same way as this process. Woodburne and Olsen [9], Michels [7,21] and Okamoto et al [221 also suggested the morphological sig nificance of the dorsal pancreatic artery in the formation of the anastomosis between the celiac trunk and the supe rior mesenteric artery.…”

Section: Discussionmentioning

confidence: 99%

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Accessory Arteries Supplying the Human Transverse Colon

Koizumi

Horiguchi²

1990

Cells Tissues Organs

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An accessory colic artery which arose from the superior mesenteric artery more proximally than the first jejunal artery and met the marginal artery at the splenic flexure was observed in 32 of 65 subjects (49.2%). Considering its constant morphological features this accessory colic artery was given the new nomenclature ‘superior left colic artery (arteria colica sinistra superior; CSS)’. The unusual middle colic artery arising from the celiac trunk was supposed to be caused by the anastomosis between the dorsal pancreatic artery from the CSS and that from the celiac trunk. An additional epiploic branch derived from the pancreatic branch (posterior epiploic branch) also sent an accessory colic artery in 2 subjects. But judging from its origin and area of distribution which overlaps with that of the middle colic artery, this accessory colic artery is not equivalent to CSS.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Accessory Arteries Supplying the Human Transverse Colon

Koizumi

Horiguchi²

1990

Cells Tissues Organs

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“…As a rule, the middle colic artery is a branch of the superior mesenteric artery, arising from its ventral aspect below the pancreatic notch [ 4 , 5 ]. In certain cases—as in the present one—the middle colic artery may arise from the celiac trunk or one of its branches [ 3 , 5 , 6 , 7 , 8 , 9 , 10 , 11 ]. It has also been found to originate from the inferior mesenteric artery [ 12 ] or directly from the aorta [ 13 , 14 ].…”

Section: Discussionmentioning

confidence: 87%

“…Several authors described these variants as single observations during anatomical dissection. It arose, in addition to the regular three branches from the celiac trunk [ 11 ], from a “pentapus” (celiac trunk with five instead of three branches) [ 8 ], from the proximal segment of the splenic artery [ 6 ] or the proximal segment of the common hepatic artery [ 7 , 10 ]. One author detected a replaced middle colic artery arising from the celiac trunk during a celiac angiography performed in a 12-year-old girl [ 9 ].…”

Section: Discussionmentioning

confidence: 99%

“…A celiac trunk with three branches has been found in 75–90% of individuals [ 3 , 4 , 5 , 16 , 19 , 20 ]. Variations of the celiac trunk are quite common and have been consistently described over the last centuries [ 2 , 8 , 15 , 20 , 21 , 22 ]. Thus, several classifications have been made to describe and quantify the different patterns of formation [ 4 , 5 , 16 , 19 ].…”

Section: Discussionmentioning

confidence: 99%

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A Phylogenetic and Ontogenetic Perspective of the Unique Accumulation of Arterial Variations in One Human Anatomic Specimen

Pretterklieber

2020

Medicina

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Background and objectives: Anatomical dissection is an indispensable means of acquiring knowledge about the variability of the human body. We detected the co-existence of several arterial variations within one female anatomic specimen during routine anatomical dissection. The aim of this study was to evaluate if this status is a regular pattern in any of other vertebrates. Materials and Methods: Besides of a meticulous anatomic dissection, we performed a literature review concerning the frequency, the phylogenesis, and ontogenesis of all of these variations. Results: Exceptionally, the middle colic artery arose from an extraordinarily divided celiac trunk. The kidneys received three polar arteries. On the left side, a corona mortis replaced the obturator artery. The aortic arch gave rise to a bicarotid trunk, and the right subclavian artery originated and coursed as a typical lusorial artery leading to a non-recurrent laryngeal nerve on the right side. Furthermore, variations of the branches of the thyrocervical trunk were found to be present. Extraordinarily, in their cervical portion both internal carotid arteries gave rise to two arteries each. All of these variations developed within two to three weeks, around the sixth week of gestation. It was not possible to ascribe all or even one of the variations to a singular species of vertebrates. Conclusion: Apparently, arterial variations are frequently a result of random development. Medical professionals must always be aware of anatomical variations; the absence of such awareness would create major difficulties during surgery. The present case confirms the relevance of anatomical dissection, particularly for medical students.

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A morphometric study of the celiac trunk and review of the literature

et al. 2012

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The anatomy of the celiac trunk and its branches was examined in 77 adult human cadavers of Caucasian (Hellenic) origin. The celiac trunk followed the normal pattern, namely trifurcation to the common hepatic, splenic, and left gastric arteries, in 90.9% of the dissections (70/77). Two different types of trifurcation were observed: (a) a true tripod when the celiac trunk ended in a complete trifurcation (74.0%, 57/77) and (b) a false tripod when the three arteries did not have a common origin (16.9%, 13/77). Such a clear predominance of the true tripod is not reported elsewhere. Anatomic variations were found in 9.1% (7/77). Bifurcation of the celiac trunk into splenic and left gastric artery (splenogastric trunk) was observed in one specimen (1.3%), whereas the common hepatic artery emerged directly from the aorta. Absence of the celiac trunk was also found in two individuals (2.6%). The celiac trunk presented additional branches (lumbar and inferior phrenic arteries) in 5.2% (4/77). The median level of origin of the celiac trunk was at the upper third of L1 (22.7% to 17/75). The total length of the celiac trunk ranged from 1.1 to 5.0 cm, whereas the mean length was 2.8 cm (standard deviation = 0.80 cm, standard error of mean = 0.09 cm) irrespective of the existence of variations. The mean length of the celiac arteries which formed a false tripod was found to be larger than those of the arteries which formed a true tripod but only a weak statistically significant difference was established (P = 0.073).

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Variabilität des Truncus coeliacus und seiner Anastomosen mit der Arteria mesenterica superior

Cited by 10 publications

References 0 publications

Accessory Arteries Supplying the Human Transverse Colon

Accessory Arteries Supplying the Human Transverse Colon

A Phylogenetic and Ontogenetic Perspective of the Unique Accumulation of Arterial Variations in One Human Anatomic Specimen

A morphometric study of the celiac trunk and review of the literature

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