Variant anatomy of the celiac trunk –review of literature with a case report

Dandekar, Usha; Dandekar, K. N.

doi:10.7439/ijbar.v5i10.907

Cited by 4 publications

(4 citation statements)

References 27 publications

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“…Retention or disappearance of parts of this primitive arterial plexus could give rise to numerous anatomical variations in the hepatic artery. 23 This study demonstrated two different unnamed extra hepatic arterial variants. These unclassified variants were observed CHA originating from AA and uncommon artery arising from SMA supplying liver.…”

Section: Discussionmentioning

confidence: 73%

A Study on Variations of Branching Pattern of Hepatic Arteries with its Clinical Significance

Mansur

Karki

Shrestha

et al. 2020

Kathmandu Univ. Med. J.

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Background Variation of hepatic artery is very frequent and may predispose the patients to inadvertent injury to the vessels during hepato-billiary surgery. With the advancement of new diagnostic, therapeutic and operative techniques for abdomen, the sound knowledge of variations of hepatic arterial system have become increasingly important for dealing clinicians, surgeons and interventional radiologists. Objective To study the variations of hepatic artery and to evaluate the possible clinical significances. Method A total of 104 images of abdominal computed tomography scans were used for this study. The origin and branching patterns of hepatic artery were recorded. After collecting the data, statistical analysis was done. Result The present study concluded that normal branching pattern of hepatic artery was seen in 86.54% cases, whereas 13.46% cases showed different types of variations. Among them, type II and IV pattern were seen in 0.96% in each, type VI in 1.93%, type VII in 2.87% and the most common variation type IX was seen in 3.85%. There were not a single case of type III, V, VIII and X recorded in this study. Addition to these, one of the variants was common hepatic artery originating from abdominal aorta, was seen in 1.93% of cases while the other variant is unnamed artery arising from superior mesenteric artery, was seen in 0.96% of cases. Conclusion The knowledge of the branching pattern of hepatic artery might be helpful for clinicians to the better understanding of the arterial supply of the liver and may reduce the risk of complications.

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Section: Discussionmentioning

confidence: 73%

A Study on Variations of Branching Pattern of Hepatic Arteries with its Clinical Significance

Mansur

Karki

Shrestha

et al. 2020

Kathmandu Univ. Med. J.

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“…Surgeons must practice caution to avoid the unintentional sectioning of small caliber arteries, as may occur during coeliac artery decompression. 3…”

Section: Introductionmentioning

confidence: 99%

Pentafurcation of the coeliac trunk

Rapotra¹,

Sharma²,

Kaur³

2017

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The coeliac trunk is the first ventral branch of the abdominal aorta. It supplies the supracolic organs. The hepatic artery, splenic and left gastric arteries are considered the main branches of the coeliac trunk. The variations of the branching pattern of the coeliac trunk are important in surgical and radiological procedures. The current study describes an unusual variation in the branching of the coeliac trunk.

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“…В литературе сведения о возрастных, половых и типовых особенностях морфометрических параметров брюшной части аорты и ее непарных ветвей представлены недостаточно подробно. Стремительное развитие трансплантологии, эндоваскулярной и мини-инвазивной хирургии обуславливают возросший интерес к этой проблеме [10][11][12].…”

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The Comparative Characteristics of Age, Sexual and Typological Morphometric Parameters of Unpaired Branches of the Abdominal Aorta of Adults According Computed Tomography

et al. 2019

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The rapid development of transplantation, endovascular and minimally invasive surgery necessitates a detailed study of the structural features of the vessels of the abdominal cavity. The purpose of the study is the characteristics of the morphometric parameters of the abdominal aorta and its unpaired branches in men and women at different ages and depending on the body type. The analysis of 266 computer tomograms of the abdominal part of aorta and its unpaired branches was carried out in adult men women divided into three age groups (first and second periods of mature age and elderly age), as well as into three groups according to the Pinier index (asthenic, normosthenic and hypersthenic body types). It was established that individual morphometric parameters of the abdominal part of aorta and its unpaired branches in men and women significantly change with age. It is proved that the diameter of the aorta at various levels significantly increases with age from the first mature to the elderly age by an average of 5 mm. However, in men, the length of the abdominal aorta, celiac trunk and main trunk of the superior mesenteric artery does not change with age. In women, the length of the celiac trunk increases with age at 5.9 mm, the length of the main trunk of the superior mesenteric artery - at 17 mm. The angle of discharge of the celiac trunk in men changes unevenly with age - in the second period of mature age, there is a statistically significant decrease by an average to 12.3°, then in old age an increase to 15°. Moreover, in women, the values of this indicator vary more evenly. The angles of discharge of other vessels did not show a clear age dependence, since this parameter is largely due to the constitutional features. The aorto-mesenteric distance changes with age only in women. In elderly age, it is on average 4.4 mm larger than in the first period of mature age. It was also found that there are significant differences between constitutional types identified using the Pinier index in the overwhelming majority of the morphometric parameters studied. The obtained information has a significant clinical importance, since it will allow objectifying the diagnostic criteria of various vascular syndromes and minimizing the risk of endovascular interventions.

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Variant anatomy of the celiac trunk –review of literature with a case report

Cited by 4 publications

References 27 publications

A Study on Variations of Branching Pattern of Hepatic Arteries with its Clinical Significance

A Study on Variations of Branching Pattern of Hepatic Arteries with its Clinical Significance

Pentafurcation of the coeliac trunk

The Comparative Characteristics of Age, Sexual and Typological Morphometric Parameters of Unpaired Branches of the Abdominal Aorta of Adults According Computed Tomography

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