scholarly journals Anatomical Variation of Hepatic Vascularization: Case Report

2019 ◽  
Vol 36 (02) ◽  
pp. 126-128
Author(s):  
Cristiane Regina Ruiz ◽  
Sergio Ricardo Rios Nascimento ◽  
Alex Kors Vidsiunas ◽  
Cristiano Cirqueira de Souza ◽  
Lilian Andrades
Keyword(s):  
Hepatic Artery ◽  
Present Report ◽  
Anatomical Variation ◽  
Celiac Trunk ◽  
Anatomical Variations ◽  
Sao Paulo ◽  
São Paulo ◽  
Liver Transplants ◽  
Male Individual ◽  
Anatomy Laboratory

AbstractAnatomical variations in the hepatic arteries and in the celiac trunk are important in liver transplants, laparoscopic surgeries, abdominal radiological interventions, and perforating injuries in the abdomen. The goal of the present report is to describe an abdominal vascular variation observed during a routine dissection in the Anatomy Laboratory of the Centro Universitário São Camilo, São Paulo, state of São Paulo, Brazil, in a male individual. The superior mesenteric artery had its origin in the celiac trunk and originated a right accessory hepatic artery that followed its path all the way to the liver. Several authors described variations in the origin and in the path of the hepatic artery and even created specific classifications. The advance of imaging methods that increase the number of studied individuals, without the need of dissection, aids exponentially the quantifying studies that seek to determine a pattern in the variations present in certain populations. The variations of the hepatic artery, as well as of the celiac trunk, have been extensively described in the literature; however, there is no pattern in the number of variations found both in the celiac trunk and in the regular hepatic artery, what leads to a need of description in each case found.

scholarly journals Arterial diameter of the celiac trunk and its branches: anatomical study

2009 ◽  
Vol 24 (1) ◽  
pp. 43-47 ◽  
Author(s):  
Luís Augusto da Silveira ◽  
Fernando Braga Cassiano Silveira ◽  
Valéria Paula Sassoli Fazan
Keyword(s):  
Hepatic Artery ◽  
Celiac Trunk ◽  
Anatomical Study ◽  
Anatomical Variations ◽  
Left Gastric Artery ◽  
Gastric Artery ◽  
Arterial Diameter ◽  
Significant Difference ◽  
Diameter Reduction ◽  
Formalin Fixed

PURPOSE: Despite the fact that anatomical variations of the celiac trunk are well explored in the literature, information on these vessels diameters is scanty. The aims of the present study were to describe the arterial diameters of the celiac trunk and its main branches, and to investigate if these diameters are altered in those cases presenting anatomical variations of these vessels. METHODS: Twenty-one formalin fixed adult male cadavers were appropriately dissected for the celiac trunk identification and arterial diameter measurements. Arteries measured included the celiac trunk and its main branches (splenic artery, left gastric artery and common hepatic artery), as the proper hepatic artery, right gastric artery, the left and right hepatic arteries and the gastroduodenal artery. RESULTS: From the 21 cadavers, 6 presented anatomical variations of, at least, one of the above mentioned branches. The average arterial diameter comparisons between groups (normal and variable) clearly showed smaller diameters for variable vessels, but with no significant difference. CONCLUSION: Our data indicates the possibility of a diameter reduction of the celiac trunk main branches in the presence of anatomical variations. This should be taken into account on the selection for the liver transplantation donors.

scholarly journals Adoption of MELD score increases the number of liver transplant

2014 ◽  
Vol 27 (3) ◽  
pp. 201-203 ◽  
Author(s):  
Lucas Souto NACIF ◽  
Wellington ANDRAUS ◽  
Rodrigo Bronze MARTINO ◽  
Vinicius Rocha SANTOS ◽  
Rafael Soares PINHEIRO ◽  
...  
Keyword(s):  
Liver Transplantation ◽  
Survival Rates ◽  
Sao Paulo ◽  
Meld Score ◽  
The State ◽  
São Paulo ◽  
Liver Transplants ◽  
Mean Values ◽  
Before And After ◽  
End Stage

BACKGROUND: Liver transplantation is performed at large transplant centers worldwide as a therapeutic intervention for patients with end-stage liver diseases. AIM: To analyze the outcomes and incidence of liver transplantation performed at the University of São Paulo and to compare those with the State of São Paulo before and after adoption of the Model for End-Stage Liver Disease (MELD) score. METHOD: Evaluation of the number of liver transplantations before and after adoption of the MELD score. Mean values and standard deviations were used to analyze normally distributed variables. The incidence results were compared with those of the State of São Paulo. RESULTS: There was a high prevalence of male patients, with a predominance of middle-aged. The main indication for liver transplantation was hepatitis C cirrhosis. The mean and median survival rates and overall survival over ten and five years were similar between the groups (p>0.05). The MELD score increased over the course of the study period for patients who underwent liver transplantation (p>0.05). There were an increased number of liver transplants after adoption of the MELD score at this institution and in the State of São Paulo (p<0.001). CONCLUSION: The adoption of the MELD score led to increase the number of liver transplants performed in São Paulo.

scholarly journals Computed Tomography Evaluation of the Arterial Supply to Segment 4 of the Liver

2018 ◽  
Vol 8 ◽  
pp. 31
Author(s):  
Tharani Putta ◽  
Reetu Amrita John ◽  
Anu Eapen ◽  
Anuradha Chandramohan ◽  
Betty Simon ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Hepatic Artery ◽  
Liver Tumors ◽  
Anatomical Variation ◽  
Surgical Techniques ◽  
Preoperative Assessment ◽  
Anatomical Variations ◽  
Arterial Supply ◽  
Preoperative Mapping ◽  
Arterial Anatomy

Introduction: In a setting of living-donor liver transplant and patients undergoing extended hepatic resections for both primary and metastatic liver tumors, preoperative assessment of hepatic arterial anatomy is very important because of the risk of ischemic complications in the event of inadvertent injury to the arterial supply. Anatomical variations in hepatic arterial supply to the liver are very common and seen in nearly half the population. Identifying anomalous origin of segment 4 hepatic artery is vital since this vessel can cross the transection plane and can result in liver ischemia and liver failure. The purpose of our study is to study the variations in hepatic arterial anatomy to segment 4 of the liver in the Indian population. Materials and Methods: A retrospective evaluation of 637 consecutive computed tomography (CT) angiograms over a period of 1 year was performed, and we analyzed the arterial supply to segment 4 of the liver. Results: We found that the arterial supply to segment 4 of the liver originated from left hepatic artery (LHA) in majority of cases, 76.3%. LHA along with the accessory LHA supplied this segment in 6.4%, whereas the accessory LHA solely supplied this segment in 0.4%. The right hepatic artery (RHA) was seen to supply this segment in 10.2%. Dual supply with branches from the RHA and LHA was seen in 6.6% of patients. Conclusion: Preoperative mapping of segment 4 hepatic arterial supply using CT angiography will act as a roadmap to surgeons as they attempt to carefully dissect and preserve this segments' arterial supply. Depending on the anatomical variation, surgical techniques will vary to ensure safety of segment 4 arterial supply.

scholarly journals Anatomical variation in arterial supply of liver – Case study

2021 ◽  
Vol 7 (2) ◽  
pp. 64-66
Author(s):  
Dinesh Kumar ◽  
Mitesh R Dave
Keyword(s):  
Hepatic Artery ◽  
Blood Supply ◽  
Vascular System ◽  
Intraoperative Imaging ◽  
Anatomical Variation ◽  
Celiac Trunk ◽  
Hiatal Hernia Repair ◽  
Proper Hepatic Artery ◽  
Hepatic Arteriography ◽  
Liver Transplantations

The variations of blood supply of liver is of great importance for general surgery, particularly hepatic surgery. Blood supply of liver is significant for liver transplantations, radiological procedures, and laparoscopic method of operation and for the healing of penetrating injuries, including the space close to the hepatic area.The pattern of the normal vascular system of the liver comes from the common hepatic artery (CHA), originating from the celiac trunk. The gastroduodenal artery (GDA), right gastric artery (RGA) and proper hepatic artery (PHA) are the main branches of the CHA. After that, the division of the PHA composes the left and right hepatic branches.During a routine dissection with medical students from the Department of Anatomy, Parul institute of Medical sciences and research Vadodara, We found on one cadaver that the blood supply of the liver differed from a normal blood supply of liver.In one cadaver we found that liver is supplied by a direct branch from celiac trunk and in same cadaver liver is also supplied by proper hepatic artery. The knowledge about the variations in hepatic arterial anatomy is very important for surgical gastroenterologists and interventional radiologists for preoperative planning and intraoperative imaging during procedures like liver transplantation, cholecystectomy, gastrectomy, hiatal hernia repair, trans-arterial chemotherapy and hepatic arteriography.

scholarly journals Variation in the branching pattern of celiac trunk: a case report

2015 ◽  
Vol 32 (03) ◽  
pp. 200-202
Author(s):  
S. Nayak ◽  
A. Aithal ◽  
S. Shetty ◽  
N. Kumar ◽  
S. Ravindra ◽  
...  
Keyword(s):  
Hepatic Artery ◽  
Celiac Trunk ◽  
Anatomical Variations ◽  
Left Gastric Artery ◽  
Branching Pattern ◽  
Gastric Artery ◽  
Current Case ◽  
Hepatic Arteries ◽  
The People ◽  
The Right

AbstractArterial supply for the derivatives of foregut in the abdomen is provided by the branches of the celiac trunk. Celiac trunk is the first ventral branch of abdominal aorta and usually branches into splenic, common hepatic and left gastric arteries. Variations in the branching pattern of celiac trunk are common but in most of the people, they remain asymptomatic and go unnoticed. A good knowledge of these anatomical variations is important for surgeons undertaking various surgeries in the abdominal region and will help to minimise the complications related to abdominal surgery. Clinicians and radiologists should also be aware of any variations in the vascular pattern of the celiac trunk before performing angiographic examinations. In the current case, the celiac trunk divided into two branches; left gastric artery and hepato-splenic trunk. The hepato-splenic trunk further divided into splenic and common hepatic arteries. The common hepatic artery trifitrcated into proper hepatic, gastroduodenal and accessory hepatic arteries. Hepatic artery proper divided into right and left hepatic arteries. The accessory hepatic artery was tortuous and was as large as the left hepatic artery. It gave origin to the right gastric artery and entered the liver through left end of porta hepatis.

scholarly journals Absence of the celiac trunk and trifurcation of the common hepatic artery: a case report

2016 ◽  
Vol 15 (3) ◽  
pp. 259-262
Author(s):  
Satheesha Nayak Badagabettu ◽  
Ashwini Aithal Padur ◽  
Naveen Kumar ◽  
Deepthinath Reghunathan
Keyword(s):  
Case Report ◽  
Hepatic Artery ◽  
Rare Variant ◽  
Adult Male ◽  
Celiac Trunk ◽  
Anatomical Variations ◽  
Common Hepatic Artery ◽  
Review Of The Literature ◽  
Male Cadaver ◽  
The Common

Abstract Anatomical variations of the celiac trunk and its branches are particularly important from a surgical perspective due to their relationships with surrounding structures. We report here a particularly rare variant involving absence of the celiac trunk in association with trifurcation of the common hepatic artery. These variations were found in an adult male cadaver. We perform a review of the literature and discuss the clinical and embryological significance of these variations. Recognition of celiac trunk and hepatic artery variations is of utmost importance to surgeons and radiologists because multiple variations can lead to undue complications.

scholarly journals A Unique Communicating Arterial Branch between the Celiac Trunk and the Superior Mesenteric Artery: A Case Report

2019 ◽  
Vol 7 (13) ◽  
pp. 2138-2141
Author(s):  
Adegbenro Omotuyi John Fakoya ◽  
Emilio Aguinaldo ◽  
Natalia M. Velasco-Nieves ◽  
Erica Barnes ◽  
Zachary T. Vandeveer ◽  
...  
Keyword(s):  
Case Report ◽  
Superior Mesenteric Artery ◽  
Mesenteric Artery ◽  
Anatomical Variation ◽  
Celiac Trunk ◽  
Anatomical Variations ◽  
Pancreaticoduodenal Artery ◽  
Case Presentation ◽  
Asymptomatic Case ◽  
Arterial Branch

BACKGROUND: Many anatomical variations have been associated with the Celiac Trunk, of which most are classified as being asymptomatic. CASE PRESENTATION: In this article, we describe yet another anatomical variation involving the Celiac Trunk, Superior Mesenteric artery and the Inferior Pancreaticoduodenal Artery during routine cadaveric dissection. We identified a fourth branch of the Celiac trunk (quadrification) that communicated with the Superior Mesenteric artery at the point of origin of the Inferior Pancreaticoduodenal artery which we concluded to be the Anterior Inferior Pancreaticoduodenal artery. CONCLUSION: This anastomosis could be essential in the case of occlusion between the Celiac Trunk and the Superior Mesenteric artery.

scholarly journals Effectiveness of the echoendoscopic puncture in the diagnosis of solid pancreatic mass

2009 ◽  
Vol 22 (4) ◽  
pp. 192-196
Author(s):  
Adriano Fernandes da Silva ◽  
Eduardo Guimarães Hourneaux de Moura ◽  
Everson Luiz de Almeida Artifon ◽  
Paulo Sakai ◽  
Fauze Maluf-Filho ◽  
...  
Keyword(s):  
Lymph Node ◽  
Gastrointestinal Endoscopy ◽  
Celiac Trunk ◽  
Sao Paulo ◽  
Intestinal Wall ◽  
Pancreatic Mass ◽  
Exclusion Criterion ◽  
São Paulo ◽  
Endoscopy Unit ◽  
Abdominal Organs

BACKGROUND: Echoendoscopy is a mixed technique which adds the advantages of endoscopy to those of transabdominal ultrasonography through an endoscope with transductor in its distal extremity, allowing for the evaluation of the abdominal organs reached by the endoscope and in contact with the intestinal wall. AIM: To verify the positivity rate of the echoendoscopy with puncture with thin needle (EEPTN) or (EE-PAF) in solid pancreatic mass based on the technique used in the Gastrointestinal Endoscopy Unit of Hospital das Clínicas, University of São Paulo. METHODS: Retrospective evaluation - cohort study - of 138 patients who were submitted to echoendoscopy through aspiration puncture between May 2004 and June 2007. The data were collected through the medical charts present in the medical files of Hospital das Clínicas (Clinical Hospital) of the University of São Paulo, having as inclusion criterion the presence of solid pancreatic mass in computerized tomography and as exclusion criterion the presence of non solid pancreatic tumor. The routine technique was the one used in the Gastrointestinal Endoscopy Unit focusing the following variables: mass characteristics (size, location, presence of peripancreatic lymph node, presence of lymph node in celiac trunk); number of punctures to obtain microfragment for cytology, and experience of the professional in charge. The equipment used was an echoendoscopy device model Olympus EUS (EYES) Exera EU - C60, with electronic sectorial transductor and 22 gauges Wilson-Cook needles. RESULTS: Seventy six (55,4 %) male patients and 61 (44.5 %) female were enrolled. Age ranged from 16 to 87 years and means 59,9 years. The lesions were cephalic in 94 (68,1 %). Mass larger than 4 cm had a higher percentage of positivity reaching 40%, but lesions smaller than 2 cm had a percentage of 43% of inconclusive. Microfragments were obtained in 100% of the positive cases and only 73,1 % when negative (P=0,004). There was no statistic difference regarding the experience of the endoscopy professional. Only 80 patients had the number of punctures written down and it was noticed that there is better performance as the number of punctures was increased. The definitive histopathologycal diagnosis of pancreatic neoplasia occurred in only 41(29,7 %) patients. CONCLUSIONS: Regarding mass characteristics, when larger is the mass, larger is the positivity of the method; the location didn't correlate with higher positivity; when the lymph nodes were present, there was a tendency to positivity; concerning the number of punctures, the higher number, higher positivity; in relationship to the professional experience in endoscopy, there was no difference in the rate of positivity of the puncture of the solid pancreatic mass.

scholarly journals One more anatomic variant of the celiac trunk(in French)

2019 ◽  
pp. 13-16
Keyword(s):  
Hepatic Artery ◽  
Pancreatic Head ◽  
Celiac Trunk ◽  
Anatomical Variations ◽  
Right Hepatic Artery ◽  
Anatomic Variant ◽  
Left And Right ◽  
Rare Anatomic Variant ◽  
Pancreatic Head Tumor ◽  
Arterial Anatomy

Anatomical variations of the celiac trunk are numerous. Variants of the hepatic artery are important to consider especially in the bilio-pancreatic procedures. Unusual arterial anatomy increases the risk of postoperative specific complications. We report a case of a rare anatomic variant of the celiac trunk that gives rise to a left and right hepatic artery separately. It is an exceptional variant found in a patient with a pancreatic head tumor and candidate for duodenopancreatectomy. Key words: celiac trunk, right hepatic artery, anatomic variant.

Sign in / Sign up

Export Citation Format

Share Document