scholarly journals MDCT angiography of anatomical variations of the celiac trunk and superior mesenteric artery

2014 ◽  
Vol 66 (1) ◽  
pp. 233-240 ◽  
Author(s):  
Neda Ognjanovic ◽  
D. Jeremic ◽  
Ivana Zivanovic-Macuzic ◽  
Maja Sazdanovic ◽  
P. Sazdanovic ◽  
...  
Keyword(s):  
Superior Mesenteric Artery ◽  
Hepatic Artery ◽  
Mesenteric Artery ◽  
Celiac Trunk ◽  
Anatomical Variations ◽  
Common Hepatic Artery ◽  
Common Trunk ◽  
Mdct Angiography ◽  
The Common ◽  
Mdct Scanner

The aim of this study was to detect and describe the existence and incidence of anatomical variations of the celiac trunk and superior mesenteric artery. The study was conducted on 150 persons, who underwent abdominal Multi- Detector Computer Tomography (MDCT) angiography, from April 2010 until November 2012. CT images were obtained with a 64-row MDCT scanner in order to analyze the vascular anatomy and anatomical variations of the celiac trunk and superior mesenteric artery. In our study, we found that 78% of patients have a classic anatomy of the celiac trunk and superior mesenteric artery. The most frequent variation was the origin of the common hepatic artery from the superior mesenteric artery (10%). The next variation, according to frequency, was the origin of the left gastric artery direct from the abdominal aorta (4%). The arc of Buhler as an anastomosis between the celiac trunk and superior mesenteric artery, was detected in 3% of cases, as was the presence of a common trunk of the celiac trunk and superior mesenteric artery (in 3% of cases). Separate origin of the splenic artery and the common hepatic artery was present in 2% of patients. The MDCT scanner gives us an insight into normal anatomy and variations of the abdominal blood vessels, which is very important in the planning of surgical interventions, especially transplantation, as well as in the prevention of complications due to ischemia.

Rare case of the inferior mesenteric artery and the common hepatic artery arising from the superior mesenteric artery

2004 ◽  
Vol 17 (6) ◽  
pp. 518-521 ◽  
Author(s):  
Tokuji Osawa ◽  
Xin-Yan Feng ◽  
Nobuhide Sasaki ◽  
Satomi Nagato ◽  
Yoko Matsumoto ◽  
...  
Keyword(s):  
Superior Mesenteric Artery ◽  
Hepatic Artery ◽  
Mesenteric Artery ◽  
Rare Case ◽  
Inferior Mesenteric Artery ◽  
Common Hepatic Artery ◽  
The Common

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 Effective kissing stent to severe stenosis of the superior mesenteric artery replacing the common hepatic artery

2018 ◽  
Vol 1 (1) ◽  
Author(s):  
Yusuke Date ◽  
Hiromasa Katoh ◽  
Takatoshi Abe ◽  
Hirhoshi Nagamine ◽  
Hiroiku Hara ◽  
...  
Keyword(s):  
Superior Mesenteric Artery ◽  
Hepatic Artery ◽  
Mesenteric Artery ◽  
Common Hepatic Artery ◽  
Severe Stenosis ◽  
The Common ◽  
Kissing Stent

scholarly journals A rare anastomosis between the common hepatic artery and the superior mesenteric artery: a case report

2017 ◽  
Vol 39 (10) ◽  
pp. 1175-1179 ◽  
Author(s):  
Łukasz Olewnik ◽  
Grzegorz Wysiadecki ◽  
Michał Polguj ◽  
Mirosław Topol
Keyword(s):  
Case Report ◽  
Superior Mesenteric Artery ◽  
Hepatic Artery ◽  
Mesenteric Artery ◽  
Common Hepatic Artery ◽  
The Common

scholarly journals Anatomical variations of the celiac trunk and hepatic arterial system: an analysis using multidetector computed tomography angiography

2015 ◽  
Vol 48 (6) ◽  
pp. 358-362 ◽  
Author(s):  
Severino Aires Araujo Neto ◽  
Henrique Almeida Franca ◽  
Carlos Fernando de Mello Júnior ◽  
Eulâmpio José Silva Neto ◽  
Gustavo Ramalho Pessoa Negromonte ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Superior Mesenteric Artery ◽  
Multidetector Computed Tomography ◽  
Hepatic Artery ◽  
Mesenteric Artery ◽  
Celiac Trunk ◽  
Anatomical Variations ◽  
Arterial System ◽  
Cross Sectional ◽  
Computed Tomography Images

Abstract Objective: To analyze the prevalence of anatomical variations of celiac arterial trunk (CAT) branches and hepatic arterial system (HAS), as well as the CAT diameter, length and distance to the superior mesenteric artery. Materials and Methods: Retrospective, cross-sectional and predominantly descriptive study based on the analysis of multidetector computed tomography images of 60 patients. Results: The celiac trunk anatomy was normal in 90% of cases. Hepatosplenic trunk was found in 8.3% of patients, and hepatogastric trunk in 1.7%. Variation of the HAS was observed in 21.7% of cases, including anomalous location of the right hepatic artery in 8.3% of cases, and of the left hepatic artery, in 5%. Also, cases of joint relocation of right and left hepatic arteries, and trifurcation of the proper hepatic artery were observed, respectively, in 3 (5%) and 2 (3.3%) patients. Mean length and caliber of the CAT were 2.3 cm and 0.8 cm, respectively. Mean distance between CAT and superior mesenteric artery was 1.2 cm (standard deviation = 4.08). A significant correlation was observed between CAT diameter and length, and CAT diameter and distance to superior mesenteric artery. Conclusion: The pattern of CAT variations and diameter corroborate the majority of the literature data. However, this does not happen in relation to the HAS.

scholarly journals Abdominal hemodynamics in patients with visceroptosis

2021 ◽  
Vol 42 (Supplement_1) ◽  
Author(s):  
A Ljaljukov ◽  
E Loginova ◽  
G Nechaeva ◽  
I Druk ◽  
A Semenkin ◽  
...  
Keyword(s):  
Blood Flow ◽  
Portal Vein ◽  
Superior Mesenteric Artery ◽  
Hepatic Artery ◽  
Mesenteric Artery ◽  
Splenic Artery ◽  
Digestive System ◽  
Common Hepatic Artery ◽  
Postprandial Period ◽  
The Common

Abstract Background Abdominal circulation plays the important physiological role for structure and function of the digestive system, maintenance of nutrient homeostasis. Purpose To study the features of abdominal hemodynamics in patients with visceroptosis. Methods We studied 69 patients (mean age 22.28±3.7 years) with splanchnoptosis (visceroptosis) and 52 age- and sex- matched patients without splanchnoptosis (controls). Exclusion criteria: a history of digestive system surgery of taking blood circulation activating drugs. Doppler ultrasonography of the common hepatic artery, splenic artery, superior mesenteric artery, portal vein was performed on an empty stomach and 30 minutes after a food sample (standardized for proteins (14 g), fats (10 g) and carbohydrates (45 g)) using the Sonoace-8000 ultrasound scanner (Medison, South Korea). The data were analyzed using the Statistica-6 packages. Results There were no differences in hemodynamic parameters of fasting abdominal blood flow (ABF). After a food testing, in the postprandial period the ABF in all vessels in patients with splanchnoptosis was lower than in controls: the portal vein blood flow (BF) 1124,0 [1030,0–1419,0] ml/min vs 1373,0 [1136,0–1567,5] ml/min respectively (U=433,5; Z=−2,1; p=0,0342); the common hepatic artery BF 341,0 [295,0–394,0] ml/min vs 412,0 [331,0–521,0] ml/min respectively (U=335,0; Z=−2,3; p=0,0218); the splenic artery BF 396,0 [292,0–538,0] ml/min vs 502,0 [394,0–594,0] ml/min respectively (U=328,0; Z=−2,1; p=0,0399); the superior mesenteric artery BF 988,0 [837,0–1272,0] ml/min vs 1136,5 [992,0–1465,0] ml/min respectively (U=1625,5; Z=−2,2; p=0,0314). Changes in ABF were correlated with splanchnoptosis: the portal vein BF with any ptosis (rs=−0,21; p<0.05), the common hepatic artery BF with gastroptosis (rs=−0,38; p<0.05), the superior mesenteric artery BF with colonoptosis (rs=−0,86; p<0.05). The peripheral vascular resistance was correlated with the common hepatic artery BF (rs=−0,46; p<0.05), with the splenic artery BF (rs=−0,33; p<0.05) and with the superior mesenteric artery BF (rs=−0.79; p<0.05). Conclusions Patients with splanchnoptosis in the postprandial period have low volumetric BF in abdominal aorta vessels. This can be associated with the length of the mesenteric vessels, which undergoes the greatest changes in splanchnoptosis. Food testing reveals latent BF deficit in patients with splanchnoptosis. FUNDunding Acknowledgement Type of funding sources: None.

A Case Report of Hepato Spleno Mesenteric Trunk – A Rare Vascular Variation

2021 ◽  
Vol 10 (29) ◽  
pp. 2217-2220
Author(s):  
Jisha Sree Hasheem ◽  
Rohini Avantsa
Keyword(s):  
Case Report ◽  
Superior Mesenteric Artery ◽  
Abdominal Aorta ◽  
Mesenteric Artery ◽  
Splenic Artery ◽  
Surgical Techniques ◽  
Celiac Trunk ◽  
Anatomical Variations ◽  
Common Trunk ◽  
Vascular Variations

Major sources of the vascular supply of the gastrointestinal tract are the celiac trunk (CT) and superior mesenteric artery (SMA) which are the main proximal branches of the abdominal aorta. The CT gives rise to three branches normally as follows: left gastric artery (LGA), common hepatic artery (CHA) and splenic artery (SA). The branching pattern of the CT is considered as the most literature explained anatomical pattern.1 After the CT, the abdominal aorta gives the second named branch as superior mesenteric artery. Vascular variations of the celiac trunk and superior mesenteric artery are common and had been described earlier.2 These variations are caused due to the aberrant embryological development of splanchnic arteries. The incidence of hepato-spleno-mesenteric trunk has been reported by various authors as 0.68 %,3 0.7 %,4 0.3 %,5 0.4 %,6 or 1 %.7 The importance of knowledge of these variations lies in preplanning of invasive surgical techniques, organ transplantation, diagnosis, prevention, and management of some metastatic tumours and to overcome the catastrophic consequences like bowel ischemia due to common trunk.8 Hence a better understanding of these anatomical variations is considered vital for surgeons or radiologists for appropriate planning and conduction of surgical procedures or interventions.9 Most of the anatomical variations in abdominal aorta branches are asymptomatic and incidental findings while imaging for other aetiologies. But the identification of such vascular variations is of utmost importance in clinical practice. The Hepatospleno-mesenteric trunk [HSMT] is one of those variations and was less frequently reported. The authors describe a case report of the hepato-spleno-mesenteric trunk which was incidentally detected in the multi detector computed tomography study of the abdomen of a 54-year-old male patient who had been diagnosed to have chronic liver disease and hepatic encephalopathy. The origin of the HSMT [with a diameter of 11mm] occurs from the abdominal aorta at the level of the L2 vertebral body and is divided into the hepatosplenic trunk [diameter of 7 mm] and superior mesenteric artery [diameter of 7.5 mm] after coursing for a length of 28 mm. The hepatosplenic trunk ascends superiorly for a length of 20 mm and divided into two terminal branches: common hepatic (6 mm) and splenic artery (6 mm).

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