scholarly journals Variations of the Branches of the Coeliac Trunk: a Case Report

2012 ◽  
Vol 2 (3) ◽  
pp. 148-150
Author(s):  
Ashalatha Kasukurthy

The hepatic, splenic and left gastric arteries are considered as the “main classic branches” of the coeliac trunk. We reported two cases of coeliac trunk. Left inferior phrenic artery arose directly from coeliac trunk and accessory hepatic artery arose from common hepatic artery. In our opinion; arterial variations should not be ignored during abdominal operative procedures. Complications in abdominal surgeries could be avoided with the accurate knowledge of the anatomical variations of coeliac trunk. DOI: http://dx.doi.org/10.3126/ajms.v2i3.4248 Asian Journal of Medical Sciences 2 (2011) 148-150

2016 ◽  
Vol 15 (3) ◽  
pp. 259-262
Author(s):  
Satheesha Nayak Badagabettu ◽  
Ashwini Aithal Padur ◽  
Naveen Kumar ◽  
Deepthinath Reghunathan

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.


Medicina ◽  
2021 ◽  
Vol 57 (5) ◽  
pp. 487
Author(s):  
Sandra Petzold ◽  
Silke Diana Storsberg ◽  
Karin Fischer ◽  
Sven Schumann

Background and Objectives: Knowledge of arterial variations of the intestines is of great importance in visceral surgery and interventional radiology. Materials and Methods: An unusual variation in the blood supply of the descending colon was observed in a Caucasian female body donor. Results: In this case, the left colic artery that regularly derives from the inferior mesenteric artery supplying the descending colon was instead a branch of the common hepatic artery. Conclusions: Here, we describe the very rare case of an aberrant left colic artery arising from the common hepatic artery in a dissection study.


Author(s):  
Vinitha G. ◽  
Meenakshi Parthasarthy

Background: One of the most vascular organ in the body Adrenal gland being highly variant in vasculature and tough to approach, its knowledge needs to be updated regularly. Anatomists, Surgeons and Radiologists will be benefitted with this study and improves the quality of care provided to patients by reducing morbidity and mortality.Methods: This study was done on 48 formalin fixed cadavers (33 males, 15 females) in the department of anatomy, between 2014-2019. Coeliac trunk was skeletonized, and branches traced looking for suprarenal arterial branches.Results: Superior Suprarenal Artery originated from Inferior phrenic artery in 13(27%) cases, and these Inferior phrenic arteries were arising from the Coeliac trunk, and in one (2.03%) case Superior suprarenal artery was arising directly from Coeliac trunk and which had even replaced the Middle Suprarenal Artery. None of the Middle and Inferior Suprarenal Artery came from coeliac trunk.Conclusions: Knowledge of Superior Suprarenal Arterial variations while doing surgeries, and during radiological interventions in and around the lesser sac, and involving the Coeliac trunk helps the clinicians in reducing the morbidity and mortality.


Author(s):  
Yasuhito Iwao ◽  
Daisuke Ban ◽  
Satoru Muro ◽  
Atsushi Kudo ◽  
Shinji Tanaka ◽  
...  

Abstract Purpose Annular pancreas encountered in adults and jejunal arterial variations are rare. Anatomical variations can cause conflicts between oncology and surgical safety. Methods Case report of a 68-year-old man suffering from vomiting because of an annular pancreas and a ductal adenocarcinoma of the pancreas head invading the second portion of the duodenum. Results Contrast-enhanced computed tomography showed multiple arterial variations describing the absence of the coeliac trunk such that the left gastric artery (LGA), splenic artery and superior mesenteric artery (SMA) were arising separately from the aorta. The accessory left hepatic artery arose from the LGA; and both the common hepatic artery and combined trunk of the replaced right hepatic artery with the higher replaced first jejunal artery separately arose close to the root of the SMA. The patient underwent curative pancreaticoduodenectomy which achieved 3 years of recurrence-free survival. Conclusion This was an extraordinary case of annular pancreas with first jejunal arterial variation detailing an embryological interpretation as well as considerations for balancing short- and long-term outcomes.


2018 ◽  
Vol 36 (2) ◽  
pp. 99-103 ◽  
Author(s):  
Takatsugu Matsumoto ◽  
Keiichi Kubota ◽  
Taku Aoki ◽  
Takayuki Shimizu ◽  
Shozo Mori ◽  
...  

Background/Aims: Because of the anatomical characteristics, pancreatic cancers (PC) can easily invade to visceral vessels such as celiac artery, superior mesenteric artery, common hepatic artery (CHA) and portal vein, which makes curative resection difficult. In this study, we report an R0 resection for locally advanced PC by total pancreatectomy, combined resection of CHA, and reconstruction of hepatic artery using autologous left inferior phrenic artery (IPA). Methods: A 47-year-old woman with complaints of low back pain was referred to our department. Contrast-enhanced computed tomography revealed a hypo-attenuation tumor of the pancreatic body measuring 70 mm, which completely encased the CHA. When unresectable locally advanced PC was diagnosed, systematic chemotherapy was administrated. After downstaging, she underwent surgery with curative intent. The tumor completely infiltrated the peripheral part of the CHA and gastroduodenal artery. As the tumor also extended to the head of the pancreas, total pancreatectomy and combined resection of CHA were performed. Then the exposed left IPA and proper hepatic artery were anastomosed with a microvascular technique. Results: R0 resection was performed for restoring hepatic arterial flow and the postoperative course was uneventful without any postoperative morbidity. Conclusion: Hepatic artery reconstruction using IPA is a simple and safe procedure in selected patients.


In Vivo ◽  
2018 ◽  
Vol 32 (4) ◽  
pp. 911-914 ◽  
Author(s):  
NICOLAE BACALBASA ◽  
IRINA BALESCU ◽  
ALINA TANASE ◽  
IULIAN BREZEAN ◽  
MIHAELA VILCU ◽  
...  

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