Additional branches of celiac trunk and its clinical significance

S R Nayak1, Latha V Prabhu, A Krishnamurthy

  • 1Department of Anatomy, Centre for Basic Sciences, Kasturba Medical College, Bejai, Mangalore, Karnataka, India. ranjanbhatana@gmail.com

Insights

A rare anatomical variation of the celiac trunk (CT) was discovered in a cadaver. This lengthy CT had an unusual origin and five branches, including a left phrenic artery (LPA) and an arterial loop supplying the pancreas.

Area of Science:

  • Anatomy
  • Vascular Biology
  • Embryology

Background:

  • Anatomical variations in abdominal arteries are clinically significant.
  • Vascular anomalies are commonly observed in abdominal viscera during dissections and imaging.
  • Understanding these variations is crucial for surgical and diagnostic procedures.

Observation:

  • A unique variation of the celiac trunk (CT) was identified in a 59-year-old male cadaver during routine dissection.
  • The CT exhibited an unusually long course and originated from the left antero-lateral aspect of the abdominal aorta.
  • This variation presented five branches: left gastric artery (LGA), splenic artery (SA), common hepatic artery (CHA), gastroduodenal artery (GDA), and an anomalous left phrenic artery (LPA).

Findings:

  • The celiac trunk (CT) displayed an atypical origin and length.
  • An arterial loop was observed between the superior pancreatico-duodenal artery (SPDA) and the inferior pancreatico-duodenal artery (IPDA).
  • This arterial loop supplied the pancreatic head and duodeno-jejunal flexure.

Implications:

  • This case highlights the importance of recognizing rare anatomical variations of the celiac trunk (CT) and its branches.
  • Such variations can impact surgical planning and interpretation of diagnostic imaging.
  • Further study of embryological development may elucidate the origins of these vascular anomalies.

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