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.
Abstract:
The anatomical variations of the abdominal arteries are important due to its clinical significance. Various types of vascular anomalies are frequently found in human abdominal viscera, during cadaveric dissection and diagnostic radiological imaging. The present report describes a variation in the celiac trunk as found during routine dissection in a 59-year-old male cadaver. The celiac trunk (CT) was unusually lengthy and took origin from the left antero-lateral surface of the abdominal aorta. Altogether, there were five branches, including three classic branches of CT. The left phrenic artery (LPA) was the first branch of the CT. The remaining four branches were left gastric artery (LGA), splenic artery (SA), common hepatic artery (CHA) and gastroduodenal artery (GDA). There was an arterial loop between the posterior branches of the superior pancreatico-duodenal artery (SPDA), arising from the GDA, and the posterior branch of the inferior pancreatico-duodenal artery (IPDA), arising from the superior mesenteric artery (SMA). The arterial loop formed by the above arteries, supplied the head of the pancreas and duodeno-jejunal flexure. The embryological and clinical significance of above variations has been described.
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