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Coeliac trunk and common hepatic artery variations in children: an analysis with computed tomography angiography

E Caliskan1, T Acar, M Ozturk

  • 1eminecaliskanrad@gmail.com.

Folia Morphologica
|April 14, 2018
PubMed

Insights

Pediatric coeliac trunk (CeT) and common hepatic artery (CHA) variations are common, affecting 9.8% and 35.6% of children respectively. Understanding these anatomical differences is crucial for surgical planning and preventing iatrogenic injuries.

Area of Science:

  • Vascular anatomy
  • Pediatric radiology
  • Surgical planning

Background:

  • Coeliac trunk (CeT) and common hepatic artery (CHA) anatomy are vital for preventing surgical complications in children.
  • Understanding pediatric variations is essential for safe surgical interventions.

Purpose of the Study:

  • To analyze the prevalence of coeliac trunk (CeT) and common hepatic artery (CHA) variations in the pediatric population.
  • To provide data for improved surgical planning and iatrogenic injury prevention in children.

Main Methods:

  • Retrospective analysis of 174 children undergoing abdominal multidetector computed tomography (MDCT) angiography.
  • Detailed examination of CeT and CHA patterns, comparing findings with adult studies.

Main Results:

  • 174 children analyzed; 90.2% had normal CeT anatomy, 9.8% showed variations (most common: 'hepatosplenic trunk + left gastric artery + superior mesenteric artery').
  • 64.4% had normal CHA anatomy, 35.6% showed variations (most common: 'replaced left hepatic artery originating from left gastric artery').

Conclusions:

  • High prevalence of CeT and CHA variations observed in children, similar to adults.
  • Awareness of these pediatric vascular variations is critical for surgical planning, especially for liver transplantation and abdominal tumor surgery, and for minimizing iatrogenic risks.
Abstract

Keywords:
coeliac trunkcomputed tomography angiographyhepatic arteryvariation

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