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Hypoplastic Celiac Trunk With Aberrant Hepatic and Splenic Arteries: A Case Report

Bandar M Abuageelah1, Mona H Alfaifi1, Yousef M Alyami1

  • 1General Medicine, Batterjee Medical College, Aseer, SAU.

Cureus
|August 4, 2025
PubMed

Insights

A rare vascular anomaly showed a hypoplastic celiac trunk with aberrant arteries from the superior mesenteric artery (SMA). This finding is crucial for accurate diagnosis and safe surgical interventions in abdominal conditions.

Area of Science:

  • Vascular Surgery
  • Radiology
  • Anatomical Variations

Background:

  • Vascular anomalies of the celiac trunk and its branches are uncommon but clinically significant.
  • Accurate identification of these anomalies is vital for surgical planning and patient safety.

Observation:

  • A 24-year-old male presented with acute abdominal pain and vomiting.
  • Contrast-enhanced CT revealed a hypoplastic celiac trunk with aberrant hepatic and splenic arteries originating from the superior mesenteric artery (SMA).
  • Dilated duodenum and jejunum with wall thickening and mesenteric inflammation were noted, suggesting altered hemodynamics.

Findings:

  • The case presented a distinct anatomical variant, differing from the typical replaced right hepatic artery.
  • The superior mesenteric artery (SMA) supplied aberrant hepatic and splenic arteries due to a hypoplastic celiac trunk.

Implications:

  • This rare vascular variant underscores the importance of CT angiography in detecting atypical anatomy.
  • Identifying such anomalies prevents misdiagnosis and guides safer surgical or interventional procedures.
  • Understanding these variations is critical for managing acute abdominal conditions potentially related to mesenteric vascular congestion.

Keywords:
aberrant hepatic arteryaberrant splenic arteryacute abdomenct angiographyhypoplastic celiac trunkvascular anomaly

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