Anatomic variants of the celiac trunk and hepatic artery: insights from abdominal CT imaging

Muluken Yifru Gebresilassie1, Hawi Dida Midekso2, Abdudin Heru Mehammed3

  • 1Department of Radiology, St. Paul's Hospital Millennium Medical College, Addis Ababa, Ethiopia. muluken.yifru@sphmmc.edu.et.

PubMed

Insights

Anatomical variations of the celiac trunk and hepatic arteries are common in the Ethiopian population. Awareness of these variations is crucial for surgeons to prevent complications during abdominal procedures.

Area of Science:

  • Anatomical variations
  • Vascular anatomy
  • Surgical anatomy

Background:

  • The celiac trunk and hepatic arteries exhibit diverse anatomical variations.
  • Understanding these variations is vital for minimizing complications in abdominal surgeries.
  • Contrast-enhanced abdominal CT is effective for preoperative assessment of these variants.

Purpose of the Study:

  • To document the types of celiac trunk and hepatic artery variations in the Ethiopian population.
  • To provide data that can help reduce morbidity and mortality associated with these anatomical variants.

Main Methods:

  • A retrospective chart review of 290 triphasic abdominal MDCTs performed between June 2023 and May 2024.
  • Data collected by radiologists from CT images.
  • Statistical analysis using SPSS version 27.

Main Results:

  • A normal trifurcation pattern (Uflacker type I) of the celiac trunk was observed in 84.83% of cases.
  • The most common celiac trunk variant was the gastro-splenic trunk (Uflacker type V) at 7.24%.
  • Normal hepatic artery origin (Michel type I) occurred in 69.7%, with Michel type V being the most frequent variant (9.31%).
  • Unclassified variations were also identified.

Conclusions:

  • Variations in celiac trunk and hepatic artery anatomy are prevalent.
  • Significant correlations were found between variations in right and left hepatic arteries.
  • Radiologists and surgeons should be aware of these specific variations to improve patient outcomes.
Abstract

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