Abstract
Purpose
The celiac trunk (CT) is a vascular structure of the upper abdomen which gives off the left gastric artery (LGA), the splenic artery and the common hepatic artery. This study aims to compare the vascular patterns of the CT of two different samples (cadaveric and radiological) and to propose a simple classification of CT variations based on previous studies and our results.
Materials and methods
To perform this study we examined 43 adult cadavers, 24 males and 19 females, ages ranged from 69 to 92. In addition, we analysed 596 MDCT (multidetector computed tomographic) angiography examinations of 430 males and 166 females, ages ranged from 42 to 82.
Results
According to the classification proposed, results were divided into Type I or complete CT (578/639 cases, 90.5 %), Type II or incomplete CT (61/639 cases, 9.5 %), Type III or absence of CT and Type IV or celiacomesenteric trunk with no cases reported. Type I was divided into Type Ia or bifurcated trunk with LGA arising first (368/639 cases, 57.6 %), Type Ib or trifurcated trunk (205/639 cases, 32.1 %) and Type Ic or tetrafurcated trunk with an extra branch (5/639 cases, 0.8 %). Type II included hepatosplenic (29/639 cases, 4.5 %), gastroplenic (32/639, 5 %) and hepatogastric trunks (0/639, 0 %) which represented Types IIa, IIb and IIc respectively.
Conclusions
No significant differences were found between the cadaveric and radiological samples. Gender did not appear to be related to any variability of the structures either. A new, simple and complete classification of the anatomical variations of the CT is proposed.
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References
Adachi B (1928) Das Arteriensystem der Japaner, vol II. Maruzen Publishing Co, Kyoto
Babu D, Poonam K (2013) Coeliac trunk variations: review with proposed new classification. Int J Anat Res 1(3):165–170
Chen H, Shoumura Yano R, Emura S (2009) Anatomic variation of the celiac trunk with special reference to hepatic artery patterns. Ann Anat 191(4):399–407
Clark T (2006) Complications of hepatic chemoembolization. Semin Intervent Radiol 23(2):119–125
Descomps P (1910) Le tronc coeliaque. G. Steinheil, Paris
Eaton PB (1917) The Coeliac Axis. Anat Rec 13:369–374
Hiatt JR, Gabbay J, Busuttil RW (1994) Surgical anatomy of the hepatic arteries in 1000 cases. Ann Surg 220:50–52
Iezzi R, Controneo AR, Giancristofaro D, Santoro M, Storto ML (2008) Multidetector-row CT angiographic imaging of the celiac trunk: anatomy and normal variants. Surg Radiol Anat 30:303–310
Ishigami K, Zhang Y, Rayhill S, Katz D, Stolpen A (2004) Does variant hepatic artery anatomy in a liver transplant recipient increase the risk of hepatic complications after transplantation? AJR 183(6):1577–1584
Leriche R, Villemin F (1907) Recherches anatomiques sur les artères de l’estomac. Bibliographie Anatomique 16:111
Lipshutz B (1917) A composite study of the celiac axis artery. Ann Surg 65:159–169
Michels N.A (1955) Blood Supply and Anatomy of the Upper Abdominal Organs With a Descriptive Atlas. JB Lippincott, Philadelphia 581:136–147
Nelson TM, Polak R, Jonasson O, Abcarian H (1988) Anatomic variants of the celiac, superior mesenteric, and inferior mesenteric arteries and their clinical relevance. Clin Anat 1:75–91
Ozbulbul NI (2011) CT angiography of the celiac trunk: anatomy, variants and pathologic findings. Diagn Interv Radiol 17:150–157
Quain R (1844) The anatomy of the arteries of the human body: and its application to pathology. 1st edn. Taylor and Walton, London 580:340–341
Rio Branco P (1912) Anatomie et medicine opératoire du tronc coeliaque en particulier de l’artère hépatique. G Steinheil, Paris
Rossi G, Cova E (1904) Studio morfologico delle arterie dello stomaco. Arch Ital Anat Embryol 255:278–288
Shomura S, Emua S (1991) Anatomical study on the branches of the celiac trunk (IV); comparison of our findings with Adachi’s classification. Acta Anat 66:452–461, Nippon
Song S-Y, Chung JW, Yin YH, Jae HJ, Kim HC, Jeon UB, Cho BH, So YH, Park JH (2010) Celiac axis and common hepatic artery variations in 5002 patients: systematic analysis with spiral CT and DSA. Radiol 255(1):278–288
Tandler J (1904) Über die Varietäten der Arteria coeliaca und deren Entwicklung. Anatomische Hefte 25:472–500
Ugurel MS, Battal B, Bozlar U, Nural MS, Tasar M, Ors F et al (2010) Anatomical variations of hepatic arterial system, celiac trunk and renal arteries: an analysis with multidetector CT angiography. Br J Radiol 83:661–667
Vandamme J.P, Bonte J (1985) The branches of the celiac trunk. Acta Anat 122(2):110–114
Yi SQ, Terayama H, Naito M, Hayashi S, Moriyama H, Tsuchida A, Itoh M (2008) A common celiacomesenteric trunk, and a brief review of the literature. Ann Anat 189:482–488
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Marco-Clement, I., Martinez-Barco, A., Ahumada, N. et al. Anatomical variations of the celiac trunk: cadaveric and radiological study. Surg Radiol Anat 38, 501–510 (2016). https://doi.org/10.1007/s00276-015-1542-4
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DOI: https://doi.org/10.1007/s00276-015-1542-4