Absence of the celiac trunk and trifurcation of the common hepatic artery: a case report

Badagabettu, Satheesha Nayak; Kumar, Naveen; Reghunathan, Deepthinath

doi:10.1590/1677-5449.004016

Cited by 7 publications

(8 citation statements)

References 13 publications

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“…They observed that approximate 20% of patients had some type of hepatic artery variation [ 18 ]. Interestingly, Badagabettu et al [ 19 ] published a cadaver case report of common hepatic anatomy that shared similarities to our donor anatomy. Their patient had a common hepatic artery that trifurcated into the right hepatic artery, left hepatic artery, and the gastroduodenal artery.…”

Section: Discussionsupporting

confidence: 56%

The Absence of a Proper Hepatic Artery: A Case Report

McDaniel

Frank

2022

Am J Case Rep

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Patient: Female, 80-year-old Final Diagnosis: Lung adenocarcinoma Symptoms: Death Medication:— Clinical Procedure: — Specialty: Anatomy • Surgery Objective: Unusual clinical course Background: Pancreaticoduodenectomy, liver transplantation, cholecystectomy, and surgical management of traumatic injuries are all dependent on in-depth knowledge of the anatomy of the common hepatic artery and its subsequent divisions. The common hepatic artery arises from the celiac trunk, which is the first major branch of the abdominal aorta. The common hepatic artery bifurcates into the gastroduodenal artery traveling inferiorly behind the duodenal bulb and the proper hepatic artery continues laterally toward the liver within the hepatoduodenal ligament. The proper hepatic artery provides the right gastric artery before dividing into the left and right hepatic arteries. Anatomical variations in the common hepatic artery and its subdivisions are common and this case report identifies a seemingly undocumented novel variation. Case Report: 80-year-old female donor who died of lung adenocarcinoma presented with an anatomical variation of the common hepatic artery discovered during necroscopy. The donor had a common hepatic artery that gave rise to the left hepatic artery, then continued until it bifurcated into the gastroduodenal artery and right hepatic artery. The cystic artery originated from the left hepatic artery, traveling anteriorly over the bile duct and portal vein. The donor seems to have no proper hepatic artery and instead had a novel variation of the common hepatic artery. Conclusions: The observation of this variation underscores the importance of not only being familiar with the standard anatomy but also for variations that can occur. It also furthers support of the standard of preoperative imaging for surgical patients to help identify and prepare for variations.

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Section: Discussionsupporting

confidence: 56%

The Absence of a Proper Hepatic Artery: A Case Report

McDaniel

Frank

2022

Am J Case Rep

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“…The absence of the celiac trunk was reported in five of the 12 studies of this review 4 , 9 , 18 , 19 , 26 . In these cases, the common gastric, splenic and hepatic arteries originated independently directly from the abdominal aorta (item d, Figure 2 ) 4 , 9 , 19 . During the developmental process, primitive arteries are longitudinally anastomosed formed and regress to some extent, where they remain throughout life.…”

Section: Discussionmentioning

confidence: 71%

“…In one case, the three branches emerged directly from the abdominal aorta. Badagabettu SN et al 4 Single Corpse dissection Absence of celiac trunk. Common hepatic artery, left gastric and splenic artery with independent origin in the aorta.…”

Section: Methodsmentioning

confidence: 99%

Anatomical Variations of the Celiac Trunk: A Systematic Review

Santos¹,

Barbosa²,

Targino³

et al. 2018

ABCD, arq. bras. cir. dig.

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Introduction: The celiac trunk (CT) is one of the abdominal portion branches of the aortic artery and, together with the superior mesenteric and inferior mesenteric arteries, participates in the abdominal viscera vascularization through a series of anastomoses. Absence of CT or variation in the number of terminal branches implies in varied abdominal arteries origins, which may have implication in surgical approaches. Objective: To analyze the anatomical variations of the celiac trunk and possible associated surgical clinical implications. Methods:It is a systematic review of articles indexed in the PubMed, Lilacs, SciELO, Springerlink, Scienc Direct and Latindex databases from August to September 2017. Original articles involving the anatomical variations of the celiac trunk in humans were included. The presence/absence of the celiac trunk, the number of terminal branches and the place of origin of its branches in variant cases of the normal anatomical pattern, were considered for this study. Results: At the end of the research, 12 articles were selected, characterized by sample, anatomical structure evaluation method and main results. The normal anatomical pattern was the most prevalent in most studies (75.0%). CT was absent in 41.7% of the findings. The most prevalent anatomical variation was the presence of CT with bifurcation (66.7%). It was also observed the origin of the common and splenic hepatic arteries from the mesenteric arteries (25.0%). The presence of only one branch (16.7%) and quadrifurcation (8.33%) were other findings. Conclusion: CT variations are not uncommon findings, with different anatomic variants being reported. Thus, the importance of knowing the possible variations of this structure is emphasized, which may have implications for surgical interventions and imaging studies related to the abdominal region.

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“…where the celiac trunk was absent and the arteries arose independently from the abdominal aorta [13]. Yadav et al reported a case of a female cadaver in 2014 [22] while another case of an adult male cadaver was reported by Badagabettu in 2016 [23].…”

Section: Discussionmentioning

confidence: 99%

“…However since the first report of Saint-Hillaire only 31 reported cases of such variation have been demonstrated by Iacob et al 2014 [25]. Since then 4 additional cases have been reported to the best of our knowledge [22][23][24]26]. The majority of these cases reported worldwide were observed during anatomical dissections in cadaveric studies, while others were detected by imaging studies.…”

Section: Discussionmentioning

confidence: 99%

Agenesis of the coeliac trunk: a case report and review of the literature

et al. 2021

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Vascular anatomical variations of the abdomen are very common. Awareness of these variations is of paramount importance in clinical practice mainly in achieving best results in minimal invasive or surgical vascular procedures. From surgical point of view, the preoperative knowledge of vascular anatomy and the relations to the surrounding structures and tissues aims to minimize inadvertent complications. Agenesis of the celiac trunk is one of the rare anatomical variations of the abdominal aorta. Limited number of cases have been reported in the medical literature, most of which are based on angiographic and cadaveric studies of adult humans. In this paper, we report a case of absence of the celiac trunk that has been detected as a incidental radiological finding in a female patient, that was admitted with abdominal pain.

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Absence of the celiac trunk and trifurcation of the common hepatic artery: a case report

Cited by 7 publications

References 13 publications

The Absence of a Proper Hepatic Artery: A Case Report

The Absence of a Proper Hepatic Artery: A Case Report

Anatomical Variations of the Celiac Trunk: A Systematic Review

Agenesis of the coeliac trunk: a case report and review of the literature

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