Celiac-Bimesenteric Trunk: Anatomic and Radiologic Description—Case Report

Nonent, Michel; Larroche, P.; Forlodou, P.; Senecail, B.

doi:10.1148/radiology.220.2.r01au34489

Cited by 35 publications

(28 citation statements)

References 2 publications

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“…In humans, there is also the presence of a celiac-mesenteric trunk formed by celiac artery and the superior mesenteric artery (Çiçekcibaºi et al 2005). Still in humans, there is a rare incidence of a celiac-bimesenteric trunk formed by the celiac artery, superior mesenteric artery and inferior mesenteric artery (Bergman et al 1988, Nonent et al 2001. Schwarze (1970) and Nickel et al (1983) reported that the celiac artery arises at the level of the 17 th and 18 th thoracic vertebra in equines, at the level of the 1 st lumbar vertebra in bovines and carnivorous.…”

Section: Discussionmentioning

confidence: 99%

Celiac artery in New Zealand rabbit: anatomical study of its origin and arrangement for experimental research and surgical practice

et al. 2008

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RESUMO.-[Artéria celíaca em coelhos Nova Zelândia: estudo anatômico de sua origem e arranjo para a pesquisa experimental e a prática cirúrgica.] Os coelhos têm sido usados como modelo experimental em diferentes patologias e para estudos de toxicologia, farmacologia e cirurgia em várias universidades. Entretanto apesar de sua grande utilização, muitos aspectos de sua macroanatomia, em especial os que se referem ao sistema vascular arterial que irrigam as viscerais abdominopélvicas ainda carecem de uma descrição mais detalhada, pois os vasos arteriais apresentam grande variabilidade na sua distribuição e trajeto. Foram utilizados 30 coelhos, 13 machos e 17 fêmeas, pesando em media 2,5 kg e apresentando comprimento rostro-sacral em torno de 40cm. A artéria aorta torácica foi canulada e através da mesma foi feita à fixação com solução de formaldeído a 10% e repleções vasculares com solução de Petrolátex S65 corado. A artéria celíaca e suas ramificações Brazil. E-mail: marceloabidu@gmail.com Rabbits have been used as an experimental model in many diseases and for the study of toxicology, pharmacology and surgery in many universities. However, some aspects of their macro anatomy need a more detailed description, especially the abdominal and pelvic arterial vascular system, which has a huge variability in distribution and trajectory. Thirty cadaveric adult New Zealand rabbits, 13 male and 17 female, with an average weight and rostrum-sacral length of 2.5 kg and 40cm, respectively, were used. The thoracic aorta was cannulated and the vascular system was filled with stained latex S-65. The celiac artery and its proximal branches were dissected and lengthened in order to evidence origin and proximal ramifications. The celiac artery emerged between the 12 th and 13 th thoracic vertebra in 11 (36.7%) rabbits; at the level of the 13 th thoracic vertebra in 6 (20%) rabbits; between the 13 th thoracic vertebra and the 1 st lumbar vertebra in 12 (40%) rabbits; and at the level of the 1 st lumbar vertebra in only one (3.3%) rabbit. The mean length of the celiac artery was 0.5cm. The celiac artery first branch was the lienal artery, the second branch was the left gastric artery and the hepatic artery arose from the left gastric artery in all the dissected rabbits. No relation was observed between the celiac artery length and the rostrum-sacral length in rabbits. The number of left gastric and lienal artery branches and the distribution of celiac artery origin are not gender dependent. proximais foram dissecadas ao longo do seu percurso, registrando com auxílio de um paquímetro seu comprimento e sua esqueletopia. A artéria celíaca teve sua emergência de forma única diretamente da artéria aorta abdominal em todos os animais dissecados. Emitiu inicialmente a artéria lienal e a seguir a artéria gástrica esquerda que se continuou como hepática em todos os 30 animais. A artéria celíaca teve sua origem entre a 12 a e 13 a vértebra torácica em 11 animais (36,7 %), na 13ª vértebra torácica em 6 (20 %), entre a 13ª vértebra torácica e a 1 ...

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Section: Discussionmentioning

confidence: 99%

Celiac artery in New Zealand rabbit: anatomical study of its origin and arrangement for experimental research and surgical practice

et al. 2008

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“…Nayak (15) reported a common celiacomesentericophrenic trunk (CMPT). Moreover, Noment et al (16) reported a case in which all three arteries were converted into one trunk, namely the celiacobimesenteric trunk (CBMT). Koizumi et al described a case in which the dorsal pancreatic artery (DPA) originated from the CA (17).…”

Section: Introductionmentioning

confidence: 99%

Anatomic variations of the celiac trunk and hepatic arterial system with digital subtraction angiography

Zağyapan

Kürkçüoğlu²,

Bayraktar³

et al. 2015

Turk J Gastroenterol

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Background/Aims: Anatomical variation of the abdominal arteries is important. Historic and modern anatomists, radiologists, as well as surgeons have reported and accumulated anatomical variations with a morphological and clinical interest. During graft procurement and reconstruction, accidental injury of the hepatic artery is more likely in the presence of hepatic arterial variation, which can be a common clinical entity. During cadaveric dissection and diagnostic radiological imaging, various types of vascular anomalies are frequently found in human abdominal viscera, especially the celiac trunk. The aim of the present study is to determine anatomical variations in the celiac trunk and hepatic arterial system. Materials and Methods: Digital subtraction angiography data were collected from 152 consecutive donor patients (103 males and 49 females, aged between 6 and 77 years) who underwent orthotopic liver transplantation. Results: We examined the anatomy of the celiac trunk in a total of 152 consecutive patients. In total, 62.5% (95/152) of patients showed the classical trifurcation of the celiac trunk. Variant right hepatic arteries arising from the superior mesenteric artery were observed in 17.8% (27/152), the hepatic arteries arising from the left gastric artery were found in 13.1% (20/152), and common hepatic arteries arising from the superior mesenteric artery were observed in 6.6% (10/152) of patients. Conclusion: These data are useful for planning and performing surgical and radiological procedures of the upper abdomen.

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“…Its branches namely left gastric (LGA), common hepatic (CHA) and splenic (SA) arteries supply the primary organs of the supracolic abdominal compartment namely the stomach, pancreas, spleen and liver (Charbon & Anderson, 1989). Reported variations in the branching pattern of the celiac trunk include absence of the trunk (Vandamme & Bonte, 1985), presence of collateral vessels (Cavdar et al, 1998) and anomalous branches (Cavdar et al, 1997;Nonent et al, 2001;Loukas & Jordan, 2006;Katagiri et al, 2007) and even bifurcation of the trunk (Ucerler & Asli, 2006). Such variations in the pattern of branching of the celiac trunk may predispose to iatrogenic injury during surgical procedures such as total pancreatomy (Vandamme & Bonte, 1990;Gielecki et al, 2005) and resection of tumors of head of pancreas (Lin, 2005).…”

Section: Introductionmentioning

confidence: 99%

Variations in the Branching Pattern of the Celiac Trunk in a Kenyan Population

et al. 2010

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SUMMARY:The celiac trunk is the major source of blood supply to the supracolic abdominal compartment. Usually, it branches into the splenic, common hepatic and left gastric arteries to supply this region. It has however been shown to display ethnic variations in its branching pattern. Knowledge of these variations may be important in surgical and radiological procedures around the head of the pancreas. The aim was to illustrate the commonest variations in the branching pattern of the celiac trunk in a Kenyan population. The study was conducted in the Department of Human Anatomy, University of Nairobi. Were collected one hundred twenty three (123) bodies obtained from dissection cadavers and autopsy cases following ethical approval and consent from next of kin. Gross dissection of the anterior abdominal wall using an extended midline incision and retraction of the liver and stomach was performed. The celiac trunk was trifurcated in 76 (61.7%), bifurcated in 22 (17.9%) and gave collaterals in 25 (20.3%). Dorsal pancreatic artery was the most common collateral and occurred in 14.8%. Other branches included gastroduodenal and inferior phrenic arteries present in 3.3% and 4.9% respectively. The Kenyan population has a higher incidence of bifurcation and collateral branching of the celiac trunk hence need for caution during surgical procedures of the supracolic abdominal compartment.

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Celiac-Bimesenteric Trunk: Anatomic and Radiologic Description—Case Report

Cited by 35 publications

References 2 publications

Celiac artery in New Zealand rabbit: anatomical study of its origin and arrangement for experimental research and surgical practice

Celiac artery in New Zealand rabbit: anatomical study of its origin and arrangement for experimental research and surgical practice

Anatomic variations of the celiac trunk and hepatic arterial system with digital subtraction angiography

Variations in the Branching Pattern of the Celiac Trunk in a Kenyan Population

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