Occlusion of an Aberrant Right Hepatic Artery, Originating from the Superior Mesenteric Artery, Secondary to Blunt Trauma

Munshi, Imtiaz A.; Fusco, Daniel; Tashjian, David B.; Kirkwood, J. Robert; Polga, James P.; Wait, Richard B.

doi:10.1097/00005373-200002000-00025

Cited by 16 publications

(10 citation statements)

References 4 publications

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“…Variations of the hepatic arteries have clinical importance in the context of liver transplantation, laparoscopic surgery, radiologic procedures of the upper abdomen, and penetrating injuries of the perihepatic area (Munshi et al, 2000). A surgeon's method of treating the blood vessels in this area is a criterion of proficiency (Michels, 1955).…”

Section: Introductionmentioning

confidence: 99%

Coexistence of multiple anomalies in the celiac‐mesenteric arterial system

et al. 2002

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The origins and distribution of arteries of the celiac-mesenteric system were examined by dissection of 52 formalin-fixed human cadavers. Seventy-five percent of the cadavers exhibited the classic Michels' Type I hepatolienogastric pattern; 25% had different branching patterns. Multiple anomalies of the celiac-mesenteric arterial system were observed in one Caucasian female cadaver: a short lienogastric trunk; a common hepatic artery arising directly from the abdominal aorta; an anomalous course of the hepatic arteries; an accessory left hepatic artery arising from the left and right gastric arterial anastomosis along the lesser curvature of the stomach; a double cystic artery; a common inferior phrenic trunk arising from the celiac trunk; and an aberrant arterial channel connecting the proximal segments of the splenic and gastroduodenal arteries. A patent ductus venosus and an anomalous formation of the portal vein by the confluence of the splenic and superior and inferior mesenteric veins was also observed. Although single anomalies of the celiac-mesenteric arterial system are common, complex combinations, such as were observed in the present case, represent a significant deviation from the normal developmental pattern. There seems to be no report in the literature of such a combination of anomalies coexisting in one individual. The developmental and clinical significance of these anomalous vessels is discussed.

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Section: Introductionmentioning

confidence: 99%

Coexistence of multiple anomalies in the celiac‐mesenteric arterial system

et al. 2002

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“…Anatomical variations of the hepatic arteries and coeliac trunk are of considerable importance in liver transplants, laparoscopic surgery, radiological abdominal interventions and penetrating injuries to the abdomen [1]. The frequency of inadvertent or iatrogenic hepatic vascular injury rises in the event of aberrant anatomy and variations [2].…”

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confidence: 99%

Anatomical variations of hepatic arterial system, coeliac trunk and renal arteries: an analysis with multidetector CT angiography

Uğurel¹,

Battal²,

Bozlar³

et al. 2010

BJR

167

112

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The purpose of our investigation was to determine the anatomical variations in the coeliac trunk-hepatic arterial system and the renal arteries in patients who underwent multidetector CT (MDCT) angiography of the abdominal aorta for various reasons. A total of 100 patients were analysed retrospectively. The coeliac trunk, hepatic arterial system and renal arteries were analysed individually and anatomical variations were recorded. Statistical analysis of the relationship between hepatocoeliac variations and renal artery variations was performed using a chi(2) test. There was a coeliac trunk trifurcation in 89% and bifurcation in 8% of the cases. Coeliac trunk was absent in 1%, a hepatosplenomesenteric trunk was seen in 1% and a splenomesenteric trunk was present in 1%. Hepatic artery variation was present in 48% of patients. Coeliac trunk and/or hepatic arterial variation was present in 23 (39.7%) of the 58 patients with normal renal arteries, and in 27 (64.3%) of the 42 patients with accessory renal arteries. There was a statistically significant correlation between renal artery variations and coeliac trunk-hepatic arterial system variations (p = 0.015). MDCT angiography permits a correct and detailed evaluation of hepatic and renal vascular anatomy. The prevalence of variations in the coeliac trunk and/or hepatic arteries is increased in people with accessory renal arteries. For that reason, when undertaking angiographic examinations directed towards any single organ, the possibility of variations in the vascular structure of other organs should be kept in mind.

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“…With technical improvement, application of radiological intervention increases in gastroenteric diseases and penetrating abdominal trauma. Radiological anatomy of celiac axis and variation is basic requirement for such intervention [5].…”

Section: Discussionmentioning

confidence: 99%

Bleeding from aberrantly originating left gastric artery diagnosed by computed tomography scan

Islam¹,

Sandip²,

Ansari³

et al. 2014

IJCRI

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International Journal of Case Reports and Images (IJCRI) is an international, peer reviewed, monthly, open access, online journal, publishing high-quality, articles in all areas of basic medical sciences and clinical specialties.Aim of IJCRI is to encourage the publication of new information by providing a platform for reporting of unique, unusual and rare cases which enhance understanding of disease process, its diagnosis, management and clinico-pathologic correlations. Case Report: A 56-year-old male was admitted to our hospital with weight loss for endoscopic fine-needle aspiration of splenic abscess. Following fine-needle aspiration the patient had gastric bleed which was diagnosed by contrast-enhanced computed tomography (CECT) scan and abdominal angiography. The CECT scan of abdomen also revealed the variant left gastric artery which was source of bleeding. Upper gastrointestinal endoscopic was done and hemostasis was achieved by applying endoclip. Conclusion: Anatomical knowledge of variation is important for management of bleeding from such aberrant artery. IJCRI publishes Review

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Occlusion of an Aberrant Right Hepatic Artery, Originating from the Superior Mesenteric Artery, Secondary to Blunt Trauma

Cited by 16 publications

References 4 publications

Coexistence of multiple anomalies in the celiac‐mesenteric arterial system

Coexistence of multiple anomalies in the celiac‐mesenteric arterial system

Anatomical variations of hepatic arterial system, coeliac trunk and renal arteries: an analysis with multidetector CT angiography

Bleeding from aberrantly originating left gastric artery diagnosed by computed tomography scan

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