Unusual anatomical variation: tetrafurcation of the celiac trunk

Grigoriță, Laura; Damen, Nawwaf Sebastian; Vaida, Monica Adriana; Jianu, Adelina Maria

doi:10.1007/s00276-019-02286-9

Cited by 9 publications

(5 citation statements)

References 12 publications

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Section: Resultsmentioning

confidence: 94%

“…Apart from the aforementioned cases of variations, an unusual case of tetrafurcation of the CT was observed during the dissection of the formalin-fixed cadaver of a 60-year-old Romanian female (16). In this case, the CT gave rise to four branches: a common trunk for the left and right inferior phrenic arteries, an accessory left gastric artery, the common hepatic artery, and a splenogastric trunk (16). Along the same lines, cases of tetrafurcation, pentafurcation and hexafurcation were reported by Srivastava et al in their CT-angiographic study in 36%, 20%, and 4% of cases, respectively (17), as well as by Pinal-Garcia et al in 32.9%, 12.9%, and 1.4% of cases, respectively (18).…”

Section: Resultsmentioning

confidence: 99%

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Anatomical Variations in the Celiac Trunk: A Short Review

Vougadiotis,

Karampelias,

Chrysikos

et al. 2023

ama

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Objective. The objective of the current study was the examination of possible variants of the celiac trunk. Methods. An advanced review of the literature search was undertaken by means of the PubMed database and Google Scholar, searching for new studies published up to October 2022. Additional articles provided useful information in relation to the aim of this review. Hence, articles that met the inclusion criteria were included in this review and the collected data were organized into a table. Results. The search of the literature retrieved 10 articles that referred to the anatomical variations of the celiac trunk. According to the available literature, the most common anatomical variations are: hepatosplenic trunk where the left gastric artery originates from the abdominal aorta, hepatosplenic trunk, where the left gastric artery originates from the splenic artery, and hepatogastric trunk and splenic artery origin from the superior mesenteric artery. Many other anatomical variations of the celiac trunk may exist, such as tetrafurcation, pentafurcation and hexafurcation, that refer to the division of the celiac trunk into four, five or six branches, respectively, and should be reported as they can affect surgical approaches and the development of the appropriate treatment strategy in patients. Conclusion. Every visceral surgeon, interventional radiologist and abdominal imager should be familiar with these variants.

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Section: Resultsmentioning

confidence: 94%

Section: Resultsmentioning

confidence: 99%

Anatomical Variations in the Celiac Trunk: A Short Review

Vougadiotis,

Karampelias,

Chrysikos

et al. 2023

ama

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“…Our study found that aLGA arose independently from the left hepatic artery, with its origin located between the origin and proximal two thirds of LHA, which is classified as a variation of the proximal type. In a study conducted by Grigorita et al (2019), a different variation of aLGA was described. It originated from the origin of CT and traveled upwards towards the caidia and the vertical part of the lesser curvature of the stomach.…”

Section: Discussionmentioning

confidence: 99%

An Unusual Anatomical Variation of Accessory Left Gastric Artery Arising from Left Hepatic Artery

He,

Hu,

2023

Int. J. Morphol.

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The stomach receives a rich blood supply from five sets of arteries, all of which originate from the celiac trunk. During the dissection of a female cadaver that had been fixed with formalin, an atypical branching pattern was observed. An accessory left gastric artery was found to originate from the left hepatic artery and send small branches to the esophagus, cardia, and fundus of the stomach. However, there was no anastomosis between the lower accessory left gastric artery and the left gastric artery. This is a rare variant of the gastric artery that has not been previously described in detail. It is important to recognize this variation for safe and effective interventional diagnosis and treatment techniques if dealing with the liver or gastric arteries.

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“…The normal anterior (ventral) visceral branches of the abdominal aorta are the celiac trunk (CT), superior mesenteric artery (SMA) and inferior mesenteric artery (IMA). The normal anatomy of the CT indicates its trifurcation (tripus Halleri) in the common hepatic artery (CHA), left gastric artery (LGA) and splenic (or lienal) artery (SA) [1]. A true classical trifurcation occurs when all the three branches of the CT leave at the same point, while a false classical trifurcation occurs when the LGA leaves as a collateral branch, then the CT divides terminally into the SA and CHA.…”

Section: Introductionmentioning

confidence: 99%

Rare Anatomic Variation: The Hepatosplenomesentericophrenic Trunk

et al. 2021

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The rare anatomic variants of the celiac trunk and superior mesenteric artery include the hepatosplenic, hepatosplenomesenteric (HSMT), celiacomesenteric, hepatomesenteric and gastrosplenic trunks. We report a 72-year-old female patient whose computed tomography angiograms indicated a rare anatomic feature whereby the right inferior phrenic artery was inserted in the origin of an HSMT, thus modifying it into a hepatosplenomesentericophrenic trunk (HSMPT). Above the HSMPT, the insertion of the left inferior phrenic artery in the origin of the left gastric artery determined a left gastrophrenic trunk (GPT). Proper identification of this type of rare anatomic variant is of utmost importance prior to different surgical procedures. For example, an HSMT origin of the right inferior phrenic artery is surgically relevant if this artery is an extrinsic pedicle of a hepatocellular carcinoma and is used for embolization of the tumor.

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Unusual anatomical variation: tetrafurcation of the celiac trunk

Cited by 9 publications

References 12 publications

Anatomical Variations in the Celiac Trunk: A Short Review

Anatomical Variations in the Celiac Trunk: A Short Review

An Unusual Anatomical Variation of Accessory Left Gastric Artery Arising from Left Hepatic Artery

Rare Anatomic Variation: The Hepatosplenomesentericophrenic Trunk

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