Purpose: With the advances in the new image techniques and 3D modeling, angiography computed tomography (A-CT) has become a very useful image to study vessels. Prevalence of Celiac Trunk (CeT) variations is common, and have a clinical relevance in preoperative planning. Our objective was to describe prevalence of CeT variations in a study population in Cali, Colombia.
Methods:A retrospective study with a database was made from a selection of A-CT 3D images from January 1, 2012 to September 30, 2014, from which the CeT could be visualized. Patients under 18 were excluded, also with no 3D A-CT, or not Colombian. Frequencies, percentages were calculated using Excel and STATA software.Results: A total of 252 patients were selected, from which 10 were excluded. The most common causes of performing the A-CT were pathologies of the Aorta, followed by studies for transplantation of the kidney or liver. Variations were found in 71 (30%) patients. The most common variation was the origin of the inferior phrenic artery from the CeT in 43 (60%) patients, followed by accessories arteries to the liver in 11 (15%) patients, and the presence of a hepato-splenic trunk in 8 (11%) patients.
Conclusion:Prevalence of CeT variations in our study population was higher than that reported in other studies. The use of image techniques, such as 3D A-CT, could help the surgeon or the interventional radiologist identify these variations, preventing catastrophic complications, and making safer surgeries for our patients.