Where is celiac trunk

Vascular variations of liver and gall bladder:a case report. Anat Cell Biol. Surgeons who perform liver transplants, laparoscopic surgery, pancreatic mobilizations, and gastrojejuno-stomies, and also radiologists attending abdominal interventions should be mindful of variations of the hepatic arteries to avoid inadvertent or iatrogenic hepatic vascular injury. When there are multiple variations, as in the case reported herein, the chance of vascular damage is very high.

At present, many interventional and new surgical techniques have been developed to treat both primary and metastatic tumors and due to the increasing availability of living-related liver transplant donors, accurate depiction of hepatic and celiac arterial anatomy is important because it enables surgeons to accurately plan for a resection, expedites the operative procedure, and helps to avoid inaccuracies during ligation of vessels, which might lead to severe postoperative morbidities, bilomas, hematomas, sepsis or even mortality.

The Hamburg liver transplant program. Clin Transpl. Recent advances in imaging studies have made accurate evaluation of the vascular anatomy of the upper gastrointestinal tract easier. Recognition of celiac trunk and hepatic artery variants is of utmost importance because it aids in planning of several surgical and interventional procedures, thereby helping to avoid undue complications.

Abrir menu Brasil. Jornal Vascular Brasileiro. Abrir menu. About the authors. Abstract Anatomical variations of the celiac trunk and its branches are particularly important from a surgical perspective due to their relationships with surrounding structures. CASE REPORT During dissection classes for medical undergraduates, we observed the following variations of abdominal blood vessels in an adult male cadaver aged approximately years, with a height of approximately 1.

Figure 1 Photograph of dissection of the upper abdominal vessels. Figure 2 Photograph showing the variant branching pattern of upper abdominal vessels.

Figure 3 Schematic diagram showing absence of the celiac trunk and trifurcation of the common hepatic artery. Financial support: None. Bordei P, Antohe DS. Yuksel M, Sargon M. Nayak S. Vandamme JP, Bonte J. Morita M.

Aigner KR, Gailhofer S. History Received 27 May Accepted 22 July This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Conflicts of interest: No conflicts of interest declared concerning the publication of this article. Figures 3. Google Google Scholar. Absence of the celiac trunk and trifurcation of the common hepatic artery: a case report. It is surrounded by celiac lymph nodes and the celiac plexus. At the upper border of the pancreas, it divides into three branches: left gastric, splenic, and common hepatic arteries.

The left gastric artery is usually the first branch, after which the celiac artery bifurcates into the splenic artery coursing to the left and the common hepatic artery coursing to the right. The celiac artery supplies the foregut, which is defined by the following structures 6 :. In general, any of the three celiac branches may arise independently from the aorta or SMA, or the celiac artery may give rise to other branches. A celiacomesenteric trunk occurs when both the SMA and the celiac trunk originate as a single trunk from the aorta.

There is also a plethora of variations in the branching of the second and third-order branches of the celiac artery, particularly hepatic arterial anatomy which is discussed with the common hepatic artery. Anatomy: Abdominopelvic. Please Note: You can also scroll through stacks with your mouse wheel or the keyboard arrow keys. Updating… Please wait. Unable to process the form.

Check for errors and try again. Thank you for updating your details. In addition, knowledge of unique variations of celiac trunk absence may be useful in planning and performing radiologic interventions such as celiac and chemoembolization of liver tumors 1. This information motivated this study, that has as objective to demonstrate the anatomical variations of the celiac trunk and its clinical implications in the human.

This is a systematic review. The electronic search was performed from August to September We selected articles without time restriction, in English and Portuguese. For the prospection of the studies, the descriptors were used in combination with boolean operators AND.

For the calculation of the number of studies, it was verified if they were not repeated on more than one basis, each article being considered only once. From the identified studies, those that fulfilled the criteria for inclusion were selected considering the titles and abstracts. Original articles involving the anatomical variations of the celiac trunk in humans, prioritizing studies of greater relevance were included in this review.

We excluded review articles, and studies with models involving animals. The articles were critically analyzed through an interpretation guide, used to evaluate their individual quality, based on the studies 11 11 Greenhalgh T.

How to read a paper: Papers that summarise other papers systematic reviews and meta-analyses. BMJ ; Measurement properties of the neck disability index: a systematic review. J Orthop Sports Phys Ther. Thumbnail TABLE 1 Characteristics of the studies that evaluated the relation of the anatomical variations of the celiac trunk in humans.

The search was performed by two independent reviewers, and the interobserver agreement analysis was performed using the Kappa test using the Bioestat V 5. The measurement of observer agreement for categorical data. A summary of the electronic search in the databases and the respective directions for inclusion are presented in Figure 1.

Initially, articles were identified, of which were excluded because they did not have relevant data or because they were in duplicates, remaining 20, which were submitted to analysis of titles and abstracts and verification of inclusion and exclusion criteria. Of these, 20 were read in full, of which only 12 articles adequately fulfilled all inclusion criteria and were thus selected for analysis 2, , 9, 18, 19, 21, 22, 25, 26, Table 1 shows the main findings of the studies used for discussion.

It is stratified by year of publication, sample, method used and main results. The descriptive and critical analyzes of the studies were carried out in a qualitative and quantitative way, based on the analysis of the nine domains of the AHRQ scale, which were in the score range. The variant forms of the celiac trunk, found in the analysis of the selected works, totaled eight forms and were represented in Figure 2 for a better understanding.

The central vascular axis represents the abdominal segment of the aortic artery. Most of the studies included in this review This is the standard expected for most individuals. During development, CT is the first ventral branch of the abdominal aorta, emerging at the T12 level. This trunk is divided into three terminal branches that, through a series of anastomoses, participate in the irrigation of abdominal viscera 9 9 Fahmv D, Sadek H. A case of absent celiac trunk: case report and review of the literature.

A study with corpses and imaging studies found that Anatomical variations of the celiac trunk: cadaveric and radiological study. Surg Radiol Anat ; 38 4 Petrella et al. Anatomy and Variations of the Celiac Trunk. In the study by Zagyapan, et al. Anatomic variations of the celiac trunk and hepatic arterial system with digital subtraction angiography. Turk J Gastroenterol ; 25 1 Absence of the celiac trunk and trifurcation of the common hepatic artery: a case report.

The first major branch of the abdominal aorta, the celiac trunk is responsible for supplying oxygen-rich blood to the stomach, spleen, liver, esophagus, and also parts of the pancreas and duodenum. Along with the superior and inferior mesenteric arteries, it is one of three frontal branches of the abdominal aorta, the largest artery in the abdominal cavity.

Although the celiac trunk is only one of three arteries that branches off the abdominal aorta, it is essential to many major organs. Each of the branches of the abdominal aorta services separate areas.

Therefore, without the celiac trunk, the organs it supplies would not receive enough blood, making them unable to function properly. There are three main divisions of the celiac trunk: the left gastric artery, the common hepatic artery, and the splenic artery.

The left gastric artery runs along the smaller curve of the stomach and connects to the lower esophagus, while the common hepatic artery supplies blood to the liver, duodenum, pancreas, and part of the stomach. The splenic artery supplies blood to the spleen, which supports the immune system by producing antibodies. The lateral femoral circumflex artery supplies oxygenated blood to the anterior front and middle portions of the thigh muscles.

It typically….