open access

Vol 77, No 4 (2018)
ORIGINAL ARTICLES
Published online: 2018-04-10
Submitted: 2018-01-14
Accepted: 2018-03-19
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Coeliac trunk and common hepatic artery variations in children: an analysis with computed tomography angiography

E. Caliskan, T. Acar, M. Ozturk, Z. Bayramoglu, R. Yilmaz, F. Elbuken, I. Adaletli
DOI: 10.5603/FM.a2018.0037
·
Pubmed: 29651794
·
Folia Morphol 2018;77(4):670-676.

open access

Vol 77, No 4 (2018)
ORIGINAL ARTICLES
Published online: 2018-04-10
Submitted: 2018-01-14
Accepted: 2018-03-19

Abstract

Background: Understanding the coeliac trunk (CeT) and hepatic artery anatomy is important not only in preventing iatrogenic injuries but also in planning surgical procedures in children. Therefore, the aim of this study is to analyse the prevalence of CeT and common hepatic artery (CHA) variations in the paediatric population.

Materials and methods: One hundred and seventy-four children who underwent abdominal multidetector computed tomography (MDCT) angiography, either because of trauma or liver transplantation, were analysed retrospectively. The patterns of CeT, CHA and their variant branches were revealed and compared with previous studies involving adults.

Results: A total of 157 (90.2%) of the 174 patients had normal CeT anatomy, whereas 17 (9.8%) had variations. Five types of CeT variations were identified according to Song’s classification in which ‘hepatosplenic trunk + left gastric artery + superior mesenteric artery’ was the most prevalent. One hundred-twelve (64.4%) of the 174 patients had normal CHA anatomy; however, 62 (35.6%) had variations. Six types of CHA variations were identified according to Michel’s and Hiatt’s classification. The most common was ‘replaced left hepatic artery originating from left gastric artery’.

Conclusions: The prevalences of CeT and hepatic artery variations are high in children, as they are in older patients. Awareness of these variations is important in terms of avoiding iatrogenic injury and in promoting surgical procedure planning for liver transplantation or abdominal tumour surgery.

Abstract

Background: Understanding the coeliac trunk (CeT) and hepatic artery anatomy is important not only in preventing iatrogenic injuries but also in planning surgical procedures in children. Therefore, the aim of this study is to analyse the prevalence of CeT and common hepatic artery (CHA) variations in the paediatric population.

Materials and methods: One hundred and seventy-four children who underwent abdominal multidetector computed tomography (MDCT) angiography, either because of trauma or liver transplantation, were analysed retrospectively. The patterns of CeT, CHA and their variant branches were revealed and compared with previous studies involving adults.

Results: A total of 157 (90.2%) of the 174 patients had normal CeT anatomy, whereas 17 (9.8%) had variations. Five types of CeT variations were identified according to Song’s classification in which ‘hepatosplenic trunk + left gastric artery + superior mesenteric artery’ was the most prevalent. One hundred-twelve (64.4%) of the 174 patients had normal CHA anatomy; however, 62 (35.6%) had variations. Six types of CHA variations were identified according to Michel’s and Hiatt’s classification. The most common was ‘replaced left hepatic artery originating from left gastric artery’.

Conclusions: The prevalences of CeT and hepatic artery variations are high in children, as they are in older patients. Awareness of these variations is important in terms of avoiding iatrogenic injury and in promoting surgical procedure planning for liver transplantation or abdominal tumour surgery.

Get Citation

Keywords

coeliac trunk, computed tomography angiography, hepatic artery, variation

About this article
Title

Coeliac trunk and common hepatic artery variations in children: an analysis with computed tomography angiography

Journal

Folia Morphologica

Issue

Vol 77, No 4 (2018)

Pages

670-676

Published online

2018-04-10

DOI

10.5603/FM.a2018.0037

Pubmed

29651794

Bibliographic record

Folia Morphol 2018;77(4):670-676.

Keywords

coeliac trunk
computed tomography angiography
hepatic artery
variation

Authors

E. Caliskan
T. Acar
M. Ozturk
Z. Bayramoglu
R. Yilmaz
F. Elbuken
I. Adaletli

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