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Vol 80, No 1 (2021)
Original article
Submitted: 2020-02-01
Accepted: 2020-03-30
Published online: 2020-04-10
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Coeliac trunk and its anatomic variations: a cadaveric study

A. Juszczak1, A. Mazurek1, J. A. Walocha1, A. Pasternak1
DOI: 10.5603/FM.a2020.0042
·
Pubmed: 32301103
·
Folia Morphol 2021;80(1):114-121.
Affiliations
  1. Department of Anatomy, Jagiellonian University Medical College, 12th Kopernika Street, 31-034 Cracow, Poland

open access

Vol 80, No 1 (2021)
ORIGINAL ARTICLES
Submitted: 2020-02-01
Accepted: 2020-03-30
Published online: 2020-04-10

Abstract

Background: Coeliac trunk (CT) is the first major visceral branch of the abdominal aorta. The aim of this work was to present the CT division pattern and its anatomical variants in a sample of Polish population.

Materials and methods: Coeliac trunk dissection was performed in 50 adult cadavers in the Department of Anatomy, Jagiellonian University Medical College. Cadavers of Polish subjects were included. Cadavers with previous upper abdominal surgery, abdominal trauma, disease process that distorted arterial anatomy or signs of putrefaction were excluded. CT variations, accessory vessels, and vertebral level of origin were described. CT patterns were reported according to the Adachi classification. This study was reviewed and approved by the local Ethics Committee.

Results: Coeliac trunk consisting of the left gastric, common hepatic and splenic artery (type 1 according to the Adachi classification) was found in 82% of cadavers. The true tripod was found in 20% and the false one in 80%. Additional vessels were also found: greater pancreatic from the splenic artery and left inferior phrenic from the left gastric artery, which accounted for 2% sections. Type 2 according to the Adachi classification (i.e. the hepatosplenic trunk) was found in 16% of the sections. Other types of CT were not observed. The level of origin was found to be at the inter-vertebral disc between T12 and L1 in all of the cases.

Conclusions: Based on the analysis of the sectional material of the Department of Anatomy, it was found that the typical visceral segmental division is approximate to that observed by Adachi in its classification, whereas the second type of CT was twice as frequent and no other, less frequent types were found.

Abstract

Background: Coeliac trunk (CT) is the first major visceral branch of the abdominal aorta. The aim of this work was to present the CT division pattern and its anatomical variants in a sample of Polish population.

Materials and methods: Coeliac trunk dissection was performed in 50 adult cadavers in the Department of Anatomy, Jagiellonian University Medical College. Cadavers of Polish subjects were included. Cadavers with previous upper abdominal surgery, abdominal trauma, disease process that distorted arterial anatomy or signs of putrefaction were excluded. CT variations, accessory vessels, and vertebral level of origin were described. CT patterns were reported according to the Adachi classification. This study was reviewed and approved by the local Ethics Committee.

Results: Coeliac trunk consisting of the left gastric, common hepatic and splenic artery (type 1 according to the Adachi classification) was found in 82% of cadavers. The true tripod was found in 20% and the false one in 80%. Additional vessels were also found: greater pancreatic from the splenic artery and left inferior phrenic from the left gastric artery, which accounted for 2% sections. Type 2 according to the Adachi classification (i.e. the hepatosplenic trunk) was found in 16% of the sections. Other types of CT were not observed. The level of origin was found to be at the inter-vertebral disc between T12 and L1 in all of the cases.

Conclusions: Based on the analysis of the sectional material of the Department of Anatomy, it was found that the typical visceral segmental division is approximate to that observed by Adachi in its classification, whereas the second type of CT was twice as frequent and no other, less frequent types were found.

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Keywords

tripod, anatomical variations, Adachi classification, coeliac trunk

About this article
Title

Coeliac trunk and its anatomic variations: a cadaveric study

Journal

Folia Morphologica

Issue

Vol 80, No 1 (2021)

Article type

Original article

Pages

114-121

Published online

2020-04-10

Page views

2134

Article views/downloads

3295

DOI

10.5603/FM.a2020.0042

Pubmed

32301103

Bibliographic record

Folia Morphol 2021;80(1):114-121.

Keywords

tripod
anatomical variations
Adachi classification
coeliac trunk

Authors

A. Juszczak
A. Mazurek
J. A. Walocha
A. Pasternak

References (51)
  1. Adachi B. Das arteriensystem der Japaner, vol 2. Kenkyusha Press, Kyoto 1928: 18–71.
  2. Anson B, McVay C. The topographical positions and the mutual relations of the visceral branches of the abdominal aorta. A study of 100 consecutive cadavers. Anat Rec. 1936; 67(1): 7–15.
    CrossRef
  3. Balzan SM, Gava VG, Pedrotti S, et al. Prevalence of hepatic arterial variations with implications in pancreatoduodenectomy. Arq Bras Cir Dig. 2019; 32(3): e1455.
    CrossRefPubMed
  4. Boas FE, Bodei L, Sofocleous CT. Radioembolization of colorectal liver metastases: indications, technique, and outcomes. J Nucl Med. 2017; 58(Suppl 2): 104S–111S.
    CrossRefPubMed
  5. Caliskan E, Acar T, Ozturk M, et al. Coeliac trunk and common hepatic artery variations in children: an analysis with computed tomography angiography. Folia Morphol. 2018; 77(4): 670–676.
    CrossRefPubMed
  6. Catalano OA, Singh AH, Uppot RN, et al. Vascular and biliary variants in the liver: implications for liver surgery. Radiographics. 2008; 28(2): 359–378.
    CrossRefPubMed
  7. Chen H, Yano R, Emura S, et al. Anatomic variation of the celiac trunk with special reference to hepatic artery patterns. Ann Anat. 2009; 191(4): 399–407.
    CrossRefPubMed
  8. Cirocchi R, D'Andrea V, Lauro A, et al. The absence of the common hepatic artery and its implications for surgical practice: Results of a systematic review and meta-analysis. Surgeon. 2019; 17(3): 172–185.
    CrossRefPubMed
  9. Descomps P. Le Tronc coeliaque. G S Teinheil, Paris 1910.
  10. Eaton P. The coeliac axis. Anat Rec. 1917; 13(6): 369–374.
    CrossRef
  11. Favelier S, Germain T, Genson PY, et al. Anatomy of liver arteries for interventional radiology. Diagn Interv Imaging. 2015; 96(6): 537–546.
    CrossRefPubMed
  12. Fonseca-Neto OC, Lima HC, Rabelo P, et al. Anatomic variations of hepatic artery: a study in 479 liver transplantations. Arq Bras Cir Dig. 2017; 30(1): 35–37.
    CrossRefPubMed
  13. Haller VA. Icones anatomicae in quibus peaecipuae aliquae partes corporis humani delineatae proponuntur et arteriarum potissimum historia continetur. Vandenhoeck, Gottingen 1756: 27–36.
  14. Hemamalini H. Variations in the branching pattern of the celiac trunk and its clinical significance. Anat Cell Biol. 2018; 51(3): 143–149.
    CrossRefPubMed
  15. Hiatt JR, Gabbay J, Busuttil RW. Surgical anatomy of the hepatic arteries in 1000 cases. Ann Surg. 1994; 220(1): 50–52.
    CrossRefPubMed
  16. Imakoshi K. Study of the abdominal arterial supply. Vol. 37. Achievements of Department Anat. Kanazawa Med. Univ, 1949, pp. 1-14: as cited by Chen et al. 2009.
  17. Kaneko O. The arterial distribution to the abdominal digestive organs in human fetuses. Kaibogaku Zasshi. 1990; 66: 452–461.
  18. Katsume K, Kanamura E, Sakai K, et al. Statistics report concerning variations in abdominal visceral arterial supply. Kurume Igaku Zasshi. 1978; 41: 266–273.
  19. Kordzadeh A, Lorenzi B, Hanif MA, et al. Left gastric artery embolisation for the treatment of obesity: a systematic review. Obes Surg. 2018; 28(6): 1797–1802.
    CrossRefPubMed
  20. Kornafel O, Baran B, Pawlikowska I, et al. Analysis of anatomical variations of the main arteries branching from the abdominal aorta, with 64-detector computed tomography. Pol J Radiol. 2010; 75(2): 38–45.
    PubMed
  21. Kozhevnikova TI. Age and individual characteristics in the structure of the celiac trunk in man. Ark Anat Gistol Embriol. 1977; 72: 19–25.
  22. Kurcz J, Nienartowicz E, Słonina J, et al. The usefulness of CT-angiography in detecting anatomical variants of arteries arising from the abdominal aorta and aortic arch. Adv Clin Exp Med. 2007; 16: 751–760.
  23. Leriche, Villemin. Bibliogr. Anatom. Paris, 1907, as cited by Bergman et al. 2006.
  24. Lipschutz B. A composite study of the cceliac axie artery. Ann Surg. 1917; 65(2): 159–169.
    CrossRef
  25. Loukas M, Hullett J, Wagner T. Clinical anatomy of the inferior phrenic artery. Clin Anat. 2005; 18(5): 357–365.
    CrossRefPubMed
  26. Marco-Clement I, Martinez-Barco A, Ahumada N, et al. Anatomical variations of the celiac trunk: cadaveric and radiological study. Surg Radiol Anat. 2016; 38(4): 501–510.
    CrossRefPubMed
  27. Michels NA. Blood supply and anatomy of the upper abdominal organs with a descriptive atlas. Observations on the blood supply of the liver and gallbladder (200 dissections). Lippincott, Philadelphia 1955: 139–140.
  28. Mui WLM, Lee DWH, Lam KKY. Laparoscopic sleeve gastrectomy with loop bipartition: A novel metabolic operation in treating obese type II diabetes mellitus. Int J Surg Case Rep. 2014; 5(2): 56–58.
    CrossRefPubMed
  29. Murata S, Onozawa S, Mine T, et al. Minimizing systemic leakage of cisplatin during percutaneous isolated pancreas perfusion chemotherapy: a pilot study. Radiology. 2015; 276(1): 102–109.
    CrossRefPubMed
  30. Nelson T, Pollak R, Jonasson O, et al. Anatomic variants of the celiac, superior mesenteric, and inferior mesenteric arteries and their clinical relevance. Clin Anat. 1988; 1(2): 75–91.
    CrossRef
  31. Olewnik Ł, Wysiadecki G, Polguj M, et al. Types of coeliac trunk branching including accessory hepatic arteries: a new point of view based on cadaveric study. Folia Morphol. 2017 [Epub ahead of print]; 76(4): 660–667.
    CrossRefPubMed
  32. Panagouli E, Venieratos D, Lolis E, et al. Variations in the anatomy of the celiac trunk: A systematic review and clinical implications. Ann Anat. 2013; 195(6): 501–511.
    CrossRefPubMed
  33. Paprottka PM, Jakobs TF, Reiser MF, et al. Practical vascular anatomy in the preparation of radioembolization. Cardiovasc Intervent Radiol. 2012; 35(3): 454–462.
    CrossRefPubMed
  34. Petrella S, Rodriguez C, Sgrott E, et al. Anatomy and variations of the celiac trunk. Int J Morphol. 2007; 25(2).
    CrossRef
  35. Picquand G. Researches surl’anatomie du trone coelia que et de ses branches. Bibliogr Anat. 1910; 19: 159–201.
  36. Pinal-Garcia DF, Nuno-Guzman CM, Gonzalez-Gonzalez ME, et al. The celiac trunk and its anatomical variations: a cadaveric study. J Clin Med Res. 2018; 10(4): 321–329.
    CrossRefPubMed
  37. Rio Branco P. Essaisurl’anatomic et la medicine operatoire du trone coeliaque et de ses branches de l’artere hepatique en particulier. G Steinheil, Paris 1912: 828.
  38. Rossi G, Cova E. Sudio morfologico delle arterie dello stomaco. Arch Ital di Anat e di Embryol. 1904; 3: 485–526.
  39. Santos PV, Barbosa AB, Targino VA, et al. Anatomical variations of the celiac trunk: a systematic review. Arq Bras Cir Dig. 2018; 31(4): e1403.
    CrossRefPubMed
  40. Shoumura S, Emura S, Utsumi M. Anatomical study on the branches of the celiac trunk (IV). Comparison of the findings with Adachi’s classification. Kaibogaku Zasshi. 1991; 66: 452–461.
  41. Song SY, Chung JW, Yin YHu, et al. Celiac axis and common hepatic artery variations in 5002 patients: systematic analysis with spiral CT and DSA. Radiology. 2010; 255(1): 278–288.
    CrossRefPubMed
  42. Srivastava AK, Sehgal G, Sharma PK, et al. Various types of branching patterns of celiac trunk. The FASEB J. 2012; 26(Suppl 1): 772.5.
  43. Tandler J. Uber die Varietäten der Arteria coeliaca und deren Entwickelung. Beiträge und Referate zur Anatomie und Entwickelungsgeschichte. 1904; 25(2): 473–500.
    CrossRef
  44. Torres K, Staśkiewicz G, Denisow M, et al. Anatomical variations of the coeliac trunk in the homogeneous Polish population. Folia Morphol. 2015; 74(1): 93–99.
    CrossRefPubMed
  45. Tsukamoto N. The branches of the abdominal visceral arteries in Japanese. Kaibogaku Zasshi 2. 1929: 780–829, as cited by Chen et al. 2009.
  46. Vandamme JP, Bonte J. The branches of the celiac trunk. Acta Anat (Basel). 1985; 122(2): 110–114.
    CrossRefPubMed
  47. Venieratos D, Panagouli E, Lolis E, et al. A morphometric study of the celiac trunk and review of the literature. Clin Anat. 2013; 26(6): 741–750.
    CrossRefPubMed
  48. Wadhwa Ambica . A composite study of coeliac trunk in 30 adult human cadavers – its clinical implications. Global J Med Res. 2011; 11(1): 35–38.
  49. Wang XM, Hua XP, Zheng GL. Celiac artery compression syndrome evaluated with 3-D contrast-enhanced ultrasonography: a new approach. Ultrasound Med Biol. 2018; 44(1): 243–250.
    CrossRefPubMed
  50. Whitley A, Oliverius M, Kocián P, et al. Variations of the celiac trunk investigated by multidetector computed tomography: Systematic review and meta-analysis with clinical correlations. Clin Anat. 2020; 33(8): 1249–1262.
    CrossRefPubMed
  51. Wozniak S, Florjanski J, Kordecki H, et al. Fetal sigmoid colon mesentery - In relevance in fetal ultrasound application. A pilot study. Ann Anat. 2018; 216: 152–158.
    CrossRefPubMed

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