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Vol 80, No 2 (2021)
Original article
Submitted: 2020-03-19
Accepted: 2020-04-14
Published online: 2020-05-04
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Anatomical variants of coeliac trunk in Polish population using multidetector computed tomography angiography

A. Juszczak1, J. Czyżowski2, A. Mazurek1, J. A. Walocha1, A. Pasternak1
DOI: 10.5603/FM.a2020.0051
·
Pubmed: 32394417
·
Folia Morphol 2021;80(2):290-296.
Affiliations
  1. Department of Anatomy, Jagiellonian University Medical College, Krakow, Poland
  2. Institute of Diagnostic Imaging, J. Dietl Specialist Hospital, Krakow, Poland

open access

Vol 80, No 2 (2021)
ORIGINAL ARTICLES
Submitted: 2020-03-19
Accepted: 2020-04-14
Published online: 2020-05-04

Abstract

Background: Multidetector computed tomography angiography (MDCTA) has become a major part in evaluation of normal anatomy and its variants in patients undergoing operative or interventional procedures. The purpose of this study was to assess the frequency of anatomical variation of coeliac trunk in patients undergoing MDCTA of the abdominal aorta. Materials and methods: A descriptive, retrospective study was carried out on MDCTAs performed from January 2014 till January 2020 in Polish patients. Coeliac trunk was studied and normal and anatomical variations were noted according to Adachi’s classification. All patients with abnormalities affecting the vessels or a history of any vascular abnormality were excluded from the study. Results: Out of total 1000 patients, hepatogastrosplenic trunk was found in 93.0%. True and false types of trifurcation were observed. Hepatosplenic trunk was found in 2.8%, coeliacomesenteric trunk in 1.1%, hepatomesenteric trunk in 1.7% gastrosplenic trunk was found in 1.4%. We have not observed hepatosplenomesenteric trunk. Conclusions: The type and knowledge of anatomy is of prime importance for an optimum preoperative planning in surgical or radiological procedure. MDCTA allows minimally invasive assessment of arterial anatomy with high quality three-dimensional reconstruction images.

Abstract

Background: Multidetector computed tomography angiography (MDCTA) has become a major part in evaluation of normal anatomy and its variants in patients undergoing operative or interventional procedures. The purpose of this study was to assess the frequency of anatomical variation of coeliac trunk in patients undergoing MDCTA of the abdominal aorta. Materials and methods: A descriptive, retrospective study was carried out on MDCTAs performed from January 2014 till January 2020 in Polish patients. Coeliac trunk was studied and normal and anatomical variations were noted according to Adachi’s classification. All patients with abnormalities affecting the vessels or a history of any vascular abnormality were excluded from the study. Results: Out of total 1000 patients, hepatogastrosplenic trunk was found in 93.0%. True and false types of trifurcation were observed. Hepatosplenic trunk was found in 2.8%, coeliacomesenteric trunk in 1.1%, hepatomesenteric trunk in 1.7% gastrosplenic trunk was found in 1.4%. We have not observed hepatosplenomesenteric trunk. Conclusions: The type and knowledge of anatomy is of prime importance for an optimum preoperative planning in surgical or radiological procedure. MDCTA allows minimally invasive assessment of arterial anatomy with high quality three-dimensional reconstruction images.

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Keywords

coeliac trunk, variations, multidetector computed tomography angiography

About this article
Title

Anatomical variants of coeliac trunk in Polish population using multidetector computed tomography angiography

Journal

Folia Morphologica

Issue

Vol 80, No 2 (2021)

Article type

Original article

Pages

290-296

Published online

2020-05-04

Page views

1203

Article views/downloads

1297

DOI

10.5603/FM.a2020.0051

Pubmed

32394417

Bibliographic record

Folia Morphol 2021;80(2):290-296.

Keywords

coeliac trunk
variations
multidetector computed tomography angiography

Authors

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

References (42)
  1. Adachi B. Das Arteriensystem der Japaner. Vol. 2. Verlag der Kaiserlich-Japanischen Universitat zu Kyoto 1928.
  2. Araujo Neto SA, Franca HA, de Mello Júnior CF, et al. Anatomical variations of the celiac trunk and hepatic arterial system: an analysis using multidetector computed tomography angiography. Radiol Bras. 2015; 48(6): 358–362.
    CrossRefPubMed
  3. Arifuzzaman M, Nasim Na, Adel H, et al. Anatomical variants of celiac trunk, hepatic and renal arteries in a population of developing country using multidetector computed tomography angiography. J Ayub Med Coll Abbottabad. 2017; 29(3): 450–454.
  4. Brahmbhatt P, McKinney J, Litchfield J, et al. Mediastinal pancreatic pseudocyst with hemorrhage and left gastric artery pseudoaneurysm, managed with left gastric artery embolization and placement of percutaneous trans-hepatic pseudocyst drainage. Gastroenterol Rep (Oxf). 2016; 4(3): 241–245.
    CrossRefPubMed
  5. Brasil IR, de Araujo IF, Lima AA, et al. Computed tomography angiography study of variations of the celiac trunk and hepatic artery in 100 patients. Radiol Bras. 2018; 51(1): 32–36.
    CrossRefPubMed
  6. Cai L, Yeh BM, Westphalen AC, et al. Adult living donor liver imaging. Diagn Interv Radiol. 2016; 22(3): 207–214.
    CrossRefPubMed
  7. 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
  8. 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
  9. Cornelis van der Vlies H, van Delden OM, Punt BJ, et al. Literature review of the role of ultrasound, computed tomography, and transcatheter arterial embolization for the treatment of traumatic splenic injuries. Cardiovasc Intervent Radiol. 2010; 33(6): 1079–1087.
    CrossRefPubMed
  10. Egorov VI, Yashina NI, Fedorov AV, et al. Celiaco-mesenterial arterial aberrations in patients undergoing extended pancreatic resections: correlation of CT angiography with findings at surgery. JOP. 2010; 11(4): 348–357.
    PubMed
  11. Ekingen A, Tuncer MC, Ertuğrul Ö. Investigation of proper hepatic artery and gastroduodenal artery variations by multidetector computed tomography angiography method. Acta Chir Belg. 2020; 120(2): 102–115.
    CrossRefPubMed
  12. Fink DM, Steele MM, Hollingsworth MA. The lymphatic system and pancreatic cancer. Cancer Lett. 2016; 381(1): 217–236.
    CrossRefPubMed
  13. Ganeshan A, Upponi S, Hon Lq, et al. Hepatic arterial infusion of chemotherapy: the role of diagnostic and interventional radiology. Ann Oncol. 2008; 19(5): 847–851.
    CrossRefPubMed
  14. Iezzi R, Cotroneo AR, Giancristofaro D, et al. Multidetector-row CT angiographic imaging of the celiac trunk: anatomy and normal variants. Surg Radiol Anat. 2008; 30(4): 303–310.
    CrossRefPubMed
  15. Ishigami K, Zhang Y, Rayhill S, et al. Does variant hepatic artery anatomy in a liver transplant recipient increase the risk of hepatic artery complications after transplantation? Am J Roentgenol. 2004; 183(6): 1577–1584.
    CrossRefPubMed
  16. Jain SK, Rajendran V, Jain MK, et al. Hemorrhagic pseudocyst of pancreas treated with coil embolization of gastroduodenal artery: a case report and review of literature. Case Rep Surg. 2015; 2015: 480605.
    CrossRefPubMed
  17. Juszczak A, Solewski B, Loukas M, et al. Unusual branching pattern of celiac trunk associated with supernumerary hepatic arteries and abnormal adrenal venous drainage - case study and review of the literature. Folia Med Cracov. 2017; 57(3): 29–36.
    PubMed
  18. Kim J, Kim SuMi, Seo JE, et al. Should an aberrant left hepatic artery arising from the left gastric artery be preserved during laparoscopic gastrectomy for early gastric cancer treatment? J Gastric Cancer. 2016; 16(2): 72–77.
    CrossRefPubMed
  19. Kim J, Shin JiH, Yoon HKi, et al. Endovascular intervention for management of pancreatitis-related bleeding: a retrospective analysis of thirty-seven patients at a single institution. Diagn Interv Radiol. 2015; 21(2): 140–147.
    CrossRefPubMed
  20. Kimura S, Okazaki M, Higashihara H, et al. Analysis of the origin of the right inferior phrenic artery in 178 patients with hepatocellular carcinoma treated by chemoembolization via the right inferior phrenic artery. Acta Radiol. 2007; 48(7): 728–733.
    CrossRefPubMed
  21. 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
  22. Maki H, Satodate H, Satou S, et al. Clinical evaluation of the aberrant left hepatic artery arising from the left gastric artery in esophagectomy. Surg Radiol Anat. 2018; 40(7): 749–756.
    CrossRefPubMed
  23. 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
  24. Matsuki M, Tanikake M, Kani H, et al. Dual-phase 3D CT angiography during a single breath-hold using 16-MDCT: assessment of vascular anatomy before laparoscopic gastrectomy. Am J Roentgenol. 2006; 186(4): 1079–1085.
    CrossRefPubMed
  25. Michels NA. Newer anatomy of the liver and its variant blood supply and collateral circulation. Am J Surg. 1966; 112(3): 337–347.
    CrossRefPubMed
  26. Mu GC, Huang Y, Liu ZM, et al. Clinical research in individual information of celiac artery CT imaging and gastric cancer surgery. Clin Transl Oncol. 2013; 15(10): 774–779.
    CrossRefPubMed
  27. 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
  28. Roma S, D'Amato D, Ranalli T, et al. Vascular anomalies of the celiac trunk and implications in treatment of HCC with TACE. Description of a case and review of the literature. Radiol Case Rep. 2019; 14(10): 1221–1227.
    CrossRefPubMed
  29. Sankar KD, Bhanu PS, Susan PJ. Variant Anatomy of the Celiac Trunk and its Branches. Int J Morphol. 2011; 29(2): 581–584.
    CrossRef
  30. 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
  31. Sureka B, Mittal MK, Mittal A, et al. Variations of celiac axis, common hepatic artery and its branches in 600 patients. Indian J Radiol Imaging. 2013; 23(3): 223–233.
    CrossRefPubMed
  32. Takahashi EA, Takahashi N, Reisenauer CJ, et al. Body composition changes after left gastric artery embolization in overweight and obese individuals. Abdom Radiol (NY). 2019; 44(7): 2627–2631.
    CrossRefPubMed
  33. Tandler J. über die Varietäten der Arteria coeliaca und deren Entwickelung. Beiträge und Referate zur Anatomie und Entwickelungsgeschichte. Anathefte. 1904; 25(2): 473–500.
    CrossRef
  34. Tang W, Shi J, Kuang LQ, et al. Celiomesenteric trunk: New classification based on multidetector computed tomography angiographic findings and probable embryological mechanisms. World J Clin Cases. 2019; 7(23): 3980–3989.
    CrossRefPubMed
  35. Tokue H, Tokue A, Tsushima Y. Multidetector-row computed tomography for evaluating the branching angle of the celiac artery: a descriptive study. BMC Med Imaging. 2012; 12: 36.
    CrossRefPubMed
  36. Ülger BV, Hatipoğlu ES, Ertuğrul Ö, et al. Variations in the vascular and biliary structures of the liver: a comprehensive anatomical study. Acta Chir Belg. 2018; 118(6): 354–371.
    CrossRefPubMed
  37. von Haller A. Icones anatomicae in quibus aliquae partes corporis humani declineate proponuntur et arteriarum potissimum historia continetur. Vandenhoeck, Gottingen 1765.
  38. Watson CJE, Harper SJF. Anatomical variation and its management in transplantation. Am J Transplant. 2015; 15(6): 1459–1471.
    CrossRefPubMed
  39. Weiss CR, Abiola GO, Fischman AM, et al. Bariatric embolization of arteries for the treatment of obesity (BEAT obesity) trial: results at 1 year. Radiology. 2019; 291(3): 792–800.
    CrossRefPubMed
  40. Winston CB, Lee NA, Jarnagin WR, et al. CT angiography for delineation of celiac and superior mesenteric artery variants in patients undergoing hepatobiliary and pancreatic surgery. Am J Roentgenol. 2007; 189(1): W13–W19.
    CrossRefPubMed
  41. Winter TC, Nghiem HV, Freeny PC, et al. Hepatic arterial anatomy: demonstration of normal supply and vascular variants with three-dimensional CT angiography. Radiographics. 1995; 15(4): 771–780.
    CrossRefPubMed
  42. Zaki SM, Abdelmaksoud AHK, Khaled BEA, et al. Anatomical variations of hepatic artery using the multidetector computed tomography angiography. Folia Morphol. 2020; 79(2): 247–254.
    CrossRefPubMed

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