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Original article
Published online: 2020-06-09
Submitted: 2020-04-23
Accepted: 2020-06-07
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Unusual variations in the branching pattern of the celiac trunk and their clinical significance

A. Juszczak, J. Czyżowski, A. Mazurek, J. A. Walocha, A. Pasternak
DOI: 10.5603/FM.a2020.0067
·
Pubmed: 32639575

open access

Ahead of Print
ORIGINAL ARTICLES
Published online: 2020-06-09
Submitted: 2020-04-23
Accepted: 2020-06-07

Abstract

Background: The anatomical variations of the celiac trunk are due to developmental changes in the ventral segmental arteries. Multidetector computed tomography (MDCT) has been used to investigate vascular anatomy for scientific and diagnostic purposes. These studies allow for much larger sample sizes than traditional cadaveric studies. The aim of this research was to isolate rare anatomical variants of the celiac trunk and emphasize their clinical significance.

Materials and methods: A descriptive, retrospective study was carried out on MDCT angiographies performed from January 2020 till March 2020 in Polish patients. Celiac trunk was studied and normal and anatomical variations were identified.

Results: Out of total 350 patients, hepatogastrosplenic trunk was predominant. However, we observed: celiaco-mesenteric and hepatogastric trunk type, hepatic artery variations and celiac axis stenosis with collateral mesenteric circulation.

Conclusions: Rare variations of the celiac trunk should always be anticipated before radiological and surgical interventions. Knowledge of unusual celiac trunk anatomy is important in hepatopancreatobiliary surgery, transplantology, and interventional radiology.

Abstract

Background: The anatomical variations of the celiac trunk are due to developmental changes in the ventral segmental arteries. Multidetector computed tomography (MDCT) has been used to investigate vascular anatomy for scientific and diagnostic purposes. These studies allow for much larger sample sizes than traditional cadaveric studies. The aim of this research was to isolate rare anatomical variants of the celiac trunk and emphasize their clinical significance.

Materials and methods: A descriptive, retrospective study was carried out on MDCT angiographies performed from January 2020 till March 2020 in Polish patients. Celiac trunk was studied and normal and anatomical variations were identified.

Results: Out of total 350 patients, hepatogastrosplenic trunk was predominant. However, we observed: celiaco-mesenteric and hepatogastric trunk type, hepatic artery variations and celiac axis stenosis with collateral mesenteric circulation.

Conclusions: Rare variations of the celiac trunk should always be anticipated before radiological and surgical interventions. Knowledge of unusual celiac trunk anatomy is important in hepatopancreatobiliary surgery, transplantology, and interventional radiology.

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Keywords

celiac trunk, variations, multidetector computed tomography angiography, MDCTA

About this article
Title

Unusual variations in the branching pattern of the celiac trunk and their clinical significance

Journal

Folia Morphologica

Issue

Ahead of Print

Article type

Original article

Published online

2020-06-09

DOI

10.5603/FM.a2020.0067

Pubmed

32639575

Keywords

celiac trunk
variations
multidetector computed tomography angiography
MDCTA

Authors

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

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