Unusual development of the celiac trunk and its clinical significance

We describe a case of unusual development of the celiac trunk observed in the cadaver of 1-year old male child. The celiac trunk branched into five vessels: the splenic, common hepatic and left gastric arteries, the left inferior diaphragmatic artery, and a short trunk that branched into the right inferior diaphragmatic artery and right accessory hepatic artery. Additionally, the manner of branching of the vessel was unusual: it was possible to distinguish two branching points that corresponded to its s-shaped trajectory. There were also other variations of vascular supply, such as the presence of a left accessory hepatic artery, an additional superior pancreatoduodenal artery, and others. It should be noted that multiple developmental variations can be common in clinical practice and clinicians should be aware of them during diagnostic and interventional procedures.

Keywords:
celiac trunk; accessory left hepatic artery; accessory right hepatic artery; additional superior pancreatoduodenal artery

Authorship

Serghei Covantev

State University of Medicine and Pharmacy “Nicolae Testemitanu”, Laboratory of Allergology and Clinical Immunology, Chişinau, Republic of Moldova.State University of Medicine and Pharmacy “Nicolae Testemitanu”Republic of MoldovaChişinau, Republic of MoldovaState University of Medicine and Pharmacy “Nicolae Testemitanu”, Laboratory of Allergology and Clinical Immunology, Chişinau, Republic of Moldova.

http://orcid.org/0000-0001-7236-5699

Natalia Mazuruc

State University of Medicine and Pharmacy “Nicolae Testemitanu”, Department of Human Anatomy, Chişinau, Republic of Moldova.State University of Medicine and Pharmacy “Nicolae Testemitanu”Republic of MoldovaChişinau, Republic of MoldovaState University of Medicine and Pharmacy “Nicolae Testemitanu”, Department of Human Anatomy, Chişinau, Republic of Moldova.

Irina Drangoi

Olga Belic

Conflicts of interest: No conflicts of interest declared concerning the publication of this article.

Correspondence Serghei Covantev State University of Medicine and Pharmacy “Nicolae Testemitanu”, Laboratory of Allergology and Clinical Immunology Stefan cel Mare si Sfant Boulevard 165, Bd. MD-2004 2005 - Chişinau, Republic of Moldova Tel.: +373 69019868 E-mail: kovantsev.s.d@gmail.com

Author information SC - MD; BEc, Laboratory of Allergology and Clinical Immunology, State University of Medicine and Pharmacy “Nicolae Testemitanu”. NM - MD student, Department of Human Anatomy, State University of Medicine and Pharmacy “Nicolae Testemitanu”. ID - MD; Lecturer, Department of Human Anatomy, State University of Medicine and Pharmacy “Nicolae Testemitanu”. OB - MD; PhD; Associate Professor, Department of Human Anatomy, State University of Medicine and Pharmacy “Nicolae Testemitanu”.

Author contributions Conception and design: SC, NM, ID, OB Analysis and interpretation: SC, NM, Data collection: SC, NM, ID Writing the article: SC, NM, ID, OB Critical revision of the article: SC, OB Final approval of the article: SC, NM, ID, OB Statistical analysis: N/A. Overall responsibility: SC, NM, ID, OB *All authors have read and approved of the final version of the article submitted to J Vasc Bras.

SCIMAGO INSTITUTIONS RANKINGS

Figures

Figures (5)

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Figure 1
Anatomy of the celiac trunk. (1) common bile duct; (2) proper hepatic artery; (3) portal vein; (4) inferior vena cava; (5) accessory right hepatic artery; (6) right inferior diaphragmatic artery; (7) abdominal aorta; (8) left gastric artery; (9) left accessory liver artery; (10) the diaphragm; (11) the caudate lobe of the liver; (12) arteries of the lesser curvature of the stomach; (13) stomach; (14) the inferior diaphragmatic artery; (15) splenic artery; (16) celiac trunk; (17) additional superior pancreatoduodenal artery; (18) common hepatic artery; (19) gastroduodenal artery; (20) pancreas; (21) duodenum.

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Figure 2
Schematic representation of the celiac trunk. (1) right inferior diaphragmatic artery; (2) right accessory hepatic artery; (3) common hepatic artery; (4) left gastric artery; (5) splenic artery; (6) celiac trunk; (7) left inferior diaphragmatic artery. A = aorta.

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Figure 3
Vascular supply to the organs of the upper abdominal cavity. (1) common hepatic artery; (2) additional superior pancreatoduodenal artery; (3) proper hepatic artery; (4) gastroduodenal artery; (5) superior pancreatoduodenal artery; (6) common trunk; (7) the inferior artery of the pancreatic head; (8) right gastro-epiploic artery; (9) the stomach; (10) pancreas; (11) common bile duct; (12) portal vein; (13) the liver; (14) right accessory hepatic artery; (15) left accessory hepatic artery; (16) arteries to the lesser curvature of the stomach; (17) abdominal aorta; (18) left gastric artery; (19) splenic artery; (20) branch to the wall of the duodenal ampulla.

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Figure 4
The branches of the celiac trunk (stomach raised up). (1) spleen; (2) splenic artery; (3) pancreas; (4) right kidney; (5) left adrenal gland; (6) the left gastroepiploic artery; (7) abdominal aorta; (8) celiac trunk; (9) common hepatic artery; (10) additional superior pancreatoduodenal artery; (11) inferior vena cava; (12) left accessory hepatic artery; (13) right inferior diaphragmatic artery; (14) gastric left artery; (15) left inferior diaphragmatic artery; (16) superior adrenal artery; (17) the stomach; (18) the liver.

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Figure 5
Schematic representation of vascular supply from the celiac trunk.

Figure 1 Anatomy of the celiac trunk. (1) common bile duct; (2) proper hepatic artery; (3) portal vein; (4) inferior vena cava; (5) accessory right hepatic artery; (6) right inferior diaphragmatic artery; (7) abdominal aorta; (8) left gastric artery; (9) left accessory liver artery; (10) the diaphragm; (11) the caudate lobe of the liver; (12) arteries of the lesser curvature of the stomach; (13) stomach; (14) the inferior diaphragmatic artery; (15) splenic artery; (16) celiac trunk; (17) additional superior pancreatoduodenal artery; (18) common hepatic artery; (19) gastroduodenal artery; (20) pancreas; (21) duodenum.

Figure 2 Schematic representation of the celiac trunk. (1) right inferior diaphragmatic artery; (2) right accessory hepatic artery; (3) common hepatic artery; (4) left gastric artery; (5) splenic artery; (6) celiac trunk; (7) left inferior diaphragmatic artery. A = aorta.

Figure 3 Vascular supply to the organs of the upper abdominal cavity. (1) common hepatic artery; (2) additional superior pancreatoduodenal artery; (3) proper hepatic artery; (4) gastroduodenal artery; (5) superior pancreatoduodenal artery; (6) common trunk; (7) the inferior artery of the pancreatic head; (8) right gastro-epiploic artery; (9) the stomach; (10) pancreas; (11) common bile duct; (12) portal vein; (13) the liver; (14) right accessory hepatic artery; (15) left accessory hepatic artery; (16) arteries to the lesser curvature of the stomach; (17) abdominal aorta; (18) left gastric artery; (19) splenic artery; (20) branch to the wall of the duodenal ampulla.

Figure 4 The branches of the celiac trunk (stomach raised up). (1) spleen; (2) splenic artery; (3) pancreas; (4) right kidney; (5) left adrenal gland; (6) the left gastroepiploic artery; (7) abdominal aorta; (8) celiac trunk; (9) common hepatic artery; (10) additional superior pancreatoduodenal artery; (11) inferior vena cava; (12) left accessory hepatic artery; (13) right inferior diaphragmatic artery; (14) gastric left artery; (15) left inferior diaphragmatic artery; (16) superior adrenal artery; (17) the stomach; (18) the liver.

Figure 5 Schematic representation of vascular supply from the celiac trunk.

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Unusual development of the celiac trunk and its clinical significance

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[1] Conflicts of interest: No conflicts of interest declared concerning the publication of this article.