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Absence of the celiac trunk: case report using MDCT angiography

  • Anatomic Variations
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Abstract

The authors describe a case of a 57-year-old male patient with peripheral vascular disease which presented on MDCT angiography the absence of the celiac trunk (CT). The left gastric artery (LGA), common hepatic artery (CHA), and splenic artery (SA) (with an internal diameter at origin of 3.3, 6.0, and 6.2 mm, respectively) originated directly and independently from the abdominal aorta (AA). The LGA arose from the anterior wall of the AA [27 mm above the origin of the superior mesenteric artery (SMA)]. The SA and CHA arose from the left side of the anterolateral wall of the AA at 19 and 14 mm (respectively) above the origin of the SMA. The incidence and developmental and clinical significance of this vascular variation are discussed with a detailed review of the literature.

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References

  1. Adachi B (1928) Das Arteriensystem der Japaner. Band II. Kaiserlish-Japanischen Universität zu Kyoto. Maruzen Publishing Co., Kyoto, pp 18–71

    Google Scholar 

  2. Armstrong PJ, Franklin DP (2006) Superior mesenteric artery branch aneurysm with absence of the celiac trunk. Vascular 14:109–112

    Article  PubMed  Google Scholar 

  3. Augustyniak EA (1965) A rare case of absence of the celiac artery. Folia Morphol (Warsz) 24:411–412

    Google Scholar 

  4. Başar R, Onderoğul S, Cumhur T, Yüksel M, Olçer T (1995) Agenesis of the celiac trunk: an angiographic case. Kaibogaku Zasshi 70:180–182

    PubMed  Google Scholar 

  5. Çavdar ŞehirliÜ, Pekin B (1997) Celiacomesenteric trunk. Clin Anat 10:231–234

    Article  PubMed  Google Scholar 

  6. Chen H, Yano R, Emura S, Shoumura S (2009) Anatomic variation of the celiac trunk with special reference to hepatic artery patterns. Ann Anat 191(4):399–407

    Article  PubMed  Google Scholar 

  7. Ciçekcibaşi AE, Uysal II, Seker M, Tuncer I, Büyükmumcu M, Salbacak A (2005) A rare variation of the coeliac trunk. Ann Anat 187:387–391

    Article  PubMed  Google Scholar 

  8. Descomps P (1910) Le trone coelique. Steinheil, Paris

    Google Scholar 

  9. Eaton PB (1917) The coeliac axis. Anat Rec 13:369–374

    Article  Google Scholar 

  10. Haller AV (1756) Icones anatomicae in quibus aliquae partes corporis humani delineatae preponuntur et arteriarum potissimum historia continetur, vol II. Vandenhoeck, Gottingen, pp 27–38

  11. Hiatt JR, Gabbay J, Busuttil RW (1994) Surgical anatomy of the hepatic arteries in 1000 cases. Ann Surg 220:50–52

    Article  PubMed  CAS  Google Scholar 

  12. Higashi N, Hirai K (1995) A case of the three branches of the celiac trunk arising directly from the abdominal aorta. Kaibogaku Zasshi 70:349–352

    PubMed  CAS  Google Scholar 

  13. Jin H, Min PQ, Yang ZG, Song B, Wu B (2008) A study of multi-detector row CT scan on greater omentum in 50 individuals: correlating with anatomical basis and clinical application. Surg Radiol Anat 30:69–75

    Article  PubMed  Google Scholar 

  14. Jones RM, Hardy KJ (2001) The hepatic artery: a reminder of surgical anatomy. J R Coll Surg Edinb 46:168–170

    PubMed  CAS  Google Scholar 

  15. Koops A, Wojciechowski B, Broering DC, Adam G, Krupski-Berdien G (2004) Anatomic variations of the hepatic arteries in 604 selective celiac and superior mesenteric angiographies. Surg Radiol Anat 26:239–244

    Article  PubMed  CAS  Google Scholar 

  16. Lipshutz B (1917) A composite study of the coeliac axis artery. Ann Surg 65:159–169

    Article  PubMed  CAS  Google Scholar 

  17. López-Andújar R, Moya A, Montalvá E, Berenguer M, De Juan M, SanJuan F, Pareja E, Vila JJ, Orbis F, Prieto M, Mir J (2007) Lessons learned from anatomic variants of the hepatic artery in 1,081 transplanted livers. Liver Transpl 13(10):1401–1404

    Article  PubMed  Google Scholar 

  18. Michels NA (1955) Blood supply and anatomy of the upper abdominal organs with a descriptive atlas. Lippincott, Philadelphia, pp 139–143

    Google Scholar 

  19. Morita M (1935) Reports and conception of three anomalous cases in the area of the celiac and the superior mesenteric arteries. Igaku Kenkyu 9:1993–2006

    Google Scholar 

  20. Murakami T, Mabuchi M, Giuvarasteanu I, Kikuta A, Ohtsuka A (1998) Coexistence of rare arteries in the human celiaco-mesenteric system. Acta Med Okayama 52:239–244

    PubMed  CAS  Google Scholar 

  21. Nelson TM, Pollak R, Jonasson O, Abcarian H (1988) Anatomic variants of the celiac superior mesenteric and inferior mesenteric arteries and clinical relevance. Clin Anat 1:75–91

    Article  Google Scholar 

  22. Nishiguchi T, Kitamura S, Matsuoka K, Sakai A (1988) A case of the three branches of the coeliac trunk arising directly from the abdominal aorta. Kaibogaku Zasshi 63:553–556

    PubMed  CAS  Google Scholar 

  23. Nonent M, Larroche P, Forlodou P, Senecail B (2001) Coeliac-bimesenteric trunk: anatomic and radiologic description—case report. Radiology 220:489–491

    PubMed  CAS  Google Scholar 

  24. Okada S, Ohta Y, Shimizu T, Nakamura M, Yaso K (1983) A rare anomalous case of absence of the celiac trunk—the left gastric, the splenic and the common hepatic arteries arose from the abdominal aorta independently. Okajimas Folia Anat Jpn 60:65–72

    PubMed  CAS  Google Scholar 

  25. Picquard G (1910) Recherches sur l’anatomie du tronc coeliaque et des ses branches. Bibliogr Anat 19:159–201

    Google Scholar 

  26. Poynter CWM (1922) Congenital anomalies of the arteries and veins of the human body with bibliography, vol 22. The University Studies of the University of Nebraska, Nebraska, pp 1–106

  27. Rio Branco P (1912) Essai sur l’anatomic et la medecine operatoire du trone coeliaque et de ses branches de l’artere hepatique en particulier. G. Steinheil, Paris, p 828

  28. Rossi G, Cova E (1904) Studio morfologico delle arterie dello stomaco. Arch Ital Anat Embryol 3:485–526

    Google Scholar 

  29. Shoumura S, Emura S, Utsumi M, Chen H, Hayakawa D, Yamahira T, Isono H (1991) Anatomical study on the branches of the celiac trunk (IV). Comparison of the findings with Adachi’s classification. Kaibogaku Zasshi 66:452–461

    PubMed  CAS  Google Scholar 

  30. Song SY, Chung JW, Yin YH, Jae HJ, Kim HC, Jeon UB, Cho BH, So YH, Park JH (2010) Celiac axis and common hepatic artery variations in 5002 patients: systematic analysis with spiral CT and DSA. Radiology 255:278–288

    Article  PubMed  Google Scholar 

  31. Tandler J (1904) Über die Varietaten der Arteria coeliaca and deren Entwicklung. Mat Hefte 25:473–500

    Article  Google Scholar 

  32. Ugurel MS, Battal B, Bozlar U, Nural MS, Tasar M, Ors F, Saglam M, Karademir I (2010) Anatomical variations of hepatic arterial system, coeliac trunk and renal arteries: an analysis with multidetector CT angiography. Br J Radiol 83(992):661–667

    Article  PubMed  CAS  Google Scholar 

  33. Vandamme JP, Bonte J (1985) The branches of the celiac trunk. Acta Anat (Basel) 122:110–114

    Article  CAS  Google Scholar 

  34. Yamaki K, Tanaka N, Matsushima T, Miyazaki K, Yoshizuka M (1995) A rare case of absence of the celiac trunk: the left gastric, the splenic, the common hepatic and the superior mesenteric arteries arising independently from the abdominal aorta. Anat Anz 177:97–100

    Article  CAS  Google Scholar 

  35. Yi SQ, Terayama H, Naito M, Hirai S, Alimujang S, Yi N, Tanaka S, Itoh M (2008) Absence of the celiac trunk: case report and review of the literature. Clin Anat 21:283–286

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Anatomy, “Victor Babes” University of Medicine and Pharmacy, 2, Eftimie Murgu Square, 300041, Timisoara, Romania

    Petru Matusz

  2. Neuromed Diagnostic Imaging Centre, Timisoara, Romania

    Gratian D. Miclaus & Horia Ples

  3. Department of Neurosurgery, “Victor Babes” University of Medicine and Pharmacy, 2, Eftimie Murgu Square, 300041, Timisoara, Romania

    Horia Ples

  4. Pediatric Neurosurgery, Children’s Hospital, Birmingham, AL, USA

    R. Shane Tubbs

  5. Department of Anatomical Sciences, School of Medicine, St George’s University, Grenada, West Indies

    Marios Loukas

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  1. Petru Matusz
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  2. Gratian D. Miclaus
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  3. Horia Ples
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  4. R. Shane Tubbs
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  5. Marios Loukas
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Correspondence to Horia Ples.

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Matusz, P., Miclaus, G.D., Ples, H. et al. Absence of the celiac trunk: case report using MDCT angiography. Surg Radiol Anat 34, 959–963 (2012). https://doi.org/10.1007/s00276-012-0989-9

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  • DOI: https://doi.org/10.1007/s00276-012-0989-9

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