Anatomical variation of the branching of the Celiac Trunk: case report
Variação anatômica da ramificação do Tronco Celíaco: relato de caso
DOI:
https://doi.org/10.34119/bjhrv5n6-071Keywords:
anatomical variations, Celiac TrunkAbstract
Introduction: The celiac trunk originates from the descending abdominal aorta and, after a short course of one to three centimeters, divides into the left gastric, common hepatic and splenic arteries. Methods: We performed the dissection of the abdomen of an adult male cadaver from the Department of Anatomy, Faculdade de Ciências Médicas de Minas Gerais (CMMG). Result: An unusual pattern of branching of the arteries of the celiac trunk was identified, which appears to give rise to four branches: the left gastric, splenic, common hepatic and gastroduodenal arteries. Discussion: Due to the high miscegenation in Brazil, the frequency of anatomical variations may be different from other literature, being important studies on cadavers in this country. Knowing the anatomical variations present in the branches of the celiac trunk contributes to reducing morbidity and mortality in procedures in region, being the performance of angiotomography or angioresonance, for prior knowledge of the anatomical variations, extremely important in major surgeries. Conclusion: Anatomical variations in the celiac trunk are common and their knowledge is essential to avoid complications in abdominal surgical procedures.
References
Brasil, Ivelise Regina Canito et al. Computed tomography angiography study of variations of the celiac trunk and hepatic artery in 100 patients. Radiologia Brasileira. 2018,
v. 51, n. 1 [Acessado 24 Agosto 2022] , pp. 32-36. Disponível em:
<https://doi.org/10.1590/0100-3984.2016.0179>
Araujo, Severino Aires et al. Anatomical variations of the celiac trunk and hepatic arterial system: an analysis using multidetector computed tomography angiography* * Study developed at Universidade Federal da Paraíba (UFPB), João Pessoa, PB, Brazil. Radiologia Brasileira. 2015, v. 48, n. 6 [Acessado 24 Agosto 2022] , pp. 358-362. Disponível em: <https://doi.org/10.1590/0100-3984.2014.0100>
SANTOS, Priscele Viana dos et al. ANATOMICAL VARIATIONS OF THE CELIAC TRUNK: A SYSTEMATIC REVIEW. ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo. 2018, v. 31, n. 04 [Acessado 24 Agosto 2022] , e1403. Disponível em:
<https://doi.org/10.1590/0102-672020180001e1403>
Gardner Ernest. Anatomia: Estudo Regional do Corpo Humano. 4th ed. Rio de Janeiro: Guanabara Koogan; 1998.
Petrella Selma, Rodriguez Celio Fernando de Sousa, Sgrott Emerson Alexandre, Fernandes Geraldo José Medeiros, Marques Sergio Ricardo, Prates José Carlos. Anatomy and Variations of the Celiac Trunk. Int. J. Morphol. 2007 June [cited 2021 Mar 28] ; 25( 2): 249-257. Available from: https://scielo.conicyt.cl/scielo.php?script=s ci_arttext&pid=S0717-95022007000200002&lng=en. http://dx.doi.org/10.4067/S0717-95022007 000200002.
BERTEVELLO, Pedro Luiz e CHAIB, Eleazar. Variações do sistema arterial hepático e sua aplicabilidade na bipartição do fígado: estudo anatômico em cadáveres. Arquivos de Gastroenterologia. 2002, v. 39, n. 2 [Acessado 24 Agosto 2022] , pp. 81-85. Disponível em:
<https://doi.org/10.1590/S0004-28032002000200003>
Andraus, Wellington et al. Reconstrução arterial no transplante hepático: a melhor reconstrução para variação da artéria hepática direita. ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo). 2013, v. 26, n. 1 [Acessado 24 Agosto 2022] , pp. 62-65. Disponível em: <https://doi.org/10.1590/S0102-67202013000100014>
BALZAN, Silvio Marcio Pegoraro et al. PREVALENCE OF HEPATIC ARTERIAL VARIATIONS WITH IMPLICATIONS IN PANCREATODUODENECTOMY. ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo). 2019, v. 32, n. 03 [Acessado 24 Agosto 2022], e1 455. Disponível em: <https://doi.org/10.1590/0102-672020190001e1455>
Sebben, Geraldo Alberto et al. Variações da artéria hepática: estudo anatômico em cadáveres. Revista do Colégio Brasileiro de Cirurgiões. 2013, v. 40, n. 3 [Acessado 24 Agosto 2022] , pp. 221-226. Disponível em: <https://doi.org/10.1590/S0100-69912013000300010>
Soares, Renato Vianna et al. Anatomia da artéria hepática em doadores e receptores de transplante hepático intervivos. Revista do Colégio Brasileiro de Cirurgiões. 2006, v. 33, n.
[Acessado 24 Agosto 2022] , pp. 63-67. Disponível em:
<https://doi.org/10.1590/S0100-69912006000200002>
Song SY, Chung JW, Yin YH, Jae HJ, Kim HC, Jeon UB, Cho BH, So YH, Park JH. Celiac axis and common hepatic artery variations in 5002 patients: systematic analysis with spiral CT and DSA. Radiology. 2010 Apr;255(1):278-88. doi: 10.1148/radiol.09090389.
Sureka B, Mittal MK, Mittal A, Sinha M, Bhambri NK, Thukral BB. Variations of celiac axis, common hepatic artery and its branches in 600 patients. Indian J Radiol Imaging. 2013 Jul;23(3):223-33. doi: 10.4103/0971-3026.120273.
FONSECA-NETO, Olival Cirilo Lucena da et al. ANATOMIC VARIATIONS OF HEPATIC ARTERY: A STUDY IN 479 LIVER TRANSPLANTATIONS. ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo). 2017, v. 30, n. 1 [Acessado 24 Agosto 2022] , pp. 35-37. Disponível em: <https://doi.org/10.1590/0102-6720201700010010>
MICHELS, Nicholas A. Newer anatomy of the liver and its variant blood supply and collateral circulation. The American Journal of Surgery, [S. l.], v. 112, n. 3, p. 337-347, 1 set. 1966.
SILVA, L. V. ; SOUZA, V. J. V. ; HONORATO, A. A. ; RIBEIRO, C. V. ; BALBI FILHO, W. ; SILVA, M. L. F. L. E. ; BARREIROS, L. L. ; SILVA, G. T. G. ; FERNANDES,
E. T. ; ANDRADE, F. M. . VARIAÇÕES ANATÔMICAS DA IRRIGAÇÃO EXTRA-HEPÁTICA: abordagem para a educação continuada. Revista Científica FAGOC Saúde , v. 3, p. 80-86, 2018.
Marco-Clement I, Martinez-Barco A, Ahumada N, Simon C, Valderrama JM, Sanudo J, Arrazola J. Anatomical variations of the celiac trunk: cadaveric and radiological study. Surg Radiol Anat. 2016 May; 38(4):501-10. doi: 10.1007/s00276-015-1542-4.
Wang BG, Fröber R. Accessory extrahepatic arteries: Blood supply of a human liver by three arteries A case report with brief literature review. Ann Anat. 2009 Nov;191(5):477-84. doi: 10.1016/j.aanat.2009.06.006. Epub 2009 Jul 18. PMID: 19679454.
