Unusual development of the celiac trunk and its clinical significance
Desenvolvimento incomum do tronco celíaco e sua importância clínica
Serghei Covantev; Natalia Mazuruc; Irina Drangoi; Olga Belic
Abstract
Keywords
Resumo
Resumo: Apresentamos um relato de caso de desenvolvimento incomum do tronco celíaco em um cadáver do sexo masculino de 1 ano de idade. O tronco celíaco ramificou-se para cinco vasos: as artérias esplênica, hepática comum e gástrica esquerda, a artéria diafragmática inferior esquerda e um tronco pequeno que se ramificou para a artéria diafragmática inferior direita e para a artéria hepática direita acessória. Além disso, a forma como o vaso se ramificou foi incomum: é possível distinguir dois pontos de ramificação que correspondem à trajetória em formato de S. Também houve outras variações do suprimento vascular, como a presença da artéria hepática esquerda acessória, da artéria pancreaticoduodenal superior acessória e outras. Cabe observar que a variação de desenvolvimento múltipla pode ser comum na prática clínica, e os médicos devem estar cientes dela durante os procedimentos de diagnóstico e intervenção.
Palavras-chave
References
1 Pinal-Garcia DF, Nuno-Guzman CM, Gonzalez-Gonzalez ME, Ibarra-Hurtado TR. The celiac trunk and its anatomical variations: a cadaveric study. J Clin Med Res. 2018;10(4):321-9.
2 Venieratos D, Panagouli E, Lolis E, Tsaraklis A, Skandalakis P. A morphometric study of the celiac trunk and review of the literature. Clin Anat. 2013;26(6):741-50.
3 Belic O, Mazuruc N, Covantev S. Anatomical variations of the splenic artery. Online J Health Allied Sci. 2017;16(2):19.
4 Araujo SA No, Franca HA, Mello CF Jr, et al. Anatomical variations of the celiac trunk and hepatic arterial system: an analysis using multidetector computed tomography angiography. Radiol Bras. 2015;48(6):358-62.
5 Adachi B. Das Arteriensystem der Japaner. Kyoto: Verlag der Kaiserlich-Japanischen Universitat zu Kyoto; 1928. (vol. 2).
6 Morita M. Reports and conception of three anomalous cases on the area of the celiac and superior mesenteric arteries. Igaku kenkyu. Acta Med. 1935;9:1993-2006.
7 Ramesh Babu CS, Joshi S, Gupta KK, Gupta OP. Celiacomesenteric trunk and its variants a multidetector row computed tomographic study. J Anat Soc India. 2015;64(1):32-41.
8 Huang Y, Mu G-C, Qin X-G, Chen Z-B, Lin J-L, Zeng Y-J. Study of celiac artery variations and related surgical techniques in gastric cancer. World J Gastroenterol. 2015;21(22):6944-51.
9 Singh BGP, Bhatt CR, Patel SV, Mehta CD. Morphometric study of coeliac trunk specific reference to hepatic artery pattern in the west-indian population. Indian J Surg. 2014;76(5):359-62.
10 Liang Y, Li E, Min J, Gong C, Wu L. Rare anatomic variation of the right hepatic artery and accessory right hepatic artery supplying hepatocellular carcinoma: a case report and literature review. Medicine. 2017;96(39):e8144.
11 Song SY, Chung JW, Yin YH, et al. Celiac axis and common hepatic artery variations in 5002 patients: systematic analysis with spiral CT and DSA. Radiology. 2010;255(1):278-88.
12 Aslaner R, Pekcevik Y, Sahin H, Toka O. Variations in the origin of inferior phrenic arteries and their relationship to celiac axis variations on CT angiography. Korean J Radiol. 2017;18(2):336-44.
13 Gürses İA, Gayretli Ö, Kale A, Öztürk A, Usta A, Şahinoğlu K. Inferior phrenic arteries and their branches, their anatomy and possible clinical importance: an experimental cadaver study. Balkan Med J. 2015;32(2):189-95.
14 Gonsalves CF, Brown DB. Chemoembolization of hepatic malignancy. Abdom Imaging. 2009;34(5):557-65.
15 Gwon DI, Ko GY, Yoon HK, et al. Inferior phrenic artery: anatomy, variations, pathologic conditions, and interventional management. Radiographics. 2007;27(3):687-705.
16 Kim HC, Chung JW, An S, et al. Left inferior phrenic artery feeding hepatocellular carcinoma: angiographic anatomy using C-arm CT. AJR Am J Roentgenol. 2009;193(4):W288-94.
17 Takanami I. Massive haemoptysis due to chronic pancreatitis: control with inferior phrenic artery embolization. Eur J Cardiothorac Surg. 2000;18(1):120-2.
18 Michels NA. Newer anatomy of the liver and its variant blood supply and collateral circulation. Am J Surg. 1966;112(3):337-47.
19 Hiatt JR, Gabbay J, Busuttil RW. Surgical anatomy of the hepatic arteries in 1000 cases. Ann Surg. 1994;220(1):50-2.
20 Mazuruc N, Covantev S, Belic O. A case of unusual vascularization of upper abdominal cavity’ organs. Case Rep Vasc Med. 2018;2018:5738037.
21 Noussios G, Dimitriou I, Chatzis I, Katsourakis A. The main anatomic variations of the hepatic artery and their importance in surgical practice: review of the literature. J Clin Med Res. 2017;9(4):248-52.
22 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;23(3):223-33.
23 López-Andújar R, Moya A, Montalvá E, et al. Lessons learned from anatomic variants of the hepatic artery in 1,081 transplanted livers. Liver Transpl. 2007;13(10):1401-4.
24 Okano S, Sawai K, Taniguchi H, Takahashi T. Aberrant left hepatic artery arising from the left gastric artery and liver function after radical gastrectomy for gastric cancer. World J Surg. 1993;17(1):70-3, discussion 74.
25 Zanon C, Grosso M, Clara R, Chiappino I, Mancini A, Mussa A. Percutaneous implantation of arterial Port-a-cath via trans-subclavin access. Anticancer Res. 1999;19(6C):5667-71. PMid:10697638.
26 Bertelli E, Di Gregorio F, Bertelli L, Civeli L, Mosca S. The arterial blood supply of the pancreas: a review. Surg Radiol Anat. 1996;18(1):1-9.
Submitted date:
05/14/2020
Accepted date:
08/17/2020