Investigation of coeliac trunk and superior mesenteric artery variations and literature review.

Hadi Sasani 1 * , Nergiz Ekmen 2
More Detail
1 Department of Radiology, Faculty of Medicine, Tekirdag Namık Kemal University, Tekirdag, Turkey
2 Department of Gastroenterology, Faculty of Medicine, Gazi University, Ankara, Turkey
* Corresponding Author
J CLIN MED KAZ, Volume 18, Issue 4, pp. 81-86. https://doi.org/10.23950/jcmk/11051
OPEN ACCESS 1638 Views 1793 Downloads
Download Full Text (PDF)

ABSTRACT

Aim:To evaluate the variations of coeliac trunk and superior mesenteric artery variations in Tekirdag province using computed tomography (CT) images.
Methods: The data of the patients who underwent CT angiography for any reason via the hospital online PACS system were scanned retrospectively for celiac trunk and superior mesenteric artery variation. The frequency of variation in the study population, the variation type and distribution by gender were statistically analyzed.
Results: A total of 2529 individuals, including 1703 (67.3%) men and 826 (32.7%) women, were included in the study. The prevalence of variation in the study group was 25.7% (n=650), and it was seen that there was a single variation in 579 (89.1%) individuals and a double variation in 71 (10.9%) individuals. The three most common variations were replaced right HA, LGA orginated replaced left HA, and common HA from SMA origin ( n= 340, 13.44 % ; n=120, 4,74 % and n=46, 1.82 %,  respectively).
Conclusion: Information the rates of these vascular variations provides contribution to surgical procedures and prevents more serious complications. Also, it should be carefully investigated in terms of other accompanying variation.
Keywords: Celiac Artery, Mesentery, Computed tomography, Variation

CITATION

Sasani H, Ekmen N. Investigation of coeliac trunk and superior mesenteric artery variations and literature review.. J CLIN MED KAZ. 2021;18(4):81-6. https://doi.org/10.23950/jcmk/11051

REFERENCES

  • Standring S, Gray H. Gray's anatomy: the anatomical basis of clinical practice. 41st ed. Elsevier ltd. 2016. p. 1039-1088.
  • Malik S, Bordei P, Rusali A, Iliescu DM. The descending thoracic aorta morphological characteristics. ARS Medica Tomitana. 2016;22(3):186-191. DOI: https://doi.org/10.1515/arsm-2016-0031
  • Walker TG. Mesenteric vasculature and collateral pathways. Semin Intervent Radiol. 2009;26(3):167-174. doi: 10.1055/s-0029-1225663.
  • Sahni D, Aggarwal A, Gupta T, Kaur H, Gupta R, Chawla K, et al. Abdominal Aorta. In Tubbs RS, Shoja MM, Loukas M (Eds.), Bergman's Comprehensive Encyclopedia of Human Anatomic Variation. Hoboken, NJ, USA: John Wiley & Sons, Inc. 2016. p. 619-681.
  • Sehgal G, Srivastava AK, Sharma PK, Kumar N, Singh R, Parihar A, et al. Morphometry of the celiac trunk: a multidetector computed tomographic angiographic study. J Anat Soc India. 2013;62(1):23–27. Doi: https://doi.org/10.1016/S0003-2778(13)80007-X
  • Michels NA. Newer anatomy of the liver and its variant blood supply and collateral circulation. Am J Surg. 1966;112(3):337-347. Doi: 10.1016/0002-9610(66)90201-7.
  • Petrella S, Rodriguez CFDS, Sgrott EA, Fernandes GJM, Marques SR, Prates JC. Anatomy and Variations of the Celiac Trunk. Int J Morphol. 2007;25(2): 249-257. Doi: http://dx.doi.org/10.4067/S0717-95022007000200002.
  • Saeed M, Rufai AA. Duplication of hepatic artery. Saudi J Gastroenterol. 2001;7(3):103-108.
  • Song SY, Chung JW, Yin YH, Jae HJ, Kim HC, Jeon UB, et al. Celiac axis and common hepatic artery variations in 5002 patients: systematic analysis with spiral CT and DSA. Radiology. 2010;255(1):278-288. Doi: 10.1148/radiol.09090389.
  • Nelson TM, Pollak R, Jonasson O, Abcarian H. Anatomic variants of the celiac, superior mesenteric, and inferior mesenteric arteries and their clinical relevance. Clin Anat. 1988;1(2):75-91. Doi: https://doi.org/10.1002/ca.980010202.
  • Prasoon P, Katada T, Miura K, Hirose Y, Sakata J, Wakai T. Cystic Artery Variations and Associated Vascular Complications in Laparoscopic Cholecystectomy. In Digestive System-Recent Advances: IntechOpen 2018. DOI: 10.5772/intechopen.81200.
  • Santos PVD, Barbosa ABM, Targino VA, Silva NA, Silva YCM, Barbosa F, et al. Anatomical variations of the celiac trunk: A systematic review. Arq Bras Cir Dig. 2018; 31:e1403. Doi: 10.1590/0102-672020180001e1403.
  • Gielecki J, Zurada A, Sonpal N, Jabłońska B. The clinical relevance of coeliac trunk variations. Folia Morphol (Warsz). 2005;64(3):123-129.
  • Iezzi R, Cotroneo AR, Giancristofaro D, Santoro M, Storto ML. Multidetector-row CT angiographic imaging of the celiac trunk: anatomy and normal variants. Surg Radiol Anat. 2008;30(4):303-310. doi: 10.1007/s00276-008-0324-7.
  • Sahani D, Mehta A, Blake M, Prasad S, Harris G, Saini S. Preoperative hepatic vascular evaluation with CT and MR angiography: implications for surgery. Radiographics. 2004;24(5):1367-1380. Doi: 10.1148/rg.245035224.
  • Farghadani M, Momeni M, Hekmatnia A, Momeni F, Baradaran Mahdavi MM. Anatomical variation of celiac axis, superior mesenteric artery, and hepatic artery: Evaluation with multidetector computed tomography angiography. J Res Med Sci. 2016;21:129. Doi: 10.4103/1735-1995.196611.
  • Michel NA. Blood supply and anatomy of the upper abdominal organs, with a descriptive atlas. Philadelphia, Pa: Lippincott. 1955. Observatons on the blood supply of the liver and gallbladder (200 dissections) p. 64-69.
  • Winston CB, Lee NA, Jarnagin WR, Teitcher J, DeMatteo RP, Fong Y, et al. CT angiography for delineation of celiac and superior mesenteric artery variants in patients undergoing hepatobiliary and pancreatic surgery. AJR Am J Roentgenol. 2007;189(1):W13-19. Doi: 10.2214/AJR.04.1374.
  • De Cecco CN, Ferrari R, Rengo M, Paolantonio P, Vecchietti F, Laghi A. Anatomic variations of the hepatic arteries in 250 patients studied with 64-row CT angiography. Eur Radiol. 2009;19(11):2765-2770. Doi: 10.1007/s00330-009-1458-7.
  • Kapoor V, Brancatelli G, Federle MP, Katyal S, Marsh JW, Geller DA. Multidetector CT arteriography with volumetric three-dimensional rendering to evaluate patients with metastatic colorectal disease for placement of a floxuridine infusion pump. AJR Am J Roentgenol. 2003;181(2):455-463. Doi: 10.2214/ajr.181.2.1810455.
  • Winter TC 3rd, Nghiem HV, Freeny PC, Hommeyer SC, Mack LA. Hepatic arterial anatomy: demonstration of normal supply and vascular variants with three-dimensional CT angiography. Radiographics. 1995;15(4):771-780. Doi:10.1148/radiographics.15.4.7569128.
  • Petscavage JM, Maldjian P. Celiomesenteric trunk: two variants of a rare anomaly. Australas Radiol. 2007;51 Suppl:B306-309. Doi: 10.1111/j.1440-1673.2007.01824.x.
  • Panagouli E, Venieratos D, Lolis E, Skandalakis P. Variations in the anatomy of the celiac trunk: A systematic review and clinical implications. Ann Anat. 2013;195(6):501-511. doi: 10.1016/j.aanat.2013.06.003.
  • Eaton PB. The celiac axis. Anat Rec. 1917;13(6): 369–374.
  • Lipshutz B. A composivy study of the celiac axis artery. Ann Surg. 1917; 65(2):159-1 69. doi: 10.1097/00000658-191702000-00006.
  • Saeed M, Murshid KR, Rufai AA, Elsayed SE, Sadiq MS. Coexistenceof multiple anomalies in the celiac-mesenteric arterial system. Clin Anat. 2003;16(1): 30–36. https://doi.org/10.1002/ca.10093.
  • Matsuki M, Kani H, Tatsugami F, Yoshikawa S, Narabayashi I, Lee SW, et al. Preoperative assessment of vascularanatomy around the stomach by 3D imaging using MDCT before laparoscopy-assisted gastrectomy. Am J Roentgenol. 2004;183(1): 145–151. Doi: 10.2214/ajr.183.1.1830145.
  • Ferrari R, De Cecco CN, Iafrate F, Paolantonio P, Rengo M, Laghi A. Anatomical variations of the coeliac trunk and the mesenteric arteries evaluated with 64-row CT angiography. Radiol Med. 2007;112(7):988-998. English, Italian. doi: 10.1007/s11547-007-0200-2.
  • Chen H, Yano R, Emura S, Shoumura S. Anatomic variation of the celiac trunk with special reference to hepatic artery patterns. Ann Anat. 2009;191(4):399-407. doi: 10.1016/j.aanat.2009.05.002.
  • Chitra R. Clinically relevant variations of the coeliac trunk. Singapore Med J. 2010;51(3):216-219.
  • Natsume T, Shuto K, Yanagawa N, Akai T, Kawahira H, Hayashi H, et al. The classification of anatomic variations in the perigastric vessels by dual-phase CT to reduce intraoperative bleeding during laparoscopic gastrectomy. Surg Endosc. 2011;25(5):1420-1424. doi: 10.1007/s00464-010-1407-1.
  • Prakash, Rajini T, Mokhasi V, Geethanjali BS, Sivacharan PV, Shashirekha M. Coeliac trunk and its branches: anatomical variations and clinical implications. Singapore Med J. 2012;53(5):329-31.
  • 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):741-750. doi: 10.1002/ca.22136.