Agarwal Shilpi, Pangtey Babita, Vasudeva Neelam
Senior Resident, Department of Anatomy, Maulana Azad Medical College , New Delhi, India .
Assistant Professor, Department of Anatomy, Maulana Azad Medical College , New Delhi, India .
J Clin Diagn Res. 2016 Jun;10(6):AD05-7. doi: 10.7860/JCDR/2016/19527.8064. Epub 2016 Jun 1.
Knowledge of variations in the branching pattern of Celiac Trunk (CT) is important for surgeries of stomach, duodenum, pancreas and hepatobiliary region, for abdominal aortic aneurysm, for liver transplant and chaemoembolization of hepatic tumours. An unusual variation in the branching pattern of CT was observed in 50-year-old male cadaver of Indian origin. CT divided into six branches out of which right & left inferior phrenic arteries originated as first two branches and left gastric artery as the third branch. CT ended into three terminal branches as common hepatic artery, splenic artery & dorsal pancreatic artery. Right gastric artery originated from left hepatic artery instead of common hepatic artery. A variant hepatic artery to the left lobe of liver was also observed which originated from right gastric artery. Anatomical variations in the branching pattern of CT are due to developmental changes in ventral splanchnic artery.
了解腹腔干(CT)分支模式的变异对于胃、十二指肠、胰腺和肝胆区域的手术、腹主动脉瘤手术、肝移植以及肝肿瘤的化疗栓塞都很重要。在一名50岁的印度裔男性尸体中观察到CT分支模式的异常变异。CT分为六个分支,其中左右膈下动脉作为前两个分支发出,胃左动脉作为第三个分支发出。CT以肝总动脉、脾动脉和胰背动脉作为三个终末分支结束。胃右动脉起源于肝左动脉而非肝总动脉。还观察到一条变异的肝动脉供应肝左叶,它起源于胃右动脉。CT分支模式的解剖变异是由于腹侧内脏动脉的发育变化所致。