Department of Anatomy, Jagiellonian University Medical College, Krakow, Poland.
Institute of Diagnostic Imaging, J. Dietl Specialist Hospital, Krakow, Poland.
Folia Morphol (Warsz). 2021;80(2):290-296. doi: 10.5603/FM.a2020.0051. Epub 2020 May 12.
Multidetector computed tomography angiography (MDCTA) has become a major part in evaluation of normal anatomy and its variants in patients undergoing operative or interventional procedures. The purpose of this study was to assess the frequency of anatomical variation of coeliac trunk in patients undergoing MDCTA of the abdominal aorta.
A descriptive, retrospective study was carried out on MDCTAs performed from January 2014 till January 2020 in Polish patients. Coeliac trunk was studied and normal and anatomical variations were noted according to Adachi's classification. All patients with abnormalities affecting the vessels or a history of any vascular abnormality were excluded from the study.
Out of total 1000 patients, hepatogastrosplenic trunk was found in 93.0%. True and false types of trifurcation were observed. Hepatosplenic trunk was found in 2.8%, coeliacomesenteric trunk in 1.1%, hepatomesenteric trunk in 1.7% gastrosplenic trunk was found in 1.4%. We have not observed hepatosplenomesenteric trunk.
The type and knowledge of anatomy is of prime importance for an optimum preoperative planning in surgical or radiological procedure. MDCTA allows minimally invasive assessment of arterial anatomy with high quality three-dimensional reconstruction images.
多排螺旋 CT 血管造影（MDCTA）已成为评估接受手术或介入治疗患者正常解剖结构及其变异的主要方法。本研究旨在评估 MDCTA 检查腹主动脉患者腹腔干解剖变异的频率。
对 2014 年 1 月至 2020 年 1 月期间在波兰进行的 MDCTA 进行了描述性、回顾性研究。根据 Adachi 分类法研究腹腔干，并记录正常和解剖变异。所有影响血管的异常或有血管异常病史的患者均被排除在研究之外。
在总共 1000 名患者中，肝胃脾干见于 93.0%。观察到真性和假性三分支类型。肝脾干见于 2.8%，腹腔肠系膜干见于 1.1%，肝肠系膜干见于 1.7%，胃脾干见于 1.4%。我们未观察到肝脾肠系膜干。
解剖类型和知识对于手术或放射学程序的最佳术前规划至关重要。MDCTA 允许对动脉解剖结构进行微创评估，并提供高质量的三维重建图像。
