Tüm barsaklar sana emanet: Truncus coeliacamesenterica

Yıl 2021, Cilt: 31 Sayı: 3, 327 - 329, 20.09.2021

Büşra Pirinç Alaaddin Nayman Zeliha Fazlıoğulları Ahmet Kağan Karabulut

https://doi.org/10.54005/geneltip.996973

Öz

Truncus coeliacus ve a. mesenterica superior, gastrointestinal sistemin önemli bir bölümünü besleyen iki damardır. Bu iki damarın ortak bir kök ile aorta abdominalis’ten ayrılması nadir görülen ve oldukça önemli bir varyasyondur. 63 yaşındaki erkek hastanın 256 kesitli multidedektör bilgisayarlı tomografi anjiografi görüntüleri incelendi. Yapılan değerlendirmede truncus coeliacus ve a. mesenterica superior’un ortak bir kök halinde 1. lumbal vertebra’nın alt hizasında aorta abdominalis’in ön yüzünden ayrıldıkları tespit edildi. Bunun yanı sıra; a. gastrica sinistra’nın a. hepatica propria’dan orijin aldığı gözlendi. Truncus coeliacus’un varyasyonları karaciğer nakilleri, safra kesesi ve gastrik bölge cerrahisinin yanı sıra girişimsel radyolojik prosüdürlerde de oldukça önemlidir.

Anahtar Kelimeler

Truncus coeliacus, truncus coeliacomesenterica, varyasyon

Take care of all the intestines: Coeliacomesenteric trunk

Öz

The coeliac trunk and superior mesenteric artery. are two vessels that supply a significant portion of the gastrointestinal tract. The separation of these two vessels from the abdominal aorta with a common stem is a rare and quite significant variation. 256 multidetector computed tomography angiography images of a 63 years old male patient were examined. In the evaluation, the coeliac trunk and superior mesenteric artery were separated from the anterior face of the abdominal aorta at the lower level of the first lumbal vertebra as a common trunk. In addition, it was observed that the left gastric artery originated from the hepatic artery proper. Variations of the coeliac trunk are highly important in liver transplants, gallbladder and gastric region surgery, as well as interventional radiological processes.

Anahtar Kelimeler

Coeliac trunk, coeliacomesenteric trunk, variation

Kaynakça

• Marco-Clement I, Martinez-Barco A, Ahumada N, Simon C, Valderrama JM, Sanudo J, et al. Anatomical variations of the celiac trunk: cadaveric and radiological study. Surg Radiol Anat. 2016;38(4):501-10.
• Haller VA. Icones anatomicae in quibus aliquae partes corporis humani declineate proponuntur et arteriarum potissimum historia continetur. Gottingen - German: Vandenhoeck; 1765.
• Cicekcibasi AE, Uysal, II, Seker M, Tuncer I, Buyukmumcu M, Salbacak A. A rare variation of the coeliac trunk. Ann Anat. 2005;187(4):387-91.
• Gamo E, Jimenez C, Pallares E, Simon C, Valderrama F, Sanudo JR, et al. The superior mesenteric artery and the variations of the colic patterns. A new anatomical and radiological classification of the colic arteries. Surg Radiol Anat. 2016;38(5):519-27.
• Adachi B. Das Arteriensystem der Japaner. Japanese: Verlag der Kaiserlich-Japanischen Universitat zu Kyoto; 1928.
• Gielecki J, Zurada A, Sonpal N, Jablonska B. The clinical relevance of coeliac trunk variations. Folia Morphol (Warsz). 2005;64(3):123-9.
• Lipshutz B. A composite study of the coeliac axis artery. Ann Surg. 1917;65:159-69.
• Michels NA. Blood Supply and Anatomy of the Upper Abdominal Organs with a Descriptive Atlas Philadelphia, Montreal: JB Lippincott Company; 1955.
• 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):501-11.
• Uflacker R. Atlas of vascular anatomy: an angiographic approach. Baltimore: Williams & Wilkins citied in the British Journal of Anatomy2010.
• Chitra R. Clinically relevant variations of the coeliac trunk. Singapore Med J. 2010;51(3):216 - 9.
• 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(4):e1403.
• Hemamalini. Variations in the branching pattern of the celiac trunk and its clinical significance. Anat Cell Biol. 2018;51(3):143-9.
• Bhatnagar S, Rajesh S, Jain VK, Patidar Y, Mukund A, Arora A. Celiacomesenteric trunk: a short report. Surg Radiol Anat. 2013;35(10):979-81.
• Varma KS, Pamidi N, Vollala VR. Common celiacomesenteric trunk: a rare anatomic variation. J Vasc Bras. 2009;8(3):271-3.
• Aschenbach R, Basche S, Vogl TJ. Compression of the celiac trunk caused by median arcuate ligament in children and adolescent subjects: evaluation with contrast-enhanced MR angiography and comparison with Doppler US evaluation. J Vasc Interv Radiol. 2011;22(4):556-61.
• Eaton PB. The celiac axis. Anat Rec. 1917;13(6):369-74.
• Naidlch JB, Naidlch TP, Sprayregen S, Hyman RA, Pudlowski RM, Stein HL. The Origin of the Left Gastric Artery. Radiology. 1978;126(3):623-6.
• Babu D, Khrab P. Coeliac Trunk Variations:Review With Proposed New Classification. Int J Anat Res. 2013;1(3):165-70.