The coeliac trunk and the superior mesenteric artery are the two ventral branches which are arising from abdominal aorta and supply blood to wide area at the supracolic compartment. An abdominal vascular variation of a 65 years old patient who is diagnosed with acute aortic dissection was encountered. While evaluating the anatomic structures on the angiographies, we observed that the branching pattern of the coeliac trunk was not presenting trifurcation nature and the common hepatic artery was arising from the superior mesenteric artery. This report of branching variation which was presented with its anatomic aspects may help clinician while planning and performing some invasive surgical or radiological procedures.
1.Sadler TTW. Langman's Medical Embryology. Wolters Kluwer Health/Lippincott Williams & Wilkins; 2011.
2.Chen H, Yano R, Emura S, and Shoumura S. Anatomic variation of the celiac trunk with special reference to hepatic artery patterns. Ann Anat. 2009;191(4):399-407.
3.Haller VA. Icones Anatomicae in quibus praecipae partes corporis humani delineate proponuntur et arteriarum potissimum historia continetur. Gottingen, Vandenhoeck. 1756;8:270.
4.Standring S. Gray's Anatomy: The Anatomical Basis of Clinical Practice. Elsevier Health Sciences UK; 2008.
5.Yilmaz MT, Tezer M, Cicekcibasi AE, Aydin AD, and Salbacak A. A case report of coeliacomesenteric trunk. Biomed Res. 2013;24(1):150-2.
6.Çiçekcibaşı AE, Doğan NÜ, Fazlıoğulları Z, Şanlı ÖÖ, Büyükmumcu M, and Salbacak A. Arteria mesenterica superior’dan orijin alan arteria hepatica dextra. SDU Tıp Fak Derg. 2011;18(1):21-4.
7.Çiçekcibaşi AE, Uysal İİ, Şeker M, Tuncer I, Büyükmumcu M, and Salbacak A. A rare variation of the coeliac trunk. Ann Anat. 2005;187(4):387-91.
8.Kahraman G, Marur T, Tanyeli E, and Yildirim M. Hepatomesenteric trunk. Surg Radiol Anat. 2002;23(6):433-5.
9.Nakamura Y, Miyaki T, Hayashi S, Iimura A, and Itoh M. Three cases of the gastrosplenic and the hepatomesenteric trunks. Okajimas Folia Anat Jpn. 2003;80(4):71-6.
10.Adachi B, Hasebe K, and Daigaku K. Das arteriensystem der Japaner. Kaiserlich-japanische Universität zu Kyoto, in kommission bei" Maruzen Company", Kyoto and Tokyo; 1928.
11.Michels NA. Blood supply and anatomy of the upper abdominal organs with a descriptive atlas. B Lippincott Company, Philadelphia. 1955.
12.Mariani GA, Maroni L, Bianchi L, Broccoli A, Lazzarini E, Marchegiani G, Mazzotti A, Mazzotti MC, Billi AM, and Giuliani Piccari G. Hepato-gastric and spleno-mesenteric arterial trunks: anatomical variation report and review of literature. Ital J Anat Embryol. 2013;118(2):217-22.
13.De Leon Ayala IA, and Chen YF. Acute aortic dissection: an update. Kaohsiung J Med Sci. 2012;28(6):299-305.
14.Saga T, Hirao T, Kitashima S, Watanabe K, Nohno M, Araki Y, Kobayashi S, and Yamaki K. An anomalous case of the left gastric artery, the splenic artery and hepato-mesenteric trunk independently arising from the abdominal aorta. Kurume Med J. 2005;52(1-2):49-52.
15.Shukla PJ, Barreto SG, Kulkarni A, Nagarajan G, and Abe Fingerhut M. Vascular anomalies encountered during pancreatoduodenectomy: do they influence outcomes? Ann Surg Oncol. 2010;17(1):186-93.
Truncus coeliacusve arteria mesenterica superior abdominal aortun, suprakolik kompartımanda geniş bir alanı kanlandıran, iki ventral dalıdır. Akut aort diseksiyonu teşhisi alan 65 yaşındaki bir hastada bu abdominal damarlarda varyasyona rastlandı. Anjiografide anatomik yapıların değerlendirilmesi esnasında truncus coeliacus’un trifurkasyon yapısını sergilemediği, arteria hepatica propria’nın arteria mesentericasuperior’dan çıktığı gözlendi. Truncus coeliacus’un anatomik yönü açısından, bu dallanma varyasyonu, klinisyenlere bazı girişimsel cerrahi veya radyolojik prosedürlerin planlanmasında ve uygulanmasında yardımcı olabilir.
1.Sadler TTW. Langman's Medical Embryology. Wolters Kluwer Health/Lippincott Williams & Wilkins; 2011.
2.Chen H, Yano R, Emura S, and Shoumura S. Anatomic variation of the celiac trunk with special reference to hepatic artery patterns. Ann Anat. 2009;191(4):399-407.
3.Haller VA. Icones Anatomicae in quibus praecipae partes corporis humani delineate proponuntur et arteriarum potissimum historia continetur. Gottingen, Vandenhoeck. 1756;8:270.
4.Standring S. Gray's Anatomy: The Anatomical Basis of Clinical Practice. Elsevier Health Sciences UK; 2008.
5.Yilmaz MT, Tezer M, Cicekcibasi AE, Aydin AD, and Salbacak A. A case report of coeliacomesenteric trunk. Biomed Res. 2013;24(1):150-2.
6.Çiçekcibaşı AE, Doğan NÜ, Fazlıoğulları Z, Şanlı ÖÖ, Büyükmumcu M, and Salbacak A. Arteria mesenterica superior’dan orijin alan arteria hepatica dextra. SDU Tıp Fak Derg. 2011;18(1):21-4.
7.Çiçekcibaşi AE, Uysal İİ, Şeker M, Tuncer I, Büyükmumcu M, and Salbacak A. A rare variation of the coeliac trunk. Ann Anat. 2005;187(4):387-91.
8.Kahraman G, Marur T, Tanyeli E, and Yildirim M. Hepatomesenteric trunk. Surg Radiol Anat. 2002;23(6):433-5.
9.Nakamura Y, Miyaki T, Hayashi S, Iimura A, and Itoh M. Three cases of the gastrosplenic and the hepatomesenteric trunks. Okajimas Folia Anat Jpn. 2003;80(4):71-6.
10.Adachi B, Hasebe K, and Daigaku K. Das arteriensystem der Japaner. Kaiserlich-japanische Universität zu Kyoto, in kommission bei" Maruzen Company", Kyoto and Tokyo; 1928.
11.Michels NA. Blood supply and anatomy of the upper abdominal organs with a descriptive atlas. B Lippincott Company, Philadelphia. 1955.
12.Mariani GA, Maroni L, Bianchi L, Broccoli A, Lazzarini E, Marchegiani G, Mazzotti A, Mazzotti MC, Billi AM, and Giuliani Piccari G. Hepato-gastric and spleno-mesenteric arterial trunks: anatomical variation report and review of literature. Ital J Anat Embryol. 2013;118(2):217-22.
13.De Leon Ayala IA, and Chen YF. Acute aortic dissection: an update. Kaohsiung J Med Sci. 2012;28(6):299-305.
14.Saga T, Hirao T, Kitashima S, Watanabe K, Nohno M, Araki Y, Kobayashi S, and Yamaki K. An anomalous case of the left gastric artery, the splenic artery and hepato-mesenteric trunk independently arising from the abdominal aorta. Kurume Med J. 2005;52(1-2):49-52.
15.Shukla PJ, Barreto SG, Kulkarni A, Nagarajan G, and Abe Fingerhut M. Vascular anomalies encountered during pancreatoduodenectomy: do they influence outcomes? Ann Surg Oncol. 2010;17(1):186-93.
Özen, K., Büyükmumcu, M., Özbek, O., Aydın Kabakçı, A., vd. (2015). Case Report: Hepatomesenteric Trunk. İbni Sina Tıp Bilimleri Dergisi, 1(3), 52-55.
AMA
Özen K, Büyükmumcu M, Özbek O, Aydın Kabakçı A, Şahin G. Case Report: Hepatomesenteric Trunk. İbni Sina Tıp Bilimleri Dergisi. Ağustos 2015;1(3):52-55.
Chicago
Özen, Kemal, Mustafa Büyükmumcu, Orhan Özbek, Anıl Aydın Kabakçı, ve Gökalp Şahin. “Case Report: Hepatomesenteric Trunk”. İbni Sina Tıp Bilimleri Dergisi 1, sy. 3 (Ağustos 2015): 52-55.
EndNote
Özen K, Büyükmumcu M, Özbek O, Aydın Kabakçı A, Şahin G (01 Ağustos 2015) Case Report: Hepatomesenteric Trunk. İbni Sina Tıp Bilimleri Dergisi 1 3 52–55.
IEEE
K. Özen, M. Büyükmumcu, O. Özbek, A. Aydın Kabakçı, ve G. Şahin, “Case Report: Hepatomesenteric Trunk”, İbni Sina Tıp Bilimleri Dergisi, c. 1, sy. 3, ss. 52–55, 2015.
ISNAD
Özen, Kemal vd. “Case Report: Hepatomesenteric Trunk”. İbni Sina Tıp Bilimleri Dergisi 1/3 (Ağustos 2015), 52-55.
JAMA
Özen K, Büyükmumcu M, Özbek O, Aydın Kabakçı A, Şahin G. Case Report: Hepatomesenteric Trunk. İbni Sina Tıp Bilimleri Dergisi. 2015;1:52–55.
MLA
Özen, Kemal vd. “Case Report: Hepatomesenteric Trunk”. İbni Sina Tıp Bilimleri Dergisi, c. 1, sy. 3, 2015, ss. 52-55.
Vancouver
Özen K, Büyükmumcu M, Özbek O, Aydın Kabakçı A, Şahin G. Case Report: Hepatomesenteric Trunk. İbni Sina Tıp Bilimleri Dergisi. 2015;1(3):52-5.