Celiac Trunk Arteries

The typical three-branched celiac trunk occurred in 86% of 756 cases studied.

The celiac trunk may be absent (0.4%, Poynter); the branches usually arising from it then arise from the aorta. In one case, the splenic gave rise to the left gastric, and the common hepatic originated from the superior mesenteric.

The trunk may be shorter or longer than usual. In the latter case, the branches commonly arise separately from the trunk instead of radiating from a single point.

The trunk may have only two branches, usually the splenic and the common hepatic, more rarely the left gastric and splenic, or it may have more than three branches. The additional branch may be one of the inferior phrenics, a trunk common for the inferior phrenics or for a inferior phrenic and left gastric, a gastroduodenal (or an accessory gastroduodenal), a second left gastric or an accessory splenic artery, a superior mesenteric (1.4%, Poynter), a middle or accessory middle colic, a supreme pancreatic, or a dorsal pancreatic.

One of the usual branches of the celiac artery may be absent, and may be replaced by a stem common to the inferior phrenics, by the right middle suprarenal and the right gastroepiploic, or more rarely by some other branch. One of the branches of the celiac trunk may give rise to the superior mesenteric artery.

The celiac, superior mesenteric, and inferior mesenteric may be joined together by one continuous longitudinal anastomosis.

Cases of "celiac trunk" in the form of a splenogastric trunk or a hepatosuperior mesenteric trunk have been reported.

A branch of the celiac trunk may pass through the esophageal hiatus of the diaphragm to supply the lower medial quarter of the right lung.

The following table illustrates the percentage frequency of variations commonly encountered (from Branco via Poynter):

Name

Specimens

Celiac Trunk complete

Celiac Trunk incomplete

Celiac-Mesenteric Trunk

No Trunk

Rossi

102

84%

11%

2.5%

2.5%

Leriche

55

84

9

1

0

Descomps

50

88

12

0

0

Branco

50

89

8

2

0

Picquand

50

82

14

2

2.0

Lipschutz

83

72

25

3

0

Eaton

206

90

9

1

0

Poynter

160

89

9

2

0

Totals

756

86%

11.8%

1.4%

0.4%

Dupuis and Barnay (1874) reported a celiac trunk giving rise to five arteries: 1) left gastro-epiploic, 2) splenic, 3) right gastro-epiploic, 4) hepatic and 5) inferior phrenic.

A celiac artery may give rise to an esophageal artery or a pulmonary artery.

Gastroduodenal

See ,

Dorsal Pancreatic

See Image 101

Splenogastric Trunk

See Images 237, 333

Retroduodenal Course

See ,

Gastrohepatic Trunk, Gastrolienal Trunk

See Images 237, 333

Gastrosplenic Trunk (of Splenic)

See ,

Riferimenti dell’opera originale

Elenco riportato come compare nella fonte, senza normalizzazione dei formati bibliografici.

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