Artery Research

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Volume 26, Issue 2, June 2020, Pages 121 - 124

The Curious Case of a Missing Coeliac Trunk: A Case Report and Review of the Literature

Authors
Erin Cihat Saricilar1, 2, 3, *, Ashley Peter Heyworth1, 2, Animesh Singla1
1Department of Surgery, Liverpool Hospital, Sydney, NSW, Australia
2Faculty of Medicine, University of New South Wales, Sydney, NSW, Australia
3School of Medicine, University of Sydney, Camperdown, NSW, Australia
*Corresponding author. Email: erin.c.saricilar@gmail.com
Corresponding Author
Erin Cihat Saricilar
Received 22 December 2019, Accepted 24 March 2020, Available Online 28 April 2020.
DOI
10.2991/artres.k.200422.001How to use a DOI?
Keywords
Coeliac trunk; gastrosplenic trunk; paraneoplastic syndrome
Abstract

Introduction: The anatomy of the coelic trunk is highly variable. An understanding of the variations is important in general and vascular surgery due to the implications of disruption and consequent visceral ischaemia.

Case Description: A case is described of a 69-year-old woman presenting with undifferentiable abdominal pain, eventually leading to a diagnosis of aortitis and uterine cancer. Computed tomography (CT) angiography revealed a unique coeliac trunk variation with the common hepatic artery (CHA) arising directly from the abdominal aorta, and a splenogastric trunk, a relatively rare variant.

Discussion: The clinical picture was unique, with the anatomical variant complicating case. There are several clinical consequences of these anomalies, but it is critical for operative surgeons to understand the normal anatomy as well as variants to reduce surgical risks. The literature describes various classification methodologies, which assist in approaches intraoperatively. Predominantly stenting, chemoembolisation and catheterisation based procedures require a rigid understanding of the various anomalies that can be encountered, even though this case (Morita Class III) only presents in 0.23% of cases. This is sufficiently often enough that it is important to bring to light variations in the anatomy of the coeliac trunk.

Copyright
© 2020 Association for Research into Arterial Structure and Physiology. Publishing services by Atlantis Press International B.V.
Open Access
This is an open access article distributed under the CC BY-NC 4.0 license (http://creativecommons.org/licenses/by-nc/4.0/).

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<Previous Article In Issue
Journal
Artery Research
Volume-Issue
26 - 2
Pages
121 - 124
Publication Date
2020/04/28
ISSN (Online)
1876-4401
ISSN (Print)
1872-9312
DOI
10.2991/artres.k.200422.001How to use a DOI?
Copyright
© 2020 Association for Research into Arterial Structure and Physiology. Publishing services by Atlantis Press International B.V.
Open Access
This is an open access article distributed under the CC BY-NC 4.0 license (http://creativecommons.org/licenses/by-nc/4.0/).

Cite this article

risenwbib
TY  - JOUR
AU  - Erin Cihat Saricilar
AU  - Ashley Peter Heyworth
AU  - Animesh Singla
PY  - 2020
DA  - 2020/04/28
TI  - The Curious Case of a Missing Coeliac Trunk: A Case Report and Review of the Literature
JO  - Artery Research
SP  - 121
EP  - 124
VL  - 26
IS  - 2
SN  - 1876-4401
UR  - https://doi.org/10.2991/artres.k.200422.001
DO  - 10.2991/artres.k.200422.001
ID  - Saricilar2020
ER  -