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Tongluk
Teerasarntipan,
Meechai
Sreesai.
MULTIPLE
AND
RARE
VARIANT
BR
ANCHES
OF
THE
CELIAC
TRUNK
COMBINED
WITH
RETROPORTAL
HEPATIC
PROPER
ARTERY
:
A
CASE
REPORT.
Int
J
Anatomy
Res
2016;4(4):3190-3193.
DOI:
10.16965/ijar.2016.436.
Type of Article: Case Report
DOI: http://dx.doi.org/10.16965/ijar.2016.436
Page No.: 3190-3193
MULTIPLE
AND
RARE
VARIANT
BR
ANCHES
OF
THE
CELIAC
TRUNK
COMBINED
WITH
RETROPORTAL
HEPATIC
PROPER
ARTERY
: A CASE REPORT
Tongluk Teerasarntipan *
1
, Meechai Sreesai
2
.
*1
Department of Medicine, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.
2
Department of Anatomy, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.
Corresponding
author
Address:
Dr.
Tongluk
Teerasarntipan,
Department
of
Medicine,
Faculty
of
Medicine,
Chulalongkorn
University,
1873
Rama
IV
Rd.,
Pathumwan, Bangkok, Thailand, 10330, Fax: +66-2-2564963
E-Mail:
kulgnotb@hotmail.com
ABSTRACT
Background: Understanding the variation patterns of the celiac trunk and its branches is necessary for the upper abdominal operations to prevent an
unintentional injury to the variant structures.
Purpose of the study: To point out the clinical importance of the variations in the vascular anatomical locations, especially when they coexisted with the
variation in origin.
Results: The common hepatic artery was not presented, as a result, the celiac trunk abnormally quadrifurcated into the left gastric, splenic, gastroduodenal
and hepatic proper arteries. Variant arteries were further identified from these branches: the left gastric artery gave the accessory left hepatic artery, the
replaced right gastric artery came off the gastroduodenal artery and the replaced posterior superior pancreaticoduodenal artery was originated from the
hepatic proper artery. The hepatic proper artery was located posterior to the portal vein. The right and left terminal branches of the hepatic proper artery
also ran behind their corresponding portal veins and hepatic ducts.
Conclusion: This article demonstrates a cadaver having complexed multiple and rare variations of the celiac trunk and retroportal hepatic artery.
KEY WORDS: Celiac Trunk, Hepatic Artery, Variation, Liver Anatomy, Hepatic Proper Artery.
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