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Rare variation: the absence of both the celiac trunk artery and the common hepatic artery

BACKGROUND: Knowledge of celiac trunk anatomy is important in gastrointestinal surgery, hepatopancreatobiliary surgery, transplantation and interventional radiology. Variations in the celiac trunk are common and should be predicted prior to these interventions. METHODS: A 58-year-old woman was admit...

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Autores principales: Zhang, Zhenxing, Wang, Shan, Ye, Minfeng, Tao, Feng, Guo, Danling
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9727970/
https://www.ncbi.nlm.nih.gov/pubmed/36476541
http://dx.doi.org/10.1186/s12957-022-02858-x
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author Zhang, Zhenxing
Wang, Shan
Ye, Minfeng
Tao, Feng
Guo, Danling
author_facet Zhang, Zhenxing
Wang, Shan
Ye, Minfeng
Tao, Feng
Guo, Danling
author_sort Zhang, Zhenxing
collection PubMed
description BACKGROUND: Knowledge of celiac trunk anatomy is important in gastrointestinal surgery, hepatopancreatobiliary surgery, transplantation and interventional radiology. Variations in the celiac trunk are common and should be predicted prior to these interventions. METHODS: A 58-year-old woman was admitted to our department for surgical treatment of gastric cancer (GC) confirmed by gastroduodenoscopy and gastric antrum biopsy. In the contrast-enhanced computed tomography (CT), we found an absence of both the celiac trunk artery (CA) and the common hepatic artery (CHA). Therefore, we used computerized three-dimensional (3D) vascular reconstruction technology to reconstruct the abdominal trunk and its branch vessels before operation. RESULTS: Computerized 3D vascular reconstruction confirmed an extremely rare vascular anomaly: the absence of both CA and CHA. The splenic artery (SA) and gastroduodenal artery (GDA) originated from the abdominal aorta (AA). The left gastric artery (LGA) originated from the AA directly above the junction of SA and the GDA. The left hepatic artery (LHA) originated from the left gastric artery (LGA). The right hepatic artery (RHA) originated from the superior mesenteric artery (SMA). Laparoscopic radical resection of GC was performed. This anomaly was also confirmed intraoperatively. This patient was discharged on the 10th day after surgery without any postoperative complication. There were no signs of tumor recurrence during the 6-month follow-up. CONCLUSION: Correct identification of abnormal abdominal large blood vessels and their relationship with tumors before surgery is of great significance to avoid intraoperative blood vessel damage, major postoperative complications and the missing of lymph node dissection.
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spelling pubmed-97279702022-12-08 Rare variation: the absence of both the celiac trunk artery and the common hepatic artery Zhang, Zhenxing Wang, Shan Ye, Minfeng Tao, Feng Guo, Danling World J Surg Oncol Research BACKGROUND: Knowledge of celiac trunk anatomy is important in gastrointestinal surgery, hepatopancreatobiliary surgery, transplantation and interventional radiology. Variations in the celiac trunk are common and should be predicted prior to these interventions. METHODS: A 58-year-old woman was admitted to our department for surgical treatment of gastric cancer (GC) confirmed by gastroduodenoscopy and gastric antrum biopsy. In the contrast-enhanced computed tomography (CT), we found an absence of both the celiac trunk artery (CA) and the common hepatic artery (CHA). Therefore, we used computerized three-dimensional (3D) vascular reconstruction technology to reconstruct the abdominal trunk and its branch vessels before operation. RESULTS: Computerized 3D vascular reconstruction confirmed an extremely rare vascular anomaly: the absence of both CA and CHA. The splenic artery (SA) and gastroduodenal artery (GDA) originated from the abdominal aorta (AA). The left gastric artery (LGA) originated from the AA directly above the junction of SA and the GDA. The left hepatic artery (LHA) originated from the left gastric artery (LGA). The right hepatic artery (RHA) originated from the superior mesenteric artery (SMA). Laparoscopic radical resection of GC was performed. This anomaly was also confirmed intraoperatively. This patient was discharged on the 10th day after surgery without any postoperative complication. There were no signs of tumor recurrence during the 6-month follow-up. CONCLUSION: Correct identification of abnormal abdominal large blood vessels and their relationship with tumors before surgery is of great significance to avoid intraoperative blood vessel damage, major postoperative complications and the missing of lymph node dissection. BioMed Central 2022-12-07 /pmc/articles/PMC9727970/ /pubmed/36476541 http://dx.doi.org/10.1186/s12957-022-02858-x Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Zhang, Zhenxing
Wang, Shan
Ye, Minfeng
Tao, Feng
Guo, Danling
Rare variation: the absence of both the celiac trunk artery and the common hepatic artery
title Rare variation: the absence of both the celiac trunk artery and the common hepatic artery
title_full Rare variation: the absence of both the celiac trunk artery and the common hepatic artery
title_fullStr Rare variation: the absence of both the celiac trunk artery and the common hepatic artery
title_full_unstemmed Rare variation: the absence of both the celiac trunk artery and the common hepatic artery
title_short Rare variation: the absence of both the celiac trunk artery and the common hepatic artery
title_sort rare variation: the absence of both the celiac trunk artery and the common hepatic artery
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9727970/
https://www.ncbi.nlm.nih.gov/pubmed/36476541
http://dx.doi.org/10.1186/s12957-022-02858-x
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