The Curious Case of a Missing Coeliac Trunk: A Case Report and Review of the Literature
- 10.2991/artres.k.200422.001How to use a DOI?
- Coeliac trunk; gastrosplenic trunk; paraneoplastic syndrome
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.
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- 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
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 -