IJAR.2020.145

Type of Article:  Original Research

Volume 8; Issue 2.2 (May 2020)

Page No.: 7499-7504

DOI: https://dx.doi.org/10.16965/ijar.2020.145

VARIATIONS IN THE BRANCHING PATTERN OF COELIAC ARTERY IN ADULT HUMAN CADAVERS OF TAMILNADU WITH CLINICAL AND EMBRYOLOGICAL RELEVANCE

E. Srividhya *1, V. Rajapriya 2.

*1 Assistant Professor, Department of Anatomy, Government Kilpauk Medical College, Chennai, Tamil Nadu, India.

2 Associate Professor, Institute of Anatomy, Madras Medical College, Chennai, Tamil Nadu, India.

Corresponding Author: Dr. E. Srividhya, Assistant Professor, Department of Anatomy, Government Kilpauk Medical College,  Chennai-600010, Tamil Nadu, India. E-Mail: drsrividhyaanat@gmail.com

ABSTRACT

Background and objectives: Variations in the branching pattern of coeliac artery not only interest the anatomist but a thorough knowledge of their normal and variant anatomy is very essential for surgeons and radiologists because of their impact in visceral surgery and medico legal implications. The aim of this study is to observe and analyse the variations in the branching pattern of coeliac artery.

Materials and methods: The study material comprised of fifty embalmed adult human cadavers obtained from Institute Of Anatomy, Madras Medical College. Dissection was done as per Cunningham’s manual.

Results: Among fifty specimens, 4% specimens depicted a rare variation where the coeliac artery quadrifurcated into left gastric artery, splenic artery, common hepatic artery and dorsal pancreatic artery. In 78% specimens coeliac artery gave origin to its three classic branches and in 18% specimens the coeliac artery gave origin to inferior phrenic arteries in addition to its classic branches.

Conclusion: Knowing the vascular anatomy, their incidence and variations help surgeons to plan and individualize the treatment strategy accordingly. This remarkably improves the safety and success of the surgery and lowers postoperative morbidity.

Key words: Coeliac artery, Dorsal pancreatic artery, Inferior phrenic artery.

REFERENCES

  1. Standring S. Gray’s Anatomy. Fortieth Edition. London: Elsevier Churchill Livingstone; 2008:1073,1116,1126,1130.
  2. Lipshutz B. A composite study of the coeliac axis artery. Ann Surg. 1917;65: 159–169
  3. Romanes G J. Cunningham’s manual of practical anatomy. 15th ed. Newyork: Oxford University Press; 1986: 127-129
  4. Muhammad Saeed, Khalid R. Murshid, Amin A. Rufai, Salah E. O. Elsayed, Muhammad Shakil Sadiq. Coexistence of multiple anomalies in the celiac-mesenteric arterial system.Clin Anat. 2003 Jan; 16(1): 30–36.
  5. K, Deepa Bhat, NM Shama Sundar. A study of anatomical variations in the origin, length and branches of celiac trunk and its surgical significance. Int J Anat Res 2016;4(1):1787-1788.
  6. Petrella Selma, Rodriguez Celio Fernando de Sousa, Sgrott Emerson Alexandre, Fernandes Geraldo José Medeiros, Marques Sergio Ricardo, Prates José Carlos. Anatomy and Variations of the Celiac Trunk. Int. J. Morphol.  . 2007;  25( 2 ): 249-257.
  7. Yalcin B, Kocabiyik N, Yazar F, Ozan H, Ozdogmus O. Variations of the branches of the celiac trunk. Gulhane Tip Dergisi. 2004;46:163-165.
  8. Standring S. Gray’s Anatomy. Forty first edition. London: Elsevier Churchill Livingstone; 2016: 201-202.
  9. Ahmet Songür, Muhsin Toktaş, Ozan Alkoç, Tolgahan Acar, İbrahim Uzun, Orhan Baş, Oğuz Aslan Özen . Abdominal Aorta and Its Branches:Morphometry – Variations In Autopsy Cases. Eur J Gen Med 2010;7(3):321-325
  10. Mburu, K. S, Alexander, O. J, Hassan, S, Bernard N. Variations in the branching pattern of the celiac trunk in a Kenyan population. Int. J. Morphol., 2010;28(1):199-204.
  11. Michels NA. Blood supply and anatomy of the upper abdominal organs with a descriptive atlas.Philadelphia, PA: J.B. Lippincott Co.; 1955.
  12. Loukas M, Hullett J, Wagner T. Clinical anatomy of the inferior phrenic artery. Clin Anat 2005;18(5):357-365.
  13. Aslaner R, Pekcevik Y, Sahin H, Toka O. Variations in the Origin of Inferior Phrenic Arteries and Their Relationship to Celiac Axis Variations on CT Angiography. Korean J Radiol. 2017;18(2):336–34
  14. Takehiko Gokan, Toshi Hashimoto, Seishi Matsui, Tamio Kushihashi, Hiroshi Nobusawa, Hirotsugu Munechika. Helical CT demonstration of dilated right inferior phrenic arteries as extrahepatic collateral arteries of hepatocellular carcinomas. J Comput Assist Tomogr. 2001 Jan-Feb;25(1):68-73.
  15. Lopamudra Mandal , Subhasis Chakraborty , Indrajit Gupta, Gopal Chandra Mondal, Paramita Mukhopadhyay, Abhijit Bhakta. Embryological basis of variation of origin of inferior phrenic artery – a cadaveric study in South Bengal. Indian Journal of Basic and Applied Medical Research 2017; 6(3): 45-51.
  16. Franz Keibel, Franklin P. Mall. Manual of human embryology. Vol. 2. Philadelphia & London: J.B. Lippincott Company; 1912: 653-655.
  17. Sunita U. Sawant, Sunil M. Kolekar, N.Harichandana. Anatomical Variations in CoeliacTrunk and Its Branches ,International Journal of Recent Trends in Science And Technology2013;6(3):130-133.
  18. Baranski, A. G., Lam, H.‐D., Braat, A. E.and Schaapherder, A. F.  The dorsal pancreatic artery in pancreas procurement and transplantation: anatomical considerations and potential implications. Clinical Transplantation 2016; 30(10): 1360– 1364.
  19. Witte B, Frober R, Linss W. Unusual blood supply to the pancreas by a dorsal pancreatic artery. Surg Radiol Anat. 2001;23:197–200.
  20. Kim Y, Lee J, Yi K S, Lee S H, Cho B S, et al. Transcatheter Arterial Embolization for Late Postpancreatectomy Hemorrhage of Unusual Origin (Dorsal Pancreatic Artery): A Report of Three Cases, Iran J Radiol. 2019 ; 16(2):e82464.
  21. Lin, Yuning et al. Demonstration of the dorsal pancreatic artery by CTA to facilitate superselective arterial infusion of stem cells into the pancreas. European Journal of Radiology 2012; 81(3): 461–465.

Cite this article: E. Srividhya, V. Rajapriya. VARIATIONS IN THE BRANCHING PATTERN OF COELIAC ARTERY IN ADULT HUMAN CADAVERS OF TAMILNADU WITH CLINICAL AND EMBRYOLOGICAL RELEVANCE. Int J Anat Res 2020;8(2.2):7499-7504. DOI: 10.16965/ijar.2020.145