Type of Article:  Case Report

Volume 6; Issue 1.1 (January 2018)

Page No.: 4824-4826

DOI: https://dx.doi.org/10.16965/ijar.2017.475


Freitas, Pedro Victor Vidal 1, Fernandes, Rodrigo Mota Pacheco 1, Babinski, Márcio Antônio 1, Cisne, R *1.

1 Department of Morphology, Biomedical Center, Fluminense Federal University, RJ, Brazil.

Correspondence Author Address: Dr. Rafael Cisne, Department of Morphology – Biomedical Institute – Fluminense Federal University, 101 Prof. Ernani Mello St., PC: 24210-150, Niterói, RJ – Brazil. Phone 55-21-26292332 – Fax: 55-21-23292414

E-Mail: rafael.cisne@gmail.com


The present study describes a rare variation which celiac trunk is divided into four branches instead of three, in addition to a retro-portal pathway of the right hepatic artery. This variation was observed in a male adult cadaver. In this article, we also review the literature to make a brief discussion of the clinical and embryological relevance of these variations. The identification of that kind of variations in the celiac trunk and hepatic arteries is extremely important for surgeons and radiologists since multiple variations can lead to unexpected complications.

Key words: Anatomical Variation, Celiac Trunk, Hepatic Artery.


  1. Gillot C. Anatomie Tronc-Membres, Fascicule 4. Paris: Flammarion; 1966.
  2. Douard R, Chevallier JM, Delmas V, Cugnenc, PH. Clinical interest of digestive arterial trunk anastomoses. Surg Radiol Anat 2006; 28(3): 219-227.
  3. Michels NA. Newer anatomy of the liver and its variant blood supply and collateral circulation. Am J Surg 1966; 112: 337-347.
  4. Abdullah SS, Mabrut JY, Garbit V, De La Roche E, Olagne E, Rode A, Morin A, Berthezene Y, Baulieux J, Ducerf C. Anatomical variations of the hepatic artery: study of 932 cases in liver transplantation. Am J Surg 2006; 28(5): 468–473.
  5. Gruttadauria S, Scotti Foglieni C, Doria C, Luca A, Lauro A, Marino IR. The hepatic artery in liver transplantation and surgery: vascular anomalies in 701 cases. Clin Transplant 2001; 15: 359-363.
  6. Iacob N, Sas I, Joseph SC, Pleş H, Miclăuş GD, Matusz P, Tubbs RS, Loukas M. Anomalous pattern of origin of the left gastric, splenic, and common hepatic arteries arising independently from the abdominal aorta. Rom J Morphol Embryol 2014; 55(4): 1449-1453.
  7. Olewnik Ł1, Wysiadecki G, Polguj M, Waśniewska A, Jankowski M, Topol M. Types of coeliac trunk branching including accessory hepatic arteries: a new point of view based on cadaveric study. Folia Morphol 2017.
  8. Sridhar Varma K, Pamidi N, Vollala VR, Bolla SR. Hepato-spleno-mesenteric trunk: a case report. Rom J Morphol Embryol 2010; 51(2): 401-402.
  9. Koops A, Wojciechowski B, Broering DC, Adam G, Krupski-Berdien G. Anatomic variations of the hepatic arteries in 604 selective celiac and superior mesenteric angiographies. Surg Radiol Anat 2004; 26(5): 239-244.
  10. Ugurel MS, Battal B, Bozlar U, Nural MS, Tasar M, Ors F, Saglam M, Karademir I. Anatomical variations of hepatic arterial system, coeliac trunk and renal arteries: an analysis with multidetector CT angiography. Br J Radio 2010; 83(992): 661-667.
  11. Hiatt, J R, J Gabbay, and R W Busuttil. Surgical anatomy of the hepatic arteries in 1000 cases. Ann Surg 1994; 220(1): 50-52.
  12. Mäkisalo H, Chaib E, Krokos N, Calne R. Surgical anatomy of the hepatic arteries in 1000 cases. Transpl Int 1993; 6(6): 325-329.
  13. Polguj M, Gabryniak T, Topol T. The right accessory hepatic artery; a case report and review of the literature. Surg Radiol Anat 2010; (32): 175-179.
  14. Fonseca-Neto OCL, Lima HCS, Rabelo P, Melo PSV, Amorim AG, Lacerda CM. Anatomic variations of hepatic artery:a study in 479 liver transplantations. Arq Bras Cir Dig 2017; 30(1): 35-37.

Cite this article: Freitas, Pedro Victor Vidal, Fernandes, Rodrigo Mota Pacheco, Babinski, Márcio Antônio, Cisne, R. ABNORMAL ORIGIN AND COURSE OF HEPATIC ARTERIES: A CASE REPORT. Int J Anat Res 2018;6(1.1):4824-4826. DOI: 10.16965/ijar.2017.475