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How   to   cite   this   Article:    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. References 1 . Michels NA. Newer anatomy of the liver and its variant blood supply and collateral circulation. Am J Surg. 1962; 112:337-47. 2 . Hiatt JR, Gabbay J, Busuttil RW. Surgical anatomy of the hepatic arteries in 1000 cases. Ann Surg. 1994; 220(1):50-2. 3 . Gruttadauria   S,   Scotti   FC,   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(5):359–63. 4 . Covey   AM,   Brody   LA,   Maluccio   MA,   Getrajdman   GI,   Brown   KT.   Variant   hepatic   arterial   anatomy   revisited   :   digital   subtraction   angiography   performed in 600 patients. Radiology. 2002; 224(2):542-7. 5 . 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Volume 4 |Issue 4.3 |  2016 Date of Publication:  31 December 2016