Acceso abierto

Anatomy of the vasculature supplying hepatobiliary structures and celiac trunk branching patterns in the Thai population

Natcha Nateniyom
Natcha Nateniyom
, 
Thanasil Huanmanop
Thanasil Huanmanop
, 
Sithiporn Agthong
Sithiporn Agthong
 y 
Vilai Chentanez
Vilai Chentanez
   | 25 sept 2019
Asian Biomedicine's Cover Image
Acerca de este artículo
Artículo anterior
Artículo siguiente
Cite
Article Category: Brief communication (original)
Publicado en línea: 25 sept 2019
Páginas: 161 - 167
DOI: https://doi.org/10.1515/abm-2019-0016
Palabras clave
© 2018 Natcha Nateniyom et al., published by Sciendo
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.

Figure 1

Type I celiac branching pattern. AA, abdominal aorta; CHA, common hepatic artery; CT, celiac trunk; LGA, left gastric artery; SA, splenic artery
Type I celiac branching pattern. AA, abdominal aorta; CHA, common hepatic artery; CT, celiac trunk; LGA, left gastric artery; SA, splenic artery

Figure 2

Type III celiac branching patterns. AA, abdominal aorta; CHA, common hepatic artery; CT, celiac trunk; DPA, dorsal pancreatic artery; LGA, left gastric artery; SA, splenic artery; SMA, superior mesenteric artery
Type III celiac branching patterns. AA, abdominal aorta; CHA, common hepatic artery; CT, celiac trunk; DPA, dorsal pancreatic artery; LGA, left gastric artery; SA, splenic artery; SMA, superior mesenteric artery

Figure 3

Type V celiac branching patterns. AA, abdominal aorta; CBD, common bile duct; CHA, common hepatic artery; CHD, common hepatic duct; CT, celiac trunk; GDA, gastroduodenal artery; LHA, left hepatic artery; LGA, left gastric artery; rRHA, replaced right hepatic artery; SA, splenic artery
Type V celiac branching patterns. AA, abdominal aorta; CBD, common bile duct; CHA, common hepatic artery; CHD, common hepatic duct; CT, celiac trunk; GDA, gastroduodenal artery; LHA, left hepatic artery; LGA, left gastric artery; rRHA, replaced right hepatic artery; SA, splenic artery

Figure 4

Type XIII celiac branching patterns. CHA, common hepatic artery; CT, celiac trunk; GDA, gastroduodenal artery; LGA, left gastric artery; LtIP, left inferior phrenic artery; rLHA, replaced left hepatic artery; rRHA, replaced right hepatic artery; SA, splenic artery
Type XIII celiac branching patterns. CHA, common hepatic artery; CT, celiac trunk; GDA, gastroduodenal artery; LGA, left gastric artery; LtIP, left inferior phrenic artery; rLHA, replaced left hepatic artery; rRHA, replaced right hepatic artery; SA, splenic artery

Figure 5

Special variation of the right hepatic artery. Both the rRHA and the aRHA arose from the CHA. aRHA, accessory right hepatic artery; CHA, common hepatic artery; CT, celiac trunk; GDA, gastroduodenal artery; LGA, left gastric artery; RGA, right gastric artery; rLHA, replaced left hepatic artery; rRHA, replaced right hepatic artery; SA, splenic artery
Special variation of the right hepatic artery. Both the rRHA and the aRHA arose from the CHA. aRHA, accessory right hepatic artery; CHA, common hepatic artery; CT, celiac trunk; GDA, gastroduodenal artery; LGA, left gastric artery; RGA, right gastric artery; rLHA, replaced left hepatic artery; rRHA, replaced right hepatic artery; SA, splenic artery

Figure 6

Special variation of the left hepatic artery. rLHA arose from CHA. aLHA arose from LGA. aLHA, accessory left hepatic artery; CHA, common hepatic artery; GDA, gastroduodenal artery; LGA, left gastric artery; rLHA, replaced left hepatic artery; rRHA, replaced right hepatic artery
Special variation of the left hepatic artery. rLHA arose from CHA. aLHA arose from LGA. aLHA, accessory left hepatic artery; CHA, common hepatic artery; GDA, gastroduodenal artery; LGA, left gastric artery; rLHA, replaced left hepatic artery; rRHA, replaced right hepatic artery

Figure 7

Special variation of the CA. This case had double CAs with different relations to CBD and CHD. First CA (CA-1) arose from RHA passing posterior to CBD and CHD, while another CA (CA-2) arose from GDA passing anterior to CBD and CHD. CA, cystic artery; CBD, common bile duct; CD, cystic duct; CHD, common hepatic duct; GDA, gastroduodenal artery; RHA, right hepatic artery
Special variation of the CA. This case had double CAs with different relations to CBD and CHD. First CA (CA-1) arose from RHA passing posterior to CBD and CHD, while another CA (CA-2) arose from GDA passing anterior to CBD and CHD. CA, cystic artery; CBD, common bile duct; CD, cystic duct; CHD, common hepatic duct; GDA, gastroduodenal artery; RHA, right hepatic artery

The branching patterns of celiac trunk

ClassificationBranching patternNumber of branchesNumber of cases (n = 100)Remark
TypeISA + CHA21LGA from AA
TypeIILGA + SA + CHA370
TypeIIILGA + SA + DPA31CHA from SMA
TypeIVSA + CHA + LtIP31LGA from AA
TypeVLGA + SA + CHA + rRHA46
TypeVILGA + SA + CHA + DPA44
TypeVIILGA + SA + CHA + SGA41
TypeVIIILGA + SA + CHA + LtIP45
TypeIXLGA + SA + CHA + common trunk of LtIP and RtIP42
TypeXLGA + SA + CHA + RtIP44
TypeXILGA + SA + CHA + LtIP + RtIP52
TypeXIILGA + SA + CHA + rRHA + RtIP51
TypeXIIILGA + SA + CHA + rRHA + LtIP51
TypeXIVLGA + SA + CHA + DPA + LtIP51

The origin of the RHA and the LHA

Origin
DescriptionNumber of cases n = 100PHACHACTSMAAALGA
nnnnnn
RHA6767
RHA + aRHA21 (aRHA)1 (aRHA)
rRHA301389
rRHA (from CHA) + aRHA11 (aRHA)
LHA6666
LHA + aLHA32 (aLHA)1 (aLHA)
rLHA30291
rLHA (from CHA) + aLHA11 (aLHA)

The origin and type of CA

Type of CA
OriginSingle n (%)Double n (%)Total number of CA n = 102 (%)
RHA78 (76)3 (3)81 (79)
rRHA9 (9)4 (4)13 (13)
aRHA2 (2)02 (2)
LHA1 (1)01 (1)
CHA2 (2)02 (2)
GDA1 (1)1 (1)2 (2)
PHA1 (1)01 (1)
Total number of CA94 (92)8 (8)102 (100)

The relation of the CA to the CBD and CHD

Classification of the CARelation to the CBD and CHD
Passed anteriorly n (%)Passed posteriorly n (%)1 anterior, 1 posterior n (%)Total number of cases (n = 98) n (%)
Single38 (39)56 (57)None94 (96)
Double1 (1)2 (2)1 (1)4 (4)
Total number of case, n (%)39 (40)58 (59)1 (1)98 (100)
eISSN:
1875-855X
Idioma:
Inglés
Calendario de la edición:
6 veces al año
Temas de la revista:
Medicine, Assistive Professions, Nursing, Basic Medical Science, other, Clinical Medicine
RSS Feed de revista