Professional Documents
Culture Documents
Volume 5 Issue 5, July-August 2021 Available Online: www.ijtsrd.com e-ISSN: 2456 – 6470
INTRODUCTION
The coeliac artery, also known as the coeliac trunk or branches are important. The knowledge of variations
coeliac axis is the first ventral branch of abdominal in origin and course of branching pattern of celiac
aorta. It arises from the front of the abdominal aorta trunk plays a significant role in diagnostic purpose as
just below the aortic opening of the diaphragm, these variations can be the source of pathological
opposite the lower border of the T12 vertebra. The conditions.
origin the coeliac trunk lies behind the omentalbursa,
Coeliac trunk is classified based on branching pattern
is surrounded by the coeliac plexus of nerves and
by various author. In 1917 for the first-time variation
sandwiched between the tuber omental of the
of coeliac trunk were classified into 4 types by
pancreas from below and the papillary process of the
Lipshutz based on origin and distribution of gastric,
liver from above. The trunk of the artery proceeds
splenic and hepatic arteries. In 1928 Adachi classified
forwards and somewhat to the right, and divides into
anatomical variation of the coeliac trunk into six
three branches mainly Left gastric, common hepatic
types.
and splenic arteries. [1]
“Tripushallerit”, first described by Haller in 1756 as Type Coeliac trunk branching pattern
the trifurcation of coeliac trunk, the most classical 1 Normal trifurcation
type of its branching. It is considered as normal 2 Hepatosplenic trunk
branching of coeliac trunk. About 15% of the 3 Hepatogastric trunk
population displays significant variation in the typical
branching pattern of the coeliac Trunk. Due to the 4 Gastrosplenic trunk
relationship, it shares with the surrounding structures, Table 1: Classification of coeliac trunk by
identifying variations of Coeliac Trunk and its Lipshutz[2]
@ IJTSRD | Unique Paper ID – IJTSRD45163 | Volume – 5 | Issue – 5 | Jul-Aug 2021 Page 1879
International Journal of Trend in Scientific Research and Development @ www.ijtsrd.com eISSN: 2456-6470
Type Coeliac trunk branching pattern wall was reflected. The Stomach, Right Gastric and
1 Normal trifurcation the Right Gastroepiploic Vessels were cut through
and the Peritoneum was removed to reveal the
2 Hepatosplenic trunk Coeliac Trunk [4]. Photograph of the same was taken.
3 Hepatogastric trunk
CASE REPORT
4 Splenogastric trunk In the present case, a usual trifurcation of coeliac
5 Hepatosplenomesentric Trunk trunk was appreciated just below aortic hiatus at the
6 Coeliacomesentric Trunk level of T12 vertebra, but an early branching of left
gastric artery was seen. The coeliac trunk after taking
Table 2: Classification of coeliac trunk by
origin from abdominal aorta, gives its first branch,
Adachi [3]
that is left gastric artery which was 0.8 centimeter
MATERIALS AND METHODS away from the abdominal aorta. It is a smallest branch
During a routine practical class for the under graduate of the coeliac, but provides largest contribution to the
students on formalin fixed cadaver, we noticed a stomach. It passes upwards and to the left towards the
variation in the coeliac trunk, in the Department of cardiac end of stomach.
Rachana Sharira(Anatomy), Sri Dharmasthala college
The common hepatic artery and splenic artery are the
of Ayurveda, Hassan.
other two branches of coeliac trunk which are
Following the Cunningham’s Manual of Dissection, bifurcated 1.2 cm away from the left gastric artery
the abdomen was opened and the anterior abdominal and 2 cm away from the abdominal aorta.
Splenic Artery
Figure 1: Showing distance between common hepatic artery and splenic artery from the Left gastric
artery
@ IJTSRD | Unique Paper ID – IJTSRD45163 | Volume – 5 | Issue – 5 | Jul-Aug 2021 Page 1880
International Journal of Trend in Scientific Research and Development @ www.ijtsrd.com eISSN: 2456-6470
Splenic Artery
@ IJTSRD | Unique Paper ID – IJTSRD45163 | Volume – 5 | Issue – 5 | Jul-Aug 2021 Page 1881
International Journal of Trend in Scientific Research and Development @ www.ijtsrd.com eISSN: 2456-6470
branches of celiac trunk is displaced to the superior [2] Lipshutz B. A composite study of the coeliac
mesenteric artery. If the 10th or 13th root disappears, axis artery. Ann Surg 1917; 65(2): 159-169.
a coeliaco-mesenteric trunk is formed. [5]
[3] Adachi B. Das Arteriensystem der Japaner.
CONCLUSION Verlag der Kaiserlich-JapanischenUniversitatzu
A comprehensive knowledge of the Coeliac Trunk Kyoto 1928;2:18-71
and its variations will prove beneficial in planning
[4] GJ Romanes. The Abdominal Cavity,
various abdominal surgeries and image guided
Cunningham’s Manual of Practical Anatomy,
interventions. In recent times, trends in surgical
Vol. 2 Oxford Medical Publications, Fifteenth
procedures are to move minimal invasive surgery,
Edition; 2014. p. 127.
therefore we would like to emphasize the importance
of thorough knowledge of normal anatomy of coeliac [5] DilliBabu E, PoonamKhrab. Coeliac Trunk
trunk and its variation in clinical medicine. It will Variations: Review with Proposed New
avoid the iatrogenic injuries and plays significant role Classification. International Journal of
in surgical management in the abdomen region. Anatomy and Research.2013; 1(3):165-170.
REFERENCES [6] Prasanna S, SandeepKashyap,
[1] Datta AK. Essentials of Human Anatomy MeghaChandarana, Nirav Patel and Siddharth
Thorax, Abdomen and Pelvis. 10th edition: Roy. Coeliac Trunk and Its Anatomical
Kolkata: Current Books International; Variation: A Case Report. International journal
2018.133. of Research in Ayurveda & Pharmacy.2019; 10
(2):73-75.
@ IJTSRD | Unique Paper ID – IJTSRD45163 | Volume – 5 | Issue – 5 | Jul-Aug 2021 Page 1882