Covantev et al - Dissection Photo Vascular supply of liver, duodenum, pancreas, spleen, and stomach - number labels

Vascular supply of liver, duodenum, pancreas, spleen, and stomach.

Abstract: we describe a case of unusual development of the celiac trunk observed in the cadaver of 1-year old male child. The celiac trunk branched into five vessels: the splenic, common hepatic and left gastric arteries, the left inferior diaphragmatic artery, and a short trunk that branched into the right inferior diaphragmatic artery and right accessory hepatic artery. Additionally, the manner of branching of the vessel was unusual: it was possible to distinguish two branching points that corresponded to its s-shaped trajectory. There were also other variations of vascular supply, such as the presence of a left accessory hepatic artery, an additional superior pancreatoduodenal artery, and others. It should be noted that multiple developmental variations can be common in clinical practice and clinicians should be aware of them during diagnostic and interventional procedures.

(1) common hepatic artery; (2) additional superior pancreatoduodenal artery; (3) proper hepatic artery; (4) gastroduodenal artery; (5) superior pancreatoduodenal artery; (6) common trunk; (7) the inferior artery of the pancreatic head; (8) right gastro-epiploic artery; (9) the stomach; (10) pancreas; (11) common bile duct; (12) portal vein; (13) the liver; (14) right accessory hepatic artery; (15) left accessory hepatic artery; (16) arteries to the lesser curvature of the stomach; (17) abdominal aorta; (18) left gastric artery; (19) splenic artery; (20) branch to the wall of the duodenal ampulla. 

Image, abstract and description derived from Covantev S, Mazuruc N, Drangoi I, Belic O. Unusual development of the celiac trunk and its clinical significance J Vasc Bras. 20:2021;e20200032, licenced under Creative Commons Attribution (CC BY).