MULTIPLE VARIATIONS IN BRANCHES OF COELIAC TRUNK – A CASE REPORT

Rajeev Panwar*, Shanthini Shanmugam, Suman Verma, Siva Kumar M, Aravindhan K and Yogesh Ashok Sontakke

ABSTRACT

Coeliac trunk is the first ventral branch of abdominal aorta and is the artery of foregut. Apart from supplying the derivatives of foregut, it supplies liver, gall bladder, pancreas and spleen. It may give aberrant branches which supply diaphragm, suprarenal gland and even reach up to transverse colon. In this case report multiple variations in the branches of coeliac trunk are described. Inferior phrenic arteries took origin from the coeliac artery as a common trunk, common hepatic artery after giving origin to gastroduodenal artery immediately divided into right and left hepatic arteries without continuing as hepatic artery proper, right gastric artery originated from the left hepatic artery and cystic artery passed superficial to common hepatic duct. Embryological basis of these variations is discussed. Also, significance of coeliac trunk variations in various clinical conditions is described.

Keywords: Celiac trunk, hepatic artery proper, inferior phrenic artery, cystic artery.