(a) Cholangiopancreatogram showing cannulation of the resected specimen and injection of urografin from the stump of the main pancreatic duct with the annular duct encircling the descending part of the duodenum and draining at the major papilla (b) Schematic illustration of the pancreatic duct and replaced common hepatic artery
, based on the ventral and dorsal pancreas.
Caption: Figure 6: A: abdominal aorta; 1: celiac trunk, 2: left gastric artery, 3: accessory left gastric artery, 4: second left gastroepiploic artery, 5: second posterior gastric artery, 6: terminal branches of the splenic arteries, 7: splenic arteries, 8: left gastroepiploic artery, 9: posterior gastric artery, 10: right gastroepiploic artery, 11: superior anteriorpancreaticoduodenal artery, 12: gastroduodenal artery, 13: posterior superior pancreaticoduodenal artery, 14: right gastric artery, 15: superior duodenal artery, 16: left hepatic artery, 17: accessory left hepatic artery, 18: intermediate hepatic artery, 19: cystic artery, 20: right hepatic artery, 21: proper hepatic artery, and 22: common hepatic artery
The present arteriography data of the common hepatic artery
and its branches indicated that in about 8.10% (49/600) of people, the first part of the gastroduodenal artery separated into branches to supply the bile ducts.
Normally, the first root forms the left gastric artery, the second root forms the splenic artery and the third root forms the common hepatic artery
. The closure of the longitudinal anastomosis between the third and the fourth root, and the coalescence of roots 1 to 3, form the celiac trunk and the superior mesenteric artery (Tandler).
The coeliac trunk takes its origin from the abdominal aorta and supplies the stomach, duodenum, liver, gallbladder, spleen and pancreas through its three branches namely splenic artery, left gastric artery and common hepatic artery
. Earlier studies have noted the significant variations from the typical branching pattern of the coeliac trunk.
(b) The 5 Fr catheter was advanced into the common hepatic artery
Traverso, "Sparing a replaced common hepatic artery
during pancreaticoduodenectomy," The American Surgeon, vol.
After identifying common hepatic artery
, any abnormality or variation in its course/branching pattern were noted and pictures were taken with Nikon coolpix 4 Megapixel digital camera with 3 X optical zoom.
Giant aneurysm of the common hepatic artery
: US and CT imaging findings.
Gastrosplenic trunk (1); Hepatomesenteric trunk (2); Left gastric artery (3); Splenic artery (4); Common hepatic artery
(5); Anastomose (arrow) side-to-side between aberrant branch (6) and gastroduodenal artery (7) and Gastroepiploic artery (8).
The coeliac trunk, the chief arterial supply for the foregut derivatives and one of the ventral branches of the abdominal aorta, usually gives origin to three branches, namely the splenic artery, the common hepatic artery
and the left gastric artery.
(1) Its branches are left gastric artery, common hepatic artery
and splenic artery which supply primary organs of supracolic compartments.