Images in clinical medicine | Volume 38, Article 2, 04 Jan 2021 | 10.11604/pamj.2021.38.2.27425

Common hepatic artery arises from superior mesenteric artery: bipode celiac trunk

Danilo Coco, Silvana Leanza

Corresponding author: Danilo Coco, Department of General Surgery, Ospedali Riuniti Marche Nord, Pesaro, Italy

Received: 14 Dec 2020 - Accepted: 22 Dec 2020 - Published: 04 Jan 2021

Domain: Vascular surgery

Keywords: Superior mesenteric artery, common hepatic artery, celiak bipode

©Danilo Coco et al. Pan African Medical Journal (ISSN: 1937-8688). This is an Open Access article distributed under the terms of the Creative Commons Attribution International 4.0 License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Cite this article: Danilo Coco et al. Common hepatic artery arises from superior mesenteric artery: bipode celiac trunk. Pan African Medical Journal. 2021;38:2. [doi: 10.11604/pamj.2021.38.2.27425]

Available online at: https://www.panafrican-med-journal.com/content/article/38/2/full

Home | Volume 38 | Article number 2

Images in clinical medicine

Common hepatic artery arises from superior mesenteric artery: bipode celiac trunk

Common hepatic artery arises from superior mesenteric artery: bipode celiac trunk

Danilo Coco1,&, Silvana Leanza2

 

1Department of General Surgery, Ospedali Riuniti Marche Nord, Pesaro, Italy, 2Department of General Surgery, Carlo Urbani Hospital, Jesi, Ancona, Italy

 

 

&Corresponding author
Danilo Coco, Department of General Surgery, Ospedali Riuniti Marche Nord, Pesaro, Italy

 

 

Image in medicine    Down

Classic Common Hepatic Artery (CHA) from the celiac artery and the proper hepatic artery into right and left is seen in 55-60% of the population. A classification method was described by Michel et al. in 1955: I: standard anatomy ~60% (range 55-61%), II: replaced Left Hepatic Artery (LHA) ~7.5% (range 3-10%) III: replaced Right Hepatic Artery (RHA) ~10% (range 8-11 %) IV: replaced RHA and LHA ~1%,V: accessory LHA from Left Gastric Artery(LGA) ~10% (range 8-11%),VI: accessory RHA from Superior Mesenteric Artery (SMA) ~5% (range 1.5-7%),VII: accessory RHA and LHA ~1%,VIII: accessory RHA and LHA and replaced LHA or RHA ~2.5%, IX: CHA replaced to SMA ~3% (range 2-4.5%), X: CHA replaced to LGA ~0.5%. We present a case report of an 82 years old Caucasian man who suffered from left colic tumor with a CHA, LHA, RHA arising from SMA: IX Michel Classification. Angio-CT Abdominal Scan demonstrated absence of complete celiac trunk. Bipode and CHA, LHA, RHA arising from SMA. 3D image: SMA+CHA, celiak bipode.

 

 

Figure 1: A) angio-CT abdominal Scan demonstrated absence of complete celiac trunk bipode; B) common hepatic artery (CHA); C) left hepatic artery (LHA); D) right hepatic artery (RHA) arising from superior mesenteric artery (SMA); E) 3D image: superior mesenteric artery (SMA) + common hepatic artery (CHA), celiak bipode

 

 

 

 

 

 

 

 

 

 

 

 

Images in clinical medicine

Common hepatic artery arises from superior mesenteric artery: bipode celiac trunk

Images in clinical medicine

Common hepatic artery arises from superior mesenteric artery: bipode celiac trunk

Images in clinical medicine

Common hepatic artery arises from superior mesenteric artery: bipode celiac trunk

Volume 38 (Jan - Apr 2021)
This article authors
On Pubmed
On Google Scholar
Citation [Download]
Zotero
EndNote XML
Reference Manager
BibTex
ProCite

Navigate this article
Key words

Superior mesenteric artery

Common hepatic artery

Celiak bipode

Article metrics
Countries of access