Investigation of the Coeliac Trunk Morphometry with Multidetector Computed Tomography Angiography

Abstract views: 120 / PDF downloads: 96




Anatomic variation, celiac artery, hepatic artery, multidetector computed tomography


Objective: Accurate knowledge of vascular anomalies is critical in surgical interventions, radiology, and organ transplantation procedures. Vascular variations during these procedures can cause serious complications. This study aimed to evaluate the coeliac trunk (CT) and its branches morphometrically, to examine possible variations with multidetector computed tomographic angiography (MDCTA), and to compare the obtained data with the findings in the literature. Methods: In this study, abdominal MDCTA images of 126 people taken between April 2014 and April 2016 at Necmettin Erbakan University University Meram Medical Faculty Hospital were analyzed retrospectively. Variation and morphometric analysis of CT and its branches were performed. In the morphometric analysis, diameter measurements were made in centimeters (cm) and compared in terms of sex of the patients. Variation analysis was performed per a useful and simple classification we developed through a comprehensive literature review. Results: Diameter measurements of CT (0.73±0.13, p=0.002), splenic artery (0.69±0.1, p=0.0004), common hepatic artery (0.66±0.1, p=0.042), and left gastric artery (0.27±0.11, p=0.0001) were statistically significant in men than in women (p<0.05). In our study, type I (normal trifurcation pattern - complete) was detected in 111 (88.09%) cases, and variation was detected in 15 (11.91%) cases. The distribution of these variations is from the most common to the least; type II- (bifurcation-incomplete) 8 (6.34%), type V (additional branches) 5 (3.96%), type IV (coeliomesenteric trunk) 1 (0.79%) and 1 (0.79%) unidentified case. No type III (no CT) variation was found. Conclusion: Variations and anatomy of CT and its branches should always be taken into consideration in clinical studies, angiographic methods, and surgical interventions against possible complications


Metrics Loading ...


Lausjaunias P, Berenstein A, Ter Brugge KG. Clinical Vascular Anatomy and Variations. Springer Verlag, Berlin, 2013.

Wacker FK, Lippert H, Pabst R. Arterial Variations in Humans: Key Reference for Radiologists and Surgeons. Thieme, Stuttgart, 2017.

Standring S (Ed.). Gray's Anatomy. 41nd Ed. Edinburg: Elsevier Churchill Livingstone, 2016.

Vandamme JPJ, Bonte J. The branches of the celiac trunk. Acta Anat 1985; 122: 110-4.

Sureka B, Mittal MK, Mittal A, Sinha M, Bhambri NK, Thukral BB. Variations of celiac axis, common hepatic artery and its branches in 600 patients. Indian J Radiol Imaging 2013; 23: 223-33.

Lipshutz B. A composite study of the coeliac axis artery. Ann Surg 1917; 65: 159-69.

Michels N. Blood Supply of Upper Abdominal Organs with a Descriptive Atlas. JB Lippincott; 1955.

Adachi B. Das Arterien System Der Japaner. Maruzen publishing; 1928.

Iezzi R, Cotroneo AR, Giancristofaro D, Santoro M, Storto ML. Multidetector-row CT angiographic imaging of the celiac trunk: anatomy and normal variants. Surg Radiol Anat 2008; 30: 303-10.

Türkvatan A, Özdemir M, Cumhur T, Ölçer T. Multidetector CT angiography of renal vasculature: normal anatomy and variants. Eur Radiol 2009; 19: 236-44.

Song S-Y, Chung JW, Yin YH, Jae HJ, Kim HC, Jeon UB, et al. Celiac axis and common hepatic artery variations in 5002 patients: systematic analysis with spiral CT and DSA. Radiology 2010; 255: 278-88.

Ugurel MS, Battal B, Bozlar U, Nural MS, Tasar M, Ors F, et al. Anatomical variations of hepatic arterial system, coeliac trunk and renal arteries: an analysis with multidetector CT angiography. Br J Radiol 2010; 83: 661-7.

Pérez JA, Torres FG, Toribio AM, Fernández LK, Hayoun C, Naranjo ID. Angio CT assessment of anatomical variants in renal vasculature: its importance in the living donor. Insights Imaging 2013; 4: 199-211.

Sehgal G, Srivastava AK, Sharma PK, Kumar N, Singh R, Parihar A, et al. Morphometry of the celiac trunk: a multidetector computed tomographic angiographic study. J Anat Soc India 2013; 62: 23-7.

Wang Y, Cheng C, Wang L, Li R, Chen J, Gong S. Anatomical variations in the origins of the celiac axis and the superior mesenteric artery: MDCT angiographic findings and their probable embryological mechanisms. Eur Radiol 2014; 24: 1777-84.

Araujo Neto SA, Franca HA, Mello Júnior CF de, Neto EJ, Negromonte GR, Duarte CM, et al. Anatomical variations of the celiac trunk and hepatic arterial system: an analysis using multidetector computed tomography angiography. Radiol Bras 2015; 48: 358-62.

Torres K, Staśkiewicz G, Denisow M, Pietrzyk L, Torres A, Szukala M, et al. Anatomical variations of the coeliac trunk in the homogeneous Polish population. Folia Morphol 2015; 74: 93-9.

Marco-Clement I, Martinez-Barco A, Ahumada N, Simon C, Valderrama JM, Sanudo J, et al. Anatomical variations of the celiac trunk: cadaveric and radiological study. Surg Radiol Anat SRA 2016; 38: 501-10.

Osman AM, Abdrabou A. Celiac trunk and hepatic artery variants: A retrospective preliminary MSCT report among Egyptian patients. Egypt J Radiol Nucl Med 2016; 47: 1451-8.

Aslaner R, Pekcevik Y, Sahin H, Toka O. Variations in the origin of inferior phrenic arteries and their relationship to celiac axis variations on CT angiography. Korean J Radiol 2017; 18: 336-44.

Khan RN, Hassan N, Sadiq M, Ali M. Morphometric Analysis of Celiac Trunk in Male and Female Adults of Karachi by using 3D Multidetector Computed Tomography Angiography (MDCTA). JBUMDC.:231.

Wysiadecki G, Polguj M, Waśniewska A, Jankowski M, Topol M. Types of coeliac trunk branching including accessory hepatic arteries: a new point of view based on cadaveric study. Folia Morphol 2017; 76: 660-7.

Whitley A, Oliverius M, Kocián P, Havlůj L, Gürlich R, Kachlík D. Variations of the celiac trunk investigated by multi‐detector computed tomography: systematic review and meta‐analysis with clinical correlations. Clin Anat 2020; 33: 1249-62.

Yılmaz MT. Morphometric Analysis of Abdominal Aorta and Branches By Multidedection CT Anjiography. Selçuk University, Institute of Health Sciences, PhD thesis, 134 pages, Konya. 2010.

Panagouli E, Venieratos D, Lolis E, Skandalakis P. Variations in the anatomy of the celiac trunk: A systematic review and clinica impli¬cations. Ann Anat 2013; 195: 501-11.




How to Cite

Odabaşıoğlu, M. E., Cihan, Ömer F., & Yılmaz, M. T. (2021). Investigation of the Coeliac Trunk Morphometry with Multidetector Computed Tomography Angiography. European Journal of Therapeutics, 27(1), 55–65.



Original Articles