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Congenital Atresia of the Celiac Axis

Congenital Atresia of the Celiac Axis Abstract THE CLASSICAL anatomical description of the celiac axis has been found to be present in only 55% and 65% of the cases studied by angiography, according to Stulberg and Bierman1 and Wagner and Baum,2 respectively. McConnell et al3 found anatomical variations in ten of 61 patients studied by selective arteriography of the celiac axis and superior mesenteric arteries. Textbooks of anatomy emphasize the extreme variability, not only of the branching patterns of the celiac axis, but also of the arterial supply to the liver.4 Congenital absence of the celiac axis trunk as demonstrated by angiography has been reported only once previously, by Morettin and others5 in a patient without symptoms related to such an anomaly. Its absence was confirmed during surgical exploration for other reasons. Baum et al6 reported similar arteriographic findings, stating, "We demonstrated gastrointestinal bleeding secondary to a large arterial malformation in References 1. Stulberg, H.J., and Bierman, H.R.: Selective Hepatic Arteriography , Radiology 85:46, 1965.Crossref 2. Wagner, D.E., and Baum, S.: Preliminary Arteriography in Hepatic Artery Infusions for Cancer , Surg Gynec Obstet 120:817, 1965. 3. McConnell, F.; Thompson, A.G.; and Kiss, J.: Selective Celiac and Superior Mesenteric Arteriography , Canad J Surg 9:15, 1966. 4. Elias, H., and Petty, D.: Gross Anatomy of the Blood Vessels and Ducts Within the Human Liver , Amer J Anat 90:59, 1952.Crossref 5. Morettin, L.B.; Baldwin-Price, H.K.; and Schreiber, M.H.: Congenital Absence of the Celiac Axis Trunk , Amer J Roentgen 95:727, 1965.Crossref 6. Baum, S., et al: Arteriography in Diagnosis of Abdominal Diseases , Postgrad Med 38:547, 1965. 7. Michels, N.A.: Collateral Arterial Pathways to the Liver After Ligation of the Hepatic Artery and Removal of the Celiac Axis , Cancer 6:708, 1953.Crossref 8. Appleby, L.H.: The Celiac Axis in the Expansion of the Operation for Gastric Carcinoma , Cancer 6:704, 1953.Crossref 9. Dunbar, J.D., et al: Compression of the Celia Trunk and Abdominal Angina , Amer J Roentgen 95: 731, 1965.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

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Publisher
American Medical Association
Copyright
Copyright © 1966 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1966.01330040131026
Publisher site
See Article on Publisher Site

Abstract

Abstract THE CLASSICAL anatomical description of the celiac axis has been found to be present in only 55% and 65% of the cases studied by angiography, according to Stulberg and Bierman1 and Wagner and Baum,2 respectively. McConnell et al3 found anatomical variations in ten of 61 patients studied by selective arteriography of the celiac axis and superior mesenteric arteries. Textbooks of anatomy emphasize the extreme variability, not only of the branching patterns of the celiac axis, but also of the arterial supply to the liver.4 Congenital absence of the celiac axis trunk as demonstrated by angiography has been reported only once previously, by Morettin and others5 in a patient without symptoms related to such an anomaly. Its absence was confirmed during surgical exploration for other reasons. Baum et al6 reported similar arteriographic findings, stating, "We demonstrated gastrointestinal bleeding secondary to a large arterial malformation in References 1. Stulberg, H.J., and Bierman, H.R.: Selective Hepatic Arteriography , Radiology 85:46, 1965.Crossref 2. Wagner, D.E., and Baum, S.: Preliminary Arteriography in Hepatic Artery Infusions for Cancer , Surg Gynec Obstet 120:817, 1965. 3. McConnell, F.; Thompson, A.G.; and Kiss, J.: Selective Celiac and Superior Mesenteric Arteriography , Canad J Surg 9:15, 1966. 4. Elias, H., and Petty, D.: Gross Anatomy of the Blood Vessels and Ducts Within the Human Liver , Amer J Anat 90:59, 1952.Crossref 5. Morettin, L.B.; Baldwin-Price, H.K.; and Schreiber, M.H.: Congenital Absence of the Celiac Axis Trunk , Amer J Roentgen 95:727, 1965.Crossref 6. Baum, S., et al: Arteriography in Diagnosis of Abdominal Diseases , Postgrad Med 38:547, 1965. 7. Michels, N.A.: Collateral Arterial Pathways to the Liver After Ligation of the Hepatic Artery and Removal of the Celiac Axis , Cancer 6:708, 1953.Crossref 8. Appleby, L.H.: The Celiac Axis in the Expansion of the Operation for Gastric Carcinoma , Cancer 6:704, 1953.Crossref 9. Dunbar, J.D., et al: Compression of the Celia Trunk and Abdominal Angina , Amer J Roentgen 95: 731, 1965.Crossref

Journal

Archives of SurgeryAmerican Medical Association

Published: Oct 1, 1966

References