Alaaddin Nayman, Zeliha Fazlıoğulları, Ahmet Kağan Karabulut, Büşra Pirinç

Tüm barsaklar sana emanet: Truncus coeliacamesenterica

Truncus coeliacus ve a. mesenterica superior, gastrointestinal sistemin önemli bir bölümünü besleyen iki damardır. Bu iki damarın ortak bir kök ile aorta abdominalis’ten ayrılması nadir görülen ve oldukça önemli bir varyasyondur. 63 yaşındaki erkek hastanın 256 kesitli multidedektör bilgisayarlı tomografi anjiografi görüntüleri incelendi. Yapılan değerlendirmede truncus coeliacus ve a. mesenterica superior’un ortak bir kök halinde 1. lumbal vertebra’nın alt hizasında aorta abdominalis’in ön yüzünden ayrıldıkları tespit edildi. Bunun yanı sıra; a. gastrica sinistra’nın a. hepatica propria’dan orijin aldığı gözlendi. Truncus coeliacus’un varyasyonları karaciğer nakilleri, safra kesesi ve gastrik bölge cerrahisinin yanı sıra girişimsel radyolojik prosüdürlerde de oldukça önemlidir.

Anahtar Kelimeler:

Truncus coeliacus, truncus coeliacomesenterica, varyasyon

Take care of all the intestines: Coeliacomesenteric trunk

The coeliac trunk and superior mesenteric artery. are two vessels that supply a significant portion of the gastrointestinal tract. The separation of these two vessels from the abdominal aorta with a common stem is a rare and quite significant variation. 256 multidetector computed tomography angiography images of a 63 years old male patient were examined. In the evaluation, the coeliac trunk and superior mesenteric artery were separated from the anterior face of the abdominal aorta at the lower level of the first lumbal vertebra as a common trunk. In addition, it was observed that the left gastric artery originated from the hepatic artery proper. Variations of the coeliac trunk are highly important in liver transplants, gallbladder and gastric region surgery, as well as interventional radiological processes.

Keywords:

Coeliac trunk, coeliacomesenteric trunk, variation,

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