Common hepatic artery originating from aorta

Case contributed by Mostafa Elfeky
Diagnosis almost certain

Presentation

Abdominal pain.

Patient Data

Age: 30 years
Gender: Male
This study is a stack
Axial Arterial
- MIP
This study is a stack
Coronal
Arterial - MIP
This study is a stack
Sagittal
Arterial - MIP
This study is a stack
3D
VRT
This study is a stack
3D
VRT
This study is a stack
Axial C+
arterial phase
This study is a stack
Coronal C+
arterial phase
This study is a stack
Sagittal C+
arterial phase
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Info

Celiac trunk gives off both inferior phrenic arteries and left hepatic artery, then continues as splenic artery. Left gastric artery arises from left hepatic artery.

Common hepatic artery arises from the aorta, below origin of celiac trunk, and gives off right and middle hepatic arteries and then the gastroduodenal artery.

Prehilar branching of both renal arteries, normal variant.

Annotated image
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Info

Violet arrow: Left hepatic artery.

Green arrow: Common hepatic artery.

Yellow arrow: Right hepatic artery.

Pink arrow: Gastroduodenal artery.

Blue arrow: Middle colic artery.

Case Discussion

Common hepatic artery commonly originated from celiac trunk (45%). Variant origin can be from aorta (2%) or superior mesenteric artery (2%).

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