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== '''Coeliac artery''' == * Artery to the foregut, supplying from the distal oesophagus to D2, liver, GB, spleen, pancreas * Branches at T12, almost perpendicular to the aorta, then courses anterolaterally in the lesser sac for 12mm * Most often forms a trifurcation ** Hepatic artery - see 'liver' *** Passes to the right beneath the posterior peritoneum of the omental bursa, enters the hepatoduodenal ligament and ascends to the hilum of the liver on the left side of the CBD ** Splenic artery - see 'spleen' *** Descends beneath the peritoneum to undulate along the cephalad border of the pancreas, where it gives off a dorsal pancreatic branch and others ** Left gastric artery - see 'stomach' * Left gastric ('coronary vein') crosses over the coeliac trunk in its course from the lesser curve of the stomach to the portal vein * Variations: ** Branching patterns *** Bifurcation into hepatosplenic and left gastric 50-75% *** Trifurcation 10-20% *** Quadrifurcation (GDA, right/left hepatic, dorsal pancreatic) ** Any of the three main branches may arise independently from the aorta/SMA (most commonly right hepatic from SMA) ** Common origin of coeliac and SMA
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