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
CHAVEZ CM, MORA LO, CONN JH, FAIN WR. Congenital Atresia of the Celiac Axis. Arch Surg. 1966;93(4):667–670. doi:10.1001/archsurg.1966.01330040131026
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