Unusual anatomical variation: tetrafurcation of the celiac trunk

  • Laura Grigoriță
  • Nawwaf Sebastian Damen
  • Monica Adriana VaidaEmail author
  • Adelina Maria Jianu
Anatomic Variations


The celiac trunk is one of the main sources of vascularization of the supracolic abdominal compartment. It arises from the abdominal aorta, at the level of T12–L1 vertebrae and classically branches into the splenic artery, common hepatic artery, and left gastric artery. We report here an atypical branching pattern of the celiac trunk, found during the dissection of a 60-year-old female’s formalin-fixed cadaver. The atypically celiac trunk gave rise to four branches: a common trunk for left and right inferior phrenic arteries, an accessory left gastric artery, the common hepatic artery, and a splenogastric trunk. Knowledge in detail about normal anatomy and variation in the branching pattern of the celiac trunk is important in surgical, oncological, and radiological interventional procedures and must be taken into account to avoid possible complications.


Anatomy Variation Celiac trunk Phrenic artery Splenogastric trunk 



We acknowledge Mihaela Damen who made a drawing of the present case.

Author contributions

LG: dissection, data analysis. NSD: data collection, manuscript writing. MAV: data analysis, data collection, manuscript writing. AMJ: data analysis, data collection, manuscript writing. All the authors read and approved the final manuscript.


This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.

Compliance with ethical standards

Conflict of interests

The authors declare that they have no conflict of interest.

Ethical approval

The research was conducted ethically in accordance with The Code of Ethics of the World Medical Association (Declaration of Helsinki).


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Copyright information

© Springer-Verlag France SAS, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Department of Anatomy and Embryology„Victor Babeş” University of Medicine and PharmacyTimisoaraRomania
  2. 2.Pediatric Surgery Clinic of Emergency Children’s Hospital “Louis Țurcanu”TimisoaraRomania

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