The clinical and operative impact of the hexafurcation of the celiac trunk - Report of an extremely rare case

The celiac trunk is a main splanchnic artery that supplies the intra-abdominal organs of upper gastrointestinal system. Anatomic variations are encountered in 10% population, but can pose challenges to many surgical and interventional procedures. We present here case hexafurcation discovered preoperatively after image staging for gastric cancer. branches were: left right inferior phrenic artery, arc Buhler along with common pattern hepatic, splenic artery. highlight rarity this specific pattern, which seen less than 1% also presence an anastomotic path, Bühler, as branch trunk. It evident play major role operations abdomen, radiological procedures other uncommon cases. Thus, surgeon must be aware these their frequency avoid complications. Also, any physician should report variation discovered, accidentally or not, help literature updated. Key words: Computed tomography – Arc Bühler Inferior arteries Celiac