Relationship of the Celiac Trunk with Median Arcuate Ligament of the Diaphragm Relaci車n del Tronco Cel赤aco con el Ligamento Arqueado Mediano del Diafragma

作者：Selma Petrella; Celio Fernando de Sousa Rodriguez; Emerson Alexandre Sgrott; Geraldo Jose Medeiros Fernandes

来源：International Journal of Morphology, 2006.

• Tronco celiaco
• Ligamentos
• Sindrome
• Diafragma
• Enfermedad oclusiva arterial
• Celiac trunk
• Ligaments
• Syndrome
• Diaphragm
• Arterial occlusive disease

In the present study different positions of the median arcuate ligament in relation to the celiac trunk as well as measurements of overlap and distance, also the approach between the two structures were investigated. In addition histological studies of the diaphragm crura and the median arcuate ligament were performed. Sixty-three cadavers fixed in formalin 10% aqueous solution and 20 non-fixed adult cadavers of both sexes were studied. Dissections of the celiac trunk were performed after dissection of the peritoneal cavity in the laboratories of the Anatomy Division of the UNIFESP-EPM, UNILUS and UNISA, and during necropsies in the City Morgue of the UNIFESP-EPM and USP. Regarding morphological analysis under light microscopy, three non-fixed cadavers were randomly chose and fragments measuring 5 cm height versus 2,5cm length of the median arcuate ligament were removed and processed according to routine techniques of inclusion. Sections of 5 米m were hematoxyline-eosin stained according to Masson%26apos;s technique. The results allowed us to conclude the following: 1) the positions of the median arcuate ligament in the celiac trunk were analyzed irrespective of the gender. In 12 (14.46%) out of the 83 cadavers, the celiac trunk was distant from the median arcuate ligament. In 35 (42.17%) cadavers this ligament touched the celiac trunk and in 36 (43.37%) overlaps this vessel. The mean distance between the median arcuate ligament and the celiac trunk was 0.94 cm and the overlap was 0.42cm; 2) the histological analysis of the median arcuate ligament showed a dense connective tissue infiltrated by adipose cells, blood vessels and nerves. Striated skeletal muscle fibers intermingled with collagenous fibers was observed in continuity to the tissues above mentioned En el presente trabajo se investigaron las posiciones del ligamento arqueado mediano con relaci車n al tronco cel赤aco, y las medidas de sobreposici車n y distancia entre estas dos estructuras. Adem芍s, fueron realizadas medidas de algunas variables como la longitud y el di芍metro del tronco cel赤aco, estudios histol車gicos de los pilares del diafragma y de su ligamento arqueado mediano. Utilizamos 63 cad芍veres fijados en soluci車n de formalina al 10% y 20 cad芍veres no fijados, adultos, de ambos sexos. Las disecciones del 芍rea del tronco cel赤aco fueron realizadas despu谷s de disecar la cavidad peritoneal, en los laboratorios de la Disciplinas de Anatom赤a de la UNIFESP-EPM, UNILUS y UNISA, y durante las necropsias en los Servicios de Verificaci車n de 車bitos de la UNIFESP-EPM y USP, Brasil. Para el an芍lisis morfol車gico,