Multiple Variation in the Upper Abdominal Aorta: A Unique Cadaveric Case Report and Clinical Implications

The arterial vasculature supplying upper abdominal organs demonstrates a high degree of variation. Such variations pose considerable challenges to hepatic surgical procedures like transarterial chemoembolization (TACE), treating inoperable hepatocellular carcinoma (HCC) or trauma handling complicated. We, therefore, report a rare Chinese cadaveric case of coexistence of 4 anatomical variations branching in the foregut of the abdominal aorta, including (1) separate origins of inferior phrenic arteries from the celiac trunk (2) trifurcation of the common hepatic artery, (3) an aberrant right gastric artery origin, and (4) accessory right hepatic artery originating from the celiac trunk from a Chinese female donor body during the human dissection enhancement workshop carried out in CUHK. With such a special case discovered in a Chinese cadaver, this paper explores the related clinical significance and helps educate medical practitioners to minimize complications related to arterial variation.