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Accessory inferior pancreatic artery and aberrant left colic artery: a case report

Year 2024, , 316 - 318, 10.06.2024
https://doi.org/10.19161/etd.1437580

Abstract

The left colic artery generally emerges from the inferior mesenteric artery and then divides into ascending and descending branches. Arterial supply of the pancreas is provided by the superior mesenteric artery and the celiac trunk. During a routine cadaver dissection in a male body donor, two anatomical variations in the arterial pattern of the pancreas and colon were observed. An anomalous common trunk, originating from the superior mesenteric artery, gave rise to two branches: an accessory inferior pancreatic artery to the head of the pancreas, and the aberrant left colic artery. A comprehensive knowledge of vascular variations of this region is valuable in visceral surgery and interventional radiology. Hence, this case report may provide further anatomical knowledge for vessel management in the pancreas and colon surgical procedures.

References

  • Rela M, Reddy MS. Pancreas. In: Standring S (ed). Gray’s anatomy: the anatomical basis of clinical practice. 41st ed. Philadelphia: Elsevier; 2016: 1179-87.
  • Skinner D, Wehrle CJ, Fossen K Van: Anatomy, abdomen and pelvis: inferior mesenteric artery. StatPearls. (2023).
  • Petzold S, Storsberg SD, Fischer K, Schumann S. Variant arterial supply of the descending colon by the coeliac trunk: a case report. Medicina. 2021;57(5):487.
  • Lichtenberg A, Kim SJ, Rogers L, et al. Aberrant left colic artery and accessory right colic artery: a case report and surgical implications. Cureus. 2023;15(6):e40594.
  • Nelson TM, Pollak R, Jonasson O, Abcarian H. Anatomic variants of the celiac, superior mesenteric, and inferior mesenteric arteries and their clinical relevance. Clin Anat. 1988;1: 75-91.
  • Nayak SB, Shetty SD, Sirasanagandla SR, et al. Anomalous origin and vulnerable course of left colic artery in relation to the pancreas—a case report. Forensic Med Anat Res. 2013;1(4):83–6.
  • Memar SA, Taylor AM, Ahuja S, Daly DT, Tan Y: Rare left colic artery variation of the gut arterial system. Folia Morphol (Warsz). 2023;82:(1)198–204.
  • Ke J, Cai J, Wen X, et al. Anatomic variations of inferior mesenteric artery and left colic artery evaluated by 3- dimensional CT angiography. Insights into rectal cancer surgery - a retrospective observational study. Int J Surg. 2017;41:106-11.
  • Silva Júnior LM, Alexandre M, Gonçalves L, Silva FS, Caetano AG. Variations in the vascular supply of pancreas and transverse colon: a case report. Int J Morphol. 2014;32(1):190–3.
  • Singh S, Kaur J, Arora J, Jeph R, Mehta V. Unusual pancreatico-mesenteric vasculature: a clinical insight. Arch Anat Physiol 2016;1(1): 001-3.

Arteria pancreatica inferior accessoria ve atipik arteria colica sinistra: bir olgu sunumu

Year 2024, , 316 - 318, 10.06.2024
https://doi.org/10.19161/etd.1437580

Abstract

Arteria colica sinistra genellikle arteria mesenterica inferior'dan çıkar ve ardından çıkan ve inen dallara ayrılır. Pankreasın arteriyel beslenmesi arteria mesenterica superior ve truncus coeliacus tarafından sağlanır. Bir erkek kadavranın rutin diseksiyonu sırasında pankreas ve kolonun arteriyel paterninde iki anatomik varyasyon gözlemlendi: caput pancreatis’e giden bir arteria pancreatica inferior accessoria ve atipik arteria colica sinistra. Bu bölgenin vasküler varyasyonları hakkındaki kapsamlı bilgi visseral cerrahi ve girişimsel radyolojide değerlidir. Bu nedenle bu olgunun, pankreas ve kolon cerrahi prosedürlerinin yönetimi için değerli anatomik bilgi sağlayacağı düşünülmüştür.

References

  • Rela M, Reddy MS. Pancreas. In: Standring S (ed). Gray’s anatomy: the anatomical basis of clinical practice. 41st ed. Philadelphia: Elsevier; 2016: 1179-87.
  • Skinner D, Wehrle CJ, Fossen K Van: Anatomy, abdomen and pelvis: inferior mesenteric artery. StatPearls. (2023).
  • Petzold S, Storsberg SD, Fischer K, Schumann S. Variant arterial supply of the descending colon by the coeliac trunk: a case report. Medicina. 2021;57(5):487.
  • Lichtenberg A, Kim SJ, Rogers L, et al. Aberrant left colic artery and accessory right colic artery: a case report and surgical implications. Cureus. 2023;15(6):e40594.
  • Nelson TM, Pollak R, Jonasson O, Abcarian H. Anatomic variants of the celiac, superior mesenteric, and inferior mesenteric arteries and their clinical relevance. Clin Anat. 1988;1: 75-91.
  • Nayak SB, Shetty SD, Sirasanagandla SR, et al. Anomalous origin and vulnerable course of left colic artery in relation to the pancreas—a case report. Forensic Med Anat Res. 2013;1(4):83–6.
  • Memar SA, Taylor AM, Ahuja S, Daly DT, Tan Y: Rare left colic artery variation of the gut arterial system. Folia Morphol (Warsz). 2023;82:(1)198–204.
  • Ke J, Cai J, Wen X, et al. Anatomic variations of inferior mesenteric artery and left colic artery evaluated by 3- dimensional CT angiography. Insights into rectal cancer surgery - a retrospective observational study. Int J Surg. 2017;41:106-11.
  • Silva Júnior LM, Alexandre M, Gonçalves L, Silva FS, Caetano AG. Variations in the vascular supply of pancreas and transverse colon: a case report. Int J Morphol. 2014;32(1):190–3.
  • Singh S, Kaur J, Arora J, Jeph R, Mehta V. Unusual pancreatico-mesenteric vasculature: a clinical insight. Arch Anat Physiol 2016;1(1): 001-3.
There are 10 citations in total.

Details

Primary Language English
Subjects Gastroenterology Surgery, Surgery (Other), Anatomy
Journal Section Case Reports
Authors

Melisa Gülcan 0000-0002-2612-7080

İbrahim Demirçubuk 0000-0002-6574-9587

Melek Köseoğlu 0009-0003-7111-761X

Okan Bilge 0000-0002-8993-2271

Publication Date June 10, 2024
Submission Date February 15, 2024
Acceptance Date March 18, 2024
Published in Issue Year 2024

Cite

Vancouver Gülcan M, Demirçubuk İ, Köseoğlu M, Bilge O. Accessory inferior pancreatic artery and aberrant left colic artery: a case report. ETD. 2024;63(2):316-8.

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