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.
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.
Details
| Primary Language | English |
|---|---|
| Subjects | Gastroenterology Surgery, Surgery (Other), Anatomy |
| Journal Section | Case Reports |
| Authors | |
| Publication Date | June 10, 2024 |
| Submission Date | February 15, 2024 |
| Acceptance Date | March 18, 2024 |
| Published in Issue | Year 2024Volume: 63 Issue: 2 |
