Reinhardt K
Rofo. 1978 Dec;129(6):699-703. doi: 10.1055/s-0029-1231190.
A 60-year-old patient with occlusion of the inferior and superior mesenteric arteries and the coeliac axis developed a collateral circulation from the iliac arteries through the rectal vessels, the ascending ramus of the inferior mesenteric artery and the medical colic branch of the superior mesenteric artery. These collaterals were able to ensure survival of all three vascular territories. Along the medial wall of the descending colon and the sigmoid a second, less well developed collateral circulation could be demonstrated by iliac arteriography. The branches of the superior mesenteric artery and of the coeliac axis were only partly demonstrated, or failed to fill, during a free aortic injection and a counter current arteriogram. Clinically the occlusion of the unpaired aortic branches manifested itself as periumbilical pain after food. The involvement of the visceral aortic branches to this extent in the presence of generalised vascular disease is related to an attack of dysentry 38 years previously.
一名60岁患者，其肠系膜上、下动脉及腹腔干闭塞，通过髂动脉经直肠血管、肠系膜下动脉升支及肠系膜上动脉结肠中支形成了侧支循环。这些侧支能够确保所有三个血管区域的存活。沿降结肠和乙状结肠内侧壁，髂动脉造影可显示出第二个发育较差的侧支循环。在主动脉自由注射和逆流动脉造影期间，肠系膜上动脉和腹腔干的分支仅部分显影或未显影。临床上，不成对主动脉分支的闭塞表现为进食后脐周疼痛。在存在全身性血管疾病的情况下，内脏主动脉分支如此程度的受累与38年前的一次痢疾发作有关。
