Oztürk N C, Uzmansel D, Kara A, Oztürk H
Department of Anatomy, Faculty of Medicine, Mersin University, Tıp Fakültesi, Anatomi A.D., Yenişehir Kampüsü, 33169, Mersin, Turkey.
Surg Radiol Anat. 2010 Dec;32(10):985-8. doi: 10.1007/s00276-010-0636-2. Epub 2010 Feb 17.
A malposition of the left suprarenal gland with varied relations and vasculature was observed in a 50-year-old male cadaver during the routine dissection of the abdominal region. The gland was partly situated over the hilum of the left kidney. Its posterior surface was related to the left crus of the diaphragm and to the hilum of the left kidney extending some distance above on the medial margin of the kidney. Its anterior surface was totally covered by the body of the pancreas and the splenic artery and vein. There were only two suprarenal arteries. A left lateral branch of the aorta divided into three branches of which the middle and inferior branches entered the gland as seperate suprarenal arteries. There were the two suprarenal veins of the gland which were draining into the left renal vein. Such a malposition with varied relations and vasculature is of utmost importance from the surgical point of view because it can affect the orientation of the surgeon in laparoscopic adrenalectomy.
在对一名50岁男性尸体进行腹部常规解剖时，观察到左肾上腺位置异常，其毗邻关系和血管分布各异。该腺体部分位于左肾门上方。其后表面与左膈脚及左肾门相关，在肾内侧缘向上延伸一段距离。其前表面完全被胰体以及脾动静脉覆盖。肾上腺仅有两条动脉。主动脉的一个左外侧分支分成三个分支，其中中间和下方的分支分别作为肾上腺动脉进入腺体。该腺体有两条肾上腺静脉，注入左肾静脉。从手术角度来看，这种位置异常且毗邻关系和血管分布各异的情况极为重要，因为它会影响腹腔镜肾上腺切除术中医师的操作定位。
