Paraskevas G K, Raikos A
Department of Anatomy, Medical School of Aristotle University of Thessaloniki, Greece.
Folia Morphol (Warsz). 2010 Aug;69(3):187-91.
We report on a unique combination of multiple variations concerning the pectoral muscles and the left external jugular vein. Specifically, a bilateral hypoplasia of the medial clavicular portion of the pectoralis major muscle was noticed along with the coexistence of total right pectoralis minor aplasia, substituted by loose connective and fatty tissue. Simultaneously, a supernumerary anterior-placed external jugular vein was found, which, after its supraclavicular course, pierced the interval between the left clavicular and the sternocostal head, and drained into the left jugular junction. The combination of the above anomalies constitutes an atypical pattern of Poland syndrome. We discuss the related embryological development and the relative literature. Attention was paid to the clinical importance for plastic surgeons, general surgeons, and radiologists, facilitating them with accurate interpretation of anterior thoracic wall findings.
我们报告了一例关于胸肌和左颈外静脉的多种变异的独特组合。具体而言，发现双侧胸大肌锁骨内侧部分发育不全，同时右侧胸小肌完全缺如，由疏松结缔组织和脂肪组织替代。同时，发现一条额外的位于前方的颈外静脉，其在锁骨上走行后，穿入左锁骨和胸肋头之间的间隙，并汇入左颈静脉交界处。上述异常的组合构成了波兰综合征的一种非典型模式。我们讨论了相关的胚胎发育及相关文献。还关注了对整形外科医生、普通外科医生和放射科医生的临床重要性，以帮助他们准确解读前胸壁的检查结果。
