Ahmadpour Shahriar, Foghi Khadijeh
Department of Anatomy and Pathobiology, School of Medicine, North Khorasan University of Medical Sciences, Bojnurd, Iran.
Anat Cell Biol. 2014 Dec;47(4):274-8. doi: 10.5115/acb.2014.47.4.274. Epub 2014 Dec 23.
We report on an extremely rare case of multiple absences of the branches of abdominal aorta with congenital absence of the portal vein, unilateral adrenal agenesis and persistent ductus arteriosus in an adult female cadaver. Specifically, instead of celiac trunk, superior and inferior mesenteric arteries, solely a single arterial trunk aroused from the anterior aspect of abdominal aorta, inferior phrenic and ovarian arteries were absent in both sides. Left kidneys drained by two veins. There were not superior, splenic and mesenteric veins, while left renal vein received an additional vein, which run downward and drained primarily all parts of digestive tract and its associated glands (portal vein did not exist). Right adrenal gland was absent. To the best of our knowledge, it is the only reported case with such widespread anomalies. We think the importance of this case is beyond the surgical consideration and needs more profound developmental studies.
我们报告了一例极其罕见的成年女性尸体病例,该病例存在腹主动脉分支多处缺如、先天性门静脉缺如、单侧肾上腺发育不全及动脉导管未闭。具体而言,腹主动脉前方未发出腹腔干、肠系膜上动脉和肠系膜下动脉,仅发出单一动脉干,双侧膈下动脉和卵巢动脉缺如。左肾由两条静脉引流。无脾静脉、肠系膜上静脉和肠系膜下静脉,而左肾静脉额外接收一条向下走行的静脉,该静脉主要引流消化道及其相关腺体的所有部分(门静脉不存在)。右侧肾上腺缺如。据我们所知,这是唯一报道的具有如此广泛异常的病例。我们认为该病例不仅在手术方面具有重要意义,还需要更深入的发育学研究。