Bhadoria Pooja, Bahksh Shahid, Agarwal Shilpi, Pangtey Babita, Kakar Smita
Senior Resident, Department of Anatomy, Maulana Azad Medical College , New Delhi, India .
PG Resident, Department of Anatomy, Maulana Azad Medical College , New Delhi, India .
J Clin Diagn Res. 2016 Mar;10(3):AD05-7. doi: 10.7860/JCDR/2016/16046.7381. Epub 2016 Mar 1.
Anatomical variations of colon are mostly developmental and can lead to variety of acute and chronic pathological conditions. So it becomes important to recognize and understand the importance of clinical implications of such anomalies to benefit surgeons, clinical geneticists and research community. We describe two cases of right sided sigmoid colon and long descending colon which had two segments: vertical and horizontal. The mesentery of ascending and descending colon was retained. This mesentery along with the mesentery of transverse colon was continuous with the mesentery of small intestine. There were variations in blood vessels supplying these anomalous colons. The findings of this study may be helpful to make surgeons and radiologists aware about different varieties of presentations while undertaking an investigative or surgical procedure in this area like sigmoidoscopy, percutaneous cecostomy and anterior transperitoneal aproach of kidney to avoid colon puncture.
结肠的解剖变异大多是发育性的,可导致各种急慢性病理状况。因此,认识并理解此类异常的临床意义变得很重要,这将使外科医生、临床遗传学家和研究界受益。我们描述了两例右侧乙状结肠和长降结肠的病例,它们有两个部分:垂直部分和水平部分。升结肠和降结肠的系膜得以保留。该系膜与横结肠系膜相连,并与小肠系膜延续。供应这些异常结肠的血管存在变异。本研究结果可能有助于使外科医生和放射科医生在进行该区域的检查或手术(如乙状结肠镜检查、经皮盲肠造口术和肾脏前入路经腹膜手术)时,了解不同的表现形式,以避免结肠穿刺。