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一种罕见的后肠分支模式:肠系膜下动脉缺如。

A rare branching pattern of hindgut: absence of inferior mesenteric artery.

作者信息

Kim Deog-Im, Han Seung-Ho

机构信息

Department of Nursing, College of Nursing, Keimyung University, 1095 Dalgubeol-daero, Dalseo-gu, 42601, Daegu, Republic of Korea.

Department of Anatomy, College of Medicine, Chung-Ang University, 84 Heukseok-ro, Dongjak-gu, 06974, Seoul, Republic of Korea.

出版信息

Surg Radiol Anat. 2017 Jul;39(7):803-806. doi: 10.1007/s00276-016-1770-2. Epub 2016 Dec 20.

DOI:10.1007/s00276-016-1770-2
PMID:27999945
Abstract

The arterial system of the gastrointestinal tract has many variations. However, variation in the inferior mesenteric artery (IMA) is less common than for the other abdominal arteries. The case in the present cadaver subject showed a variation in the anatomy of the IMA that differed from those seen in previous studies, because it did not originate from the abdominal aorta and had no branches. A single artery arising from branches of the inferior pancreaticoduodenal and middle colic arteries supplied the hindgut. This variation generated blood vessels along the digestive tract during the later stages of development. The marginal artery of the colon in this case probably was more highly developed instead of the IMA. It is clinically important to know the range of variations, as these data are used in the diagnosis and treatment of abdominal diseases. This hitherto unknown variation might affect the health of patients, and we recommend radiographic examinations for diagnosis and treatment.

摘要

胃肠道的动脉系统有许多变异。然而,肠系膜下动脉(IMA)的变异比其他腹部动脉少见。本尸体标本的情况显示,IMA的解剖结构存在变异,与以往研究中所见不同,因为它并非起源于腹主动脉且无分支。一条由胰十二指肠下动脉和结肠中动脉分支发出的单一动脉供应后肠。这种变异在发育后期沿消化道生成了血管。在这种情况下,结肠边缘动脉可能比IMA发育得更好。了解变异范围具有临床重要性,因为这些数据用于腹部疾病的诊断和治疗。这种迄今未知的变异可能会影响患者健康,我们建议进行影像学检查以用于诊断和治疗。

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1
A rare branching pattern of hindgut: absence of inferior mesenteric artery.一种罕见的后肠分支模式:肠系膜下动脉缺如。
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2
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Is low tie ligation truly reproducible in colorectal cancer surgery? Anatomical study of the inferior mesenteric artery division branches.低位结扎在结直肠癌手术中真的可重复吗?肠系膜下动脉分支的解剖学研究。
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引用本文的文献

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The anatomy of the inferior mesenteric artery: a systematic review with meta-analysis.肠系膜下动脉的解剖结构:一项系统评价与荟萃分析
Surg Radiol Anat. 2025 May 24;47(1):144. doi: 10.1007/s00276-025-03657-1.
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A rare case of unconnection between the celiac trunk and the abdominal aorta and a large anastomosis with the inferior mesenteric artery with a literature review.罕见的腹腔干与腹主动脉不连接病例,并与肠系膜下动脉形成大吻合口,附文献复习。
Surg Radiol Anat. 2023 Jul;45(7):827-832. doi: 10.1007/s00276-023-03169-w. Epub 2023 May 22.
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Laparoscopic low anterior resection for rectal cancer wherein the inferior mesenteric artery arose from the superior mesenteric artery: a case report.

本文引用的文献

1
A mixed-type intermesenteric trunk as a major contributor to the ascending, transverse, and descending colons: a case report.作为升结肠、横结肠和降结肠主要供血来源的混合型肠系膜上动脉主干:一例报告
Surg Radiol Anat. 2016 Apr;38(3):383-6. doi: 10.1007/s00276-015-1515-7. Epub 2015 Jul 15.
2
Absence of the superior mesenteric artery in an adult and a new classification method for superior-inferior mesenteric arterial variations.成人肠系膜上动脉缺如及肠系膜上-下动脉变异的一种新分类方法。
Surg Radiol Anat. 2014 Jul;36(5):511-5. doi: 10.1007/s00276-013-1183-4. Epub 2013 Aug 11.
3
Unusual arterial pattern of the gastrointestinal tract: inferior mesenteric artery arising from the iliac artery and corkscrew external iliac.
腹腔镜下直肠癌低位前切除术:肠系膜下动脉起源于肠系膜上动脉 1 例报告
Surg Case Rep. 2021 Aug 11;7(1):179. doi: 10.1186/s40792-021-01254-z.
胃肠道异常动脉模式:肠系膜下动脉起源于髂动脉及螺旋状的髂外动脉。
Vasc Endovascular Surg. 2012 Jul;46(5):418-21. doi: 10.1177/1538574412445217.
4
A case of the inferior mesenteric artery arising from the superior mesenteric artery in a Korean woman.一名韩国女性患有肠系膜下动脉发自肠系膜上动脉的病例。
J Korean Med Sci. 2011 Oct;26(10):1382-5. doi: 10.3346/jkms.2011.26.10.1382. Epub 2011 Oct 1.
5
A rare case of inferior mesenteric artery arising from the superior mesenteric artery, with a review of the review of the literature.一例罕见的肠系膜下动脉发自肠系膜上动脉的病例,并附文献复习
Surg Radiol Anat. 2008 Mar;30(2):159-65. doi: 10.1007/s00276-007-0298-x. Epub 2008 Jan 10.
6
Riolan's arch: confusing, misnomer, and obsolete. A literature survey of the connection(s) between the superior and inferior mesenteric arteries.里罗兰弓:令人困惑、名称不当且已过时。关于肠系膜上动脉与肠系膜下动脉之间连接的文献综述。
Am J Surg. 2007 Jun;193(6):742-8. doi: 10.1016/j.amjsurg.2006.10.022.
7
Clinical interest of digestive arterial trunk anastomoses.消化动脉干吻合术的临床意义
Surg Radiol Anat. 2006 Jun;28(3):219-27. doi: 10.1007/s00276-006-0098-8. Epub 2006 Mar 18.
8
[Variations of origin and branching of the interior mesenteric artery and its anastomoses].[肠系膜内动脉的起源、分支及其吻合的变异]
Folia Morphol (Warsz). 1971;30(4):575-83.
9
[A case of the absence of the inferior mesenteric artery].[一例肠系膜下动脉缺如病例]
Kaibogaku Zasshi. 1986 Jun;61(3):186-9.
10
Rare case of the inferior mesenteric artery arising from the superior mesenteric artery.肠系膜下动脉起源于肠系膜上动脉的罕见病例。
Anat Rec. 1987 Jan;217(1):99-102. doi: 10.1002/ar.1092170113.