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一例罕见的由肠系膜下动脉供血的结肠血管化病例。

An unusual case of colon vascularization by the inferior mesenteric artery.

作者信息

Covanțev Serghei, Mazuruc Natalia, Belic Olga

机构信息

Nicolae Testemițanu State University of Medicine and Pharmacy - SUMPh Nicolae Testemitanu, Department of Human Anatomy, Chișinau, Republic of Moldova.

出版信息

J Vasc Bras. 2017 Jan-Mar;16(1):52-55. doi: 10.1590/1677-5449.009315.

DOI:10.1590/1677-5449.009315
PMID:29930624
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5829693/
Abstract

In this article we present a rare variant in which the large intestine was vascularized by the inferior mesenteric artery. It was encountered during macro and microscopic dissection of the cadaver of a 63-year-old woman at a university department of human anatomy. In this case, the ascending, transverse, descending, and sigmoid colon and rectum were vascularized by the inferior mesenteric artery, whereas the small intestine, cecum and appendix were supplied by the superior mesenteric artery.

摘要

在本文中,我们展示了一种罕见的变异情况,即大肠由肠系膜下动脉供血。这一情况是在一所大学人体解剖学系对一名63岁女性尸体进行大体和显微镜解剖时发现的。在该病例中,升结肠、横结肠、降结肠、乙状结肠和直肠由肠系膜下动脉供血,而小肠、盲肠和阑尾则由肠系膜上动脉供血。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/294a/5829693/51b4b87747a4/jvb-16-01-052-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/294a/5829693/51b4b87747a4/jvb-16-01-052-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/294a/5829693/51b4b87747a4/jvb-16-01-052-g01.jpg

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本文引用的文献

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Vascular Structures of the Right Colon: Incidence and Variations with Their Clinical Implications.右半结肠的血管结构:发生率、变异及其临床意义
Scand J Surg. 2017 Jun;106(2):107-115. doi: 10.1177/1457496916650999. Epub 2016 May 23.
2
The superior mesenteric artery and the variations of the colic patterns. A new anatomical and radiological classification of the colic arteries.肠系膜上动脉与结肠模式的变异。一种新的结肠动脉解剖学和放射学分类。
Surg Radiol Anat. 2016 Jul;38(5):519-27. doi: 10.1007/s00276-015-1608-3. Epub 2016 Jan 4.
3
Anatomical Description and Clinical Relevance of a Rare Variation in the Mesenteric Arterial Arcade Pattern.
肠系膜动脉弓模式罕见变异的解剖学描述及临床相关性
J Clin Diagn Res. 2015 Aug;9(8):AD01-2. doi: 10.7860/JCDR/2015/12706.6341. Epub 2015 Aug 1.
4
Navigating the mesentery: a comparative pre- and per-operative visualization of the vascular anatomy.肠系膜的导航:血管解剖结构的术前和术中对比可视化
Colorectal Dis. 2015 Sep;17(9):810-8. doi: 10.1111/codi.13003.
5
Branching pattern of inferior mesenteric artery in a black african population: a dissection study.非洲黑人人群中肠系膜下动脉的分支模式:一项解剖学研究。
ISRN Anat. 2012 Dec 24;2013:962904. doi: 10.5402/2013/962904. eCollection 2013.
6
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.
7
Detailed anatomy of a left accessory aberrant colic artery.左副异常结肠动脉的详细解剖结构。
Surg Radiol Anat. 2008 Oct;30(7):595-9. doi: 10.1007/s00276-008-0362-1. Epub 2008 May 16.
8
[Surgical anatomy of the colic vessels in Chinese and its influence on the operation of esophageal replacement with colon].[结肠血管的外科解剖学(中文)及其对结肠代食管手术的影响]
Zhonghua Yi Xue Za Zhi. 2006 Jun 6;86(21):1453-6.
9
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.
10
Griffiths' point: critical anastomosis at the splenic flexure. Significance in ischemia of the colon.格里菲思点:脾曲处的关键吻合。对结肠缺血的意义。
AJR Am J Roentgenol. 1976 Jan;126(1):77-94. doi: 10.2214/ajr.126.1.77.