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腹腔干肠系膜上动脉干患者脾动脉发自肝固有动脉:一种罕见的解剖变异。

Splenic artery arising from hepatic artery proper in a patient with celiacomesenteric trunk: a rare anatomical variant.

作者信息

Aljahani Jumanah, Alaklabi Aeed, Almalki Waleed, Alfaleh Hana, Alzahrani Yousof

机构信息

College of Medicine, King Saud bin Abdulaziz University for Health Sciences (KSAU-HS), P.O. Box 22490, Riyadh, 11426, Saudi Arabia.

Interventional Radiology Fellow, Medical Imaging Department, Ministry of National Guard-Health Affairs, King Abdullah Specialist Children's Hospital (KASCH) and King AbdulAziz Medical City (KAMC), P.O. Box 22490, Riyadh, 11426, Saudi Arabia.

出版信息

Surg Radiol Anat. 2019 Nov;41(11):1391-1394. doi: 10.1007/s00276-019-02278-9. Epub 2019 Jun 27.

Abstract

We report an extremely rare case of splenic artery arising from hepatic artery proper in a patient with celiacomesenteric trunk variant. This anatomical variation was detected angiographically during hepatic mapping prior to transarterial radioembolization (TARE) for hepatocellular carcinoma in an 84-year-old man. TARE of hepatic tumors is one of the frequent procedures done by interventional radiologists. The identification of such rare vascular aberrations is of great importance not only in current interventional radiology procedures such as radioembolization but also in surgery and diagnostic radiology. To the best of our knowledge, this vascular variant is a novel discovery.

摘要

我们报告了一例极为罕见的病例,在一名患有腹腔干肠系膜上动脉变异的患者中,脾动脉发自肝固有动脉。这种解剖变异是在一名84岁男性肝细胞癌患者行经动脉放射性栓塞术(TARE)前的肝脏血管造影术中发现的。肝脏肿瘤的TARE是介入放射科医生经常进行的操作之一。识别这种罕见的血管异常不仅在当前的介入放射学操作如放射性栓塞术中,而且在外科手术和诊断放射学中都具有重要意义。据我们所知,这种血管变异是一项新发现。

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