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一种涉及五叉状腹腔干的新型动脉变异。

A New Arterial Variation Involving a Pentafurcated Coeliac Trunk.

作者信息

Abelleyra Lastoria Diego A, Haiser Alexander, Opoka Vanessa, Parry David

机构信息

Faculty of Life Sciences and Medicine, King's College London, London, GBR.

出版信息

Cureus. 2022 Jul 2;14(7):e26508. doi: 10.7759/cureus.26508. eCollection 2022 Jul.

DOI:10.7759/cureus.26508
PMID:35923486
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9341146/
Abstract

We present a newly found variation of the coeliac trunk. The variation may have clinical implications during surgery and radiological investigations. Open abdominal dissection of an embalmed 65-year-old female cadaver, whose cause of death was metastatic breast carcinoma, was performed in the King's College London dissection laboratory. Standard, student issue cadaveric dissection equipment was used. A new variation of the coeliac trunk was observed. The variation was a pentafurcated coeliac trunk, with additional arterial variations. The left gastric artery, splenic artery, gastroduodenal artery, middle colic artery, and jejunoileal artery emerged directly from the coeliac trunk. The proper hepatic artery emerged directly from the superior mesenteric artery. The literature review did not reveal the combination of variations that we report. This case reports a new combination of arterial variations. It adds to the knowledge of surgeons and radiologists and highlights the importance of awareness of anatomical variations. Knowledge of anatomical variations may improve patient outcomes.

摘要

我们展示了一种新发现的腹腔干变异。这种变异在手术和放射学检查过程中可能具有临床意义。在伦敦国王学院解剖实验室,对一名65岁因转移性乳腺癌死亡的女性防腐尸体进行了腹部开放解剖。使用的是标准的、学生用的尸体解剖设备。观察到一种新的腹腔干变异。该变异为五叉状腹腔干,并伴有其他动脉变异。胃左动脉、脾动脉、胃十二指肠动脉、中结肠动脉和空回肠动脉直接从腹腔干发出。肝固有动脉直接从肠系膜上动脉发出。文献综述未发现我们所报告的这种变异组合。本病例报告了一种新的动脉变异组合。它增加了外科医生和放射科医生的知识,并强调了认识解剖变异的重要性。了解解剖变异可能会改善患者的治疗效果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e93/9341146/f821642890f8/cureus-0014-00000026508-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e93/9341146/f821642890f8/cureus-0014-00000026508-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e93/9341146/f821642890f8/cureus-0014-00000026508-i01.jpg

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1
A New Arterial Variation Involving a Pentafurcated Coeliac Trunk.一种涉及五叉状腹腔干的新型动脉变异。
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本文引用的文献

1
ANATOMICAL VARIATIONS OF THE CELIAC TRUNK: A SYSTEMATIC REVIEW.腹腔干的解剖变异:一项系统综述
Arq Bras Cir Dig. 2018 Dec 6;31(4):e1403. doi: 10.1590/0102-672020180001e1403.
2
Multiple variations in the branches of the coeliac trunk.腹腔干分支的多种变异。
Anat Cell Biol. 2015 Jun;48(2):147-50. doi: 10.5115/acb.2015.48.2.147. Epub 2015 Jun 26.
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Anatomical variations of the coeliac trunk in the homogeneous Polish population.波兰同质人群中腹腔干的解剖变异
Folia Morphol (Warsz). 2015;74(1):93-9. doi: 10.5603/FM.2014.0059.
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Absence of the celiac trunk: case report using MDCT angiography.腹腔干缺如:使用多层螺旋CT血管造影的病例报告
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Hepato-gastro-phrenic trunk and hepato-spleno-mesenteric trunk: a rare anatomic variation.肝胃膈干和肝脾肠系膜干:一种罕见的解剖变异。
Trop Gastroenterol. 2011 Jan-Mar;32(1):56-9.
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Mesenteric vasculature and collateral pathways.肠系膜血管系统和侧支循环途径。
Semin Intervent Radiol. 2009 Sep;26(3):167-74. doi: 10.1055/s-0029-1225663.
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Clinically relevant variations of the coeliac trunk.腹腔干的临床相关变异。
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Anatomical variations of the coeliac trunk and the mesenteric arteries evaluated with 64-row CT angiography.利用64排CT血管造影术评估腹腔干和肠系膜动脉的解剖变异。
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A rare variation of the coeliac trunk.腹腔干的一种罕见变异。
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