Hepato-Pancreato-Biliary Surgery and Liver Transplantation, Pôle des Pathologies Digestives, Hépatiques et de la Transplantation, Hôpital de Hautepierre-Hôpitaux Universitaires de Strasbourg, Université de Strasbourg, 1, Avenue Molière, 67098, Strasbourg, France.
ICube, CNRS UMR 7357, Université de Strasbourg, Illkirch, France.
Surg Radiol Anat. 2022 Sep;44(9):1247-1250. doi: 10.1007/s00276-022-03009-3. Epub 2022 Sep 6.
Aberrant left gastric vein is a rare variant and hardly known by surgeons. Its misidentification may lead to accidental bleeding. More importantly, it can also be the root of hypertensive gastropathy in cirrhotic patients and tumor spread in patients with gastric cancer. Here, we describe and provide imaging data of the three patterns of aberrant left gastric veins.
Over the past 5 years, three cases were noted, each one corresponding to one of the three variants.
Aberrant left gastric vein is a rare anatomical entity and has rarely been reported. Its normal anatomy and variants, embryological origins, radiological analysis, and clinical implications are all discussed, bringing light to what surgeons should know when encountering an aberrant left gastric vein.
Surgeons should be aware of the types of ALGV, its associated arterial variations, the presence of pseudolesion or not, and the potential atrophy of liver segment.
异常左胃静脉是一种罕见的变异，外科医生对此知之甚少。如果错误识别，可能会导致意外出血。更重要的是，它也可能是肝硬化患者高血压性胃病和胃癌患者肿瘤扩散的根源。在此，我们描述并提供了三种异常左胃静脉模式的影像学数据。
在过去的 5 年中，我们注意到了 3 例病例，每例都对应一种变异类型。
异常左胃静脉是一种罕见的解剖实体，很少有报道。我们讨论了其正常解剖和变异、胚胎起源、影像学分析以及临床意义，使外科医生在遇到异常左胃静脉时能够了解到需要注意的事项。
外科医生应该了解 ALGV 的类型、其相关动脉变异、是否存在假性病变以及肝段萎缩的可能性。
