Department of Anatomy, Medical School, National and Kapodistrian University of Athens, Athens, Greece.
Acta Med Acad. 2022 Dec;51(3):243-248. doi: 10.5644/ama2006-124.394. Epub 2022 Dec 30.
The objective of the current study was to describe the anatomical variations of vessels observed in patients with Meckel's Diverticulum.
A narrative review of the literature was undertaken by means of the PubMed database, using the terms: "Meckel's Diverticulum AND vessels", "Meckel's Diverticulum AND anatomical variation" and "Meckel's Diverticulum variation". Classical anatomical textbooks were also used for normal anatomy. Additional articles provided useful information in relation to the aim of this review. Hence, the articles that met the inclusion criteria were included in this review, and the collected data were categorized into a single table.
The majority of studies indicated the presence of an abnormal vitelline artery. Other angiographic findings concerned variations of the ileal and the iliac arteries. However, the literature revealed the presence of vascular variations without the existence of Meckel's Diverticulum, whereas a remnant of the vitelline vein may be present, but it is very rare.
The detection of vascular variations accompanying Meckel's Diverticulum is not always easy and requires the correct choice of imaging method to prevent misdiagnosis.
本研究旨在描述 Meckel 憩室患者中观察到的血管解剖变异。
通过 PubMed 数据库，使用以下术语进行文献的叙述性综述：“ Meckel 憩室 AND 血管”、“ Meckel 憩室 AND 解剖变异”和“ Meckel 憩室变异”。经典解剖学教科书也用于正常解剖学。其他文章提供了与本次综述目的相关的有用信息。因此，符合纳入标准的文章被纳入本综述，收集的数据被归类到一个单一的表格中。
大多数研究表明存在异常的脐动脉。其他血管造影发现与回肠和髂动脉的变异有关。然而，文献表明存在血管变异而不存在 Meckel 憩室，尽管可能存在但非常罕见的是脐静脉的残留。
Meckel 憩室伴发血管变异的检测并不总是容易的，需要正确选择成像方法以防止误诊。
