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异常左结肠动脉和副右结肠动脉:一例报告及手术意义

Aberrant Left Colic Artery and Accessory Right Colic Artery: A Case Report and Surgical Implications.

作者信息

Lichtenberg Axel, Kim So Jung, Rogers Logan, Jung Joel, Rajput Megha, Rawls Camri, Alford April N, Walter Korey, Abouzaid Kamal A, Imam Ahmad

机构信息

Department of Anatomical Sciences, William Carey University College of Osteopathic Medicine, Hattiesburg, USA.

出版信息

Cureus. 2023 Jun 18;15(6):e40594. doi: 10.7759/cureus.40594. eCollection 2023 Jun.

Abstract

During a routine dissection of the abdominal region in our department of anatomy's dissection laboratory, we found two variations of the vasculature of the gastrointestinal tract within the greater peritoneal and retroperitoneal compartments: an aberrant left colic artery (LCA) and an accessory right colic artery (RCA). The aberrant LCA originates from a common trunk (CT) that arises from the superior mesenteric artery instead of the inferior mesenteric artery. The CT continues for a short distance and terminates by dividing into a middle colic artery and an accessory RCA. The aberrant LCA and accessory RCA had abnormal courses; therefore, they are vulnerable to injury during surgical procedures of the region. Hence, a thorough knowledge of vascular variations is required to avoid potential complications.

摘要

在我们解剖学系的解剖实验室进行腹部区域的常规解剖时,我们在大腹膜腔和腹膜后腔中发现了胃肠道血管的两种变异:一条异常的左结肠动脉(LCA)和一条副右结肠动脉(RCA)。异常的LCA起源于一个共同干(CT),该共同干发自肠系膜上动脉而非肠系膜下动脉。CT延续一小段距离后,通过分为中结肠动脉和副RCA而终止。异常的LCA和副RCA走行异常;因此,在该区域的手术过程中它们易受损伤。因此,需要全面了解血管变异以避免潜在并发症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9519/10353835/cb45abdf7c05/cureus-0015-00000040594-i01.jpg

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