Higashi N, Hirai K
Department of Anatomy, Kanazawa Medical University, Ishikawa, Japan.
Kaibogaku Zasshi. 1995 Aug;70(4):338-46.
This report describes anomalous cases having the so-called gastro-lienal and the hepato-mesenteric trunks instead of the celiac and superior mesenteric arteries. These anomalous cases were divided into 4 types and 6 classes according to difference of running form of the hepatic artery as follows. Type I: This hepatic artery arose from an unusual hepato-mesenteric trunk off the aorta immediately inferior to the gastro-lienal trunk. This artery ascended behind the portal vein and splenic vein, passed around in front of the left side of the portal vein, and arrived in the liver. Type II: This hepatic artery arose from an unusual hepato-mesenteric trunk off the aorta immediately inferior to the gastro-lienal trunk. This hepatic artery ascended behind the portal vein, passed around front from the right side of the portal vein, and arrived in the liver. Type III: This hepatic artery arose from an unusual hepato-mesenteric trunk off the aorta immediately inferior to the gastrolienal trunk. This hepatic artery of III-P ascended between the portal vein and pancreas, III-A ascended in front of the pancreas. Type IV: This hepatic artery arose from an unusual hepato-mesenteric trunk off the aorta immediately inferior to the gastro-lienal trunk. This type of hepatic artery ascended behind the superior mesenteric vein, passed around in front from the right side of the portal vein, and arrived in the liver. This hepatic artery of IV-P ascended behind pancreas, IV-A ascended in front of the pancreas.(ABSTRACT TRUNCATED AT 250 WORDS)
本报告描述了一些异常病例,这些病例存在所谓的胃脾干和肝肠系膜干,而非腹腔干和肠系膜上动脉。根据肝动脉走行形式的差异,这些异常病例分为4型6类,具体如下。I型:该肝动脉起自于腹主动脉上紧邻胃脾干下方的异常肝肠系膜干。此动脉在门静脉和脾静脉后方上行,从门静脉左侧前方绕过,然后进入肝脏。II型:该肝动脉起自于腹主动脉上紧邻胃脾干下方的异常肝肠系膜干。此肝动脉在门静脉后方上行,从门静脉右侧前方绕过,然后进入肝脏。III型:该肝动脉起自于腹主动脉上紧邻胃脾干下方的异常肝肠系膜干。III-P型的此肝动脉在门静脉和胰腺之间上行,III-A型在胰腺前方上行。IV型:该肝动脉起自于腹主动脉上紧邻胃脾干下方的异常肝肠系膜干。此型肝动脉在肠系膜上静脉后方上行,从门静脉右侧前方绕过,然后进入肝脏。IV-P型的此肝动脉在胰腺后方上行,IV-A型在胰腺前方上行。(摘要截断于250字)