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The third time is the charm--anastomosis between the celiac trunk and the left colic artery
Bojan V Stimec1, Sylvain Terraz, Jean H D Fasel
1Faculty of Medicine, Department of Cellular Physiology and Metabolism, Anatomy Sector, University of Geneva, Geneva, Switzerland. bojan.stimec@unige.ch
Insights
A rare abdominal vascular variation was found in a 58-year-old woman, featuring an unusual vessel connecting the celiac trunk and left colic artery. This anatomical anomaly, explained by embryological development, impacts radiological interpretation and surgical planning.
Area of Science:
- Vascular anatomy
- Embryology
- Radiology
Background:
- Anatomical variations in abdominal vasculature are crucial for clinical practice.
- Understanding embryological origins aids in explaining aberrant vessel formation.
Observation:
- A multidetector computed tomography angiogram identified an atypical anastomotic vessel.
- This vessel connected the celiac trunk stem to the left colic artery.
Findings:
- The aberrant artery supplied the left colon and the pancreatic body and tail.
- An embryological explanation, the longitudinal ventral anastomosis, is proposed for its development.
Implications:
- This vascular anomaly may complicate radiological assessments of the abdomen.
- Surgical interventions involving the aorta, left colon, or pancreas could be affected by this variation.
Abstract:
An atypical case of abdominal vasculature, found in a 58-year-old woman is presented. The multidetector computed tomography angiogram revealed a large tortuous anastomotic vessel between the stem of the celiac trunk and the left colic artery, supplying branches for the left colon and pancreatic body and tail. We propose a simple embryological explanation for the development of this aberrant artery--the longitudinal ventral anastomosis, which connects the precursors of principal visceral arteries in a loop-like manner, loses its direct communication with the superior mesenteric artery but maintains its continuity above and below this level. This variation could pose a problem for radiological interpretation and affect surgical approaches to the aorta, left colon, and the pancreas.
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