Skip to main content

Normal and Variant Mesenteric Anatomy

  • Chapter
  • First Online:
Mesenteric Vascular Disease

Abstract

The mesenteric vascular supply is a combination of rich collateral networks and commonly encountered variant anatomy. The effect of normal and variant anatomy has implications on pathology, treatment choices, and planning interventions. The goal of this chapter is to review the standard vascular anatomy with details of the potential collateral systems that may be present. Finally, a review of anatomic variants will assist in understanding the implications of abnormal anatomy on treatment for diseases associated with the mesentery.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

eBook
USD 16.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 119.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 169.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Carlson BM. Human embryology and developmental biology. 5th ed. Philadelphia: Elsevier/Saunders; 2013.

    Google Scholar 

  2. Uflacker R, Selby JB. Atlas of vascular anatomy : an angiographic approach. 2nd ed. Phila-delphia: Lippincott Williams & Wilkins; 2007. xiv, 905 p.

    Google Scholar 

  3. Kahn P, Abrams HL. Inferior mesenteric arterial patterns; an angiographic study. Radiology. 1964;82:429–42.

    Article  CAS  PubMed  Google Scholar 

  4. Meyers MA. Griffiths' point: critical anastomosis at the splenic flexure. Significance in ischemia of the colon. Am J Roentgenol. 1976;126(1):77–94.

    Article  CAS  Google Scholar 

  5. Geroulakos G, Cherry KJ. Diseases of the visceral circulation. London/New York: Arnold, Distributed in the USA by Oxford University Press; 2002. viii, 228 p., 12 p. of plates.

    Google Scholar 

  6. Rosenblum JD, Boyle CM, Schwartz LB. The mesenteric circulation. Anatomy and physiology. Surg Clin North Am. 1997;77(2):289–306.

    Article  CAS  PubMed  Google Scholar 

  7. Fisher Jr DF, Fry WJ. Collateral mesenteric circulation. Surg Gynecol Obstet. 1987;164(5):487–92.

    PubMed  Google Scholar 

  8. Gourley EJ, Gering SA. The meandering mesenteric artery: a historic review and surgical implications. Dis Colon Rectum. 2005;48(5):996–1000.

    Article  PubMed  Google Scholar 

  9. Michels NA, Siddharth P, Kornblith PL, Parke WW. The variant blood supply to the descending colon, rectosigmoid and rectum based on 400 dissections. Its importance in regional resections: a review of medical literature. Dis Colon Rectum. 1965;8:251–78.

    Article  CAS  PubMed  Google Scholar 

  10. Covey AM, Brody LA, Maluccio MA, Getrajdman GI, Brown KT. Variant hepatic arterial anatomy revisited: digital subtraction angiography performed in 600 patients. Radiology. 2002;224(2):542–7.

    Article  PubMed  Google Scholar 

  11. Hiatt JR, Gabbay J, Busuttil RW. Surgical anatomy of the hepatic arteries in 1000 cases. Ann Surg. 1994;220(1):50–2.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  12. Valentine RJ, Wind GG. Anatomic exposures in vascular surgery. 2nd ed. Philadelphia: Lippincott Williams & Wilkins; 2003. xiii, 577 p.

    Google Scholar 

  13. De Cecco CN, Ferrari R, Rengo M, Paolantonio P, Vecchietti F, Laghi A. Anatomic variations of the hepatic arteries in 250 patients studied with 64-row CT angiography. Eur Radiol. 2009;19(11):2765–70.

    Article  PubMed  Google Scholar 

  14. Michels NA. The anatomic variations of the arterial pancreaticoduodenal arcades: their import in regional resection involving the gall bladder, bile ducts, liver, pancreas and parts of the small and large intestines. J Int Coll Surg. 1962;37:13–40.

    CAS  PubMed  Google Scholar 

  15. Daseler EH, Anson BJ, et al. The cystic artery and constituents of the hepatic pedicle; a study of 500 specimens. Surg Gynecol Obstet. 1947;85(1):47–63.

    CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Randall R. De Martino MD, MS .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2015 Springer Science+Business Media New York

About this chapter

Cite this chapter

De Martino, R.R. (2015). Normal and Variant Mesenteric Anatomy. In: Oderich, G. (eds) Mesenteric Vascular Disease. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-1847-8_2

Download citation

  • DOI: https://doi.org/10.1007/978-1-4939-1847-8_2

  • Published:

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4939-1846-1

  • Online ISBN: 978-1-4939-1847-8

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics