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Concurrent aberrant right gastric vein directly draining into the liver and variations of the hepatic artery

  • Anatomic Variations
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Abstract

We report an autopsy on a 46-year-old man, a case that presented the concurrence of two rare vascular variations of the lesser omentum: aberrant right gastric vein draining directly into the liver, and multiple hepatic arteries. Although the left gastric vein emptied into the left aspect of the portal vein, the right one was found to ascend from the gastric lesser curvature along the right aspect of the common bile duct and to reach directly the porta hepatis. A left hepatic artery originating from the left gastric artery entered the porta hepatis in conjunction with the left ramus of the portal vein. A predominant right hepatic artery arose from the superior mesenteric artery and entered the porta hepatis in conjunction with the right ramus of the portal vein. The proper hepatic artery originating from the celiac artery entered the porta hepatis in conjunction with the aberrant right gastric vein. The possibility of a common underlying mechanism for these rare vascular variations is discussed.

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References

  1. Almenar-Garcia V, Sanchez del Campo F, Puchades Orts A, Cort Gomis A, Correa Lacarcel J (1993) One further case of unusual origin of three hepatic arteries. Surg Radiol Anat 15:155–157

    CAS  PubMed  Google Scholar 

  2. Barth M, Tongio J, Warter P (1976) Interprétation embryologique de l’anatomie des artères digestives. Ann Radiol 19:305–313

    CAS  PubMed  Google Scholar 

  3. Broman I (1903) Über die Existenz eines bisher unbekannten Kreislaufes im embryonalen Magen. Anat Anz 23:390–391

    Google Scholar 

  4. Couinaud C (1957) Le foie : études anatomiques et chirurgicales. Masson, Paris

  5. Couinaud C (1988) The parabiliary venous system. Surg Radiol Anat 10:311–316

    CAS  PubMed  Google Scholar 

  6. Gabata T, Matsui O, Kadoya M, Ueda K, Kawamori Y, Yoshikawa J, Takashima T (1997) Aberrant gastric venous drainage in a focal spared area of segment IV in fatty liver: Demonstration with color Doppler sonography. Radiology 203:461–463

    CAS  PubMed  Google Scholar 

  7. Henle J (1876) Handbuch der Gefässlehre des Menschen. Druck und Verlag von Friedrich Vieweg & Sohn, pp 423

  8. Kurosaki Y, Tanaka YO, Itai Y (1998) Aberrant gastric venous drainage in focal fatty liver of segment IV: demonstration with sonography. Am J Roentgenol 171:897–898

    CAS  Google Scholar 

  9. Maeda H, Sato M, Kimura M, Kawai N, Sonomura T, Kishi K, Terada M (1998) Focal fatty infiltration in the quadrate lobe of the liver accompanied by aberrant right gastric vein. Radiat Med 16:61–64

    CAS  PubMed  Google Scholar 

  10. Matsui O, Takahashi S, Kadoya M, Yoshikawa J, Gabata T, Takashima T, Kitagawa K (1994) Pseudolesion in segment IV of the liver at CT during arterial portography: Correlation with aberrant gastric venous drainage. Radiology 193:31–35

    CAS  PubMed  Google Scholar 

  11. Michels AM (1955) Blood supply and anatomy of upper abdominal organs with a descriptive atlas. Lippincott, Philadelphia

  12. Michels NA (1960) Newer anatomy of liver—variant blood supply and collateral circulation. JAMA 172:125–132

    Google Scholar 

  13. Miyaki T, Yamada M, Kumaki K (1987) Aberrant course of the left gastric vein in the human. Possibility of a persistent left portal vein. Acta Anat (Basel) 130:275–279

    Google Scholar 

  14. Nebot-Cegarra J, Domenech-Mateu JM (1984) Ontogenetic study of the hepatogastroesophageal anastomotic omental veins. Acta Anat (Basel) 119:210–216

    Google Scholar 

  15. Nebot-Cegarra J, Domenech-Mateu JM (1986) Intrahepatic termination of the left gastric vein (vena gastrica sinistra): A new case of this unusual anatomic variation. Anat Anz 161:309–315

    CAS  PubMed  Google Scholar 

  16. Sappey PC (1889) Traité d’anatomie descriptive. Lecrosnier & Babé

  17. Tajima H, Murakami R, Tajima N, Kumazaki T (1995) Aberrant right gastric vein draining directly into the quadrate lobe of the liver. A case report. Acta Radiol 36:270–272

    CAS  PubMed  Google Scholar 

  18. Takayasu K, Aoki K, Ichikawa T, Ohmura T, Sekiguchi R, Terauchi T, Takayama T (1990) Aberrant right gastric vein directly communicating with left portal vein system. Incidence and implications. Acta Radiol 31:575–577

    CAS  PubMed  Google Scholar 

  19. Tandler J (1904) Über die Varietäten der arteria coeliaca und deren Entwicklung. Anat Hefte 23:189–209

    Google Scholar 

  20. Yamagami T, Nakamura T, Maeda T (1999) Aberrant gastric venous inflow to the left lobe of the liver parenchyma adjacent to the falciform ligament. Br J Radiol 72:903–905

    CAS  PubMed  Google Scholar 

  21. Yoon KH, Matsui O, Kadoya M, Yoshigawa J, Gabata T, Arai K (1999) Pseudolesion in segments II and III of the liver on CT during arterial portography caused by aberrant right gastric venous drainage. J Comput Assist Tomogr 23:306–309

    Article  CAS  PubMed  Google Scholar 

  22. Zhang J, Rath AM, Chevrel JP (1994) Anatomic bases of venous drainage in gastric tubular esophagoplasty. Surg Radiol Anat 16:221–228

    CAS  PubMed  Google Scholar 

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Acknowledgments

We are indebted to Dr. J.P. Vlaeminck for original art works.

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Authors and Affiliations

  1. Department of Anatomy, Faculty of Medicine Henri Warembourg, University of Lille 2, 59045, Lille, Cedex, France

    L. Caty, E. Denève, C. Fontaine & P. Guillem

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  1. L. Caty
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  2. E. Denève
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  3. C. Fontaine
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  4. P. Guillem
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Correspondence to P. Guillem.

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Caty, L., Denève, E., Fontaine, C. et al. Concurrent aberrant right gastric vein directly draining into the liver and variations of the hepatic artery. Surg Radiol Anat 26, 70–73 (2004). https://doi.org/10.1007/s00276-003-0191-1

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  • DOI: https://doi.org/10.1007/s00276-003-0191-1

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