Abstract
The arterial system of the gastrointestinal tract has many variations. However, variation in the inferior mesenteric artery (IMA) is less common than for the other abdominal arteries. The case in the present cadaver subject showed a variation in the anatomy of the IMA that differed from those seen in previous studies, because it did not originate from the abdominal aorta and had no branches. A single artery arising from branches of the inferior pancreaticoduodenal and middle colic arteries supplied the hindgut. This variation generated blood vessels along the digestive tract during the later stages of development. The marginal artery of the colon in this case probably was more highly developed instead of the IMA. It is clinically important to know the range of variations, as these data are used in the diagnosis and treatment of abdominal diseases. This hitherto unknown variation might affect the health of patients, and we recommend radiographic examinations for diagnosis and treatment.
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References
Bergman RA, Thompson SA, Afifi AK, Saadeh FA (1988) Compendium of human anatomic variation. Urban & Schwarzenberg, Baltimore
Douard R, Chevallier JM, Delmas V, Cugnenc PH (2006) Clinical interest of digestive arterial trunk anastomoses. Surg Radiol Anat 28:219–227. doi:10.1007/s00276-006-0098-8
Gurses IA, Gayretli O, Canberk S, Kale A (2015) A mixed-type intermesenteric trunk as a major contributor to the ascending, transverse, and descending colons: a case report. Surg Radiol Anat 38:383–386. doi:10.1007/s00276-015-1515-7
Kitamura S, Nishiguchi T, Sakai A, Kumamoto K (1987) Rare case of the inferior mesenteric artery arising from the superior mesenteric artery. Anat Rec 217:99–102. doi:10.1002/ar.1092170113
Lange JF, Komen N, Akkerman G, Nout E, Horstmanshoff H, Schlesinger F, Bonjer J, Kleinrensink GJ (2007) Riolan’s arch: confusing, misnomer, and obsolete. A literature survey of the connection(s) between the superior and inferior mesenteric arteries. Am J Surg 193:742–748. doi:10.1016/j.amjsurg.2006.10.022
Larsen WJ, Sherman LS (2001) Human embryology. Churchill Livingstone, Philadelphia
Nassar L, Atweh LA, Jurjus A, Al Kutoubi A (2012) Unusual arterial pattern of the gastrointestinal tract: inferior mesenteric artery arising from the iliac artery and corkscrew external iliac. Vasc Endovasc Surg 46:418–421. doi:10.1177/1538574412445217
Nishiguchi T, Kitamura S, Matsuoka K, Kaneda M, Yoshioka T, Sakai A (1986) A case of the absence of the inferior mesenteric artery. Kaibogaku Zasshi 61:186–189
Wu Y, Peng W, Wu H, Chen G, Zhu J, Xing C (2014) Absence of the superior mesenteric artery in an adult and a new classification method for superior-inferior mesenteric arterial variations. Surg Radiol Anat 36:511–515. doi:10.1007/s00276-013-1183-4
Yi SQ, Li J, Terayama H, Naito M, Iimura A, Itoh M (2008) A rare case of inferior mesenteric artery arising from the superior mesenteric artery, with a review of the review of the literature. Surg Radiol Anat 30:159–165. doi:10.1007/s00276-007-0298-x
Yoo SJ, Ku MJ, Cho SS, Yoon SP (2011) A case of the inferior mesenteric artery arising from the superior mesenteric artery in a Korean woman. J Korean Med Sci 26:1382–1385. doi:10.3346/jkms.2011.26.10.1382
Zebrowski W, Augustyniak E, Zając S (1971) Variations of origin and branching of the inferior mesenteric artery and its anastomoses. Folia Morphol (Warsz) 30:9
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We would like to thank Kwan-Hyun Youn, Medical Illustrator, for drawing of the figure.
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Kim, DI., Han, SH. A rare branching pattern of hindgut: absence of inferior mesenteric artery. Surg Radiol Anat 39, 803–806 (2017). https://doi.org/10.1007/s00276-016-1770-2
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DOI: https://doi.org/10.1007/s00276-016-1770-2