A Case of Unusual Vascularization of Upper Abdominal Cavity’ Organs

Mazuruc, Natalia; Covanţev, Serghei; Belic, Olga

doi:10.1155/2018/5738037

Cited by 5 publications

(3 citation statements)

References 14 publications

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“…18,19 Nevertheless, anatomical variations of the vascular supply of the liver often cannot be classified. 20 In such cases, they must be evaluated individually, taking into account the morphological particularities and their clinical significance. Abnormal vascular supply to the liver can be seen in at least 20% of cases.…”

Section: Discussionmentioning

confidence: 99%

Unusual development of the celiac trunk and its clinical significance

et al. 2021

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We describe a case of unusual development of the celiac trunk observed in the cadaver of 1-year old male child. The celiac trunk branched into five vessels: the splenic, common hepatic and left gastric arteries, the left inferior diaphragmatic artery, and a short trunk that branched into the right inferior diaphragmatic artery and right accessory hepatic artery. Additionally, the manner of branching of the vessel was unusual: it was possible to distinguish two branching points that corresponded to its s-shaped trajectory. There were also other variations of vascular supply, such as the presence of a left accessory hepatic artery, an additional superior pancreatoduodenal artery, and others. It should be noted that multiple developmental variations can be common in clinical practice and clinicians should be aware of them during diagnostic and interventional procedures.

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Section: Discussionmentioning

confidence: 99%

Unusual development of the celiac trunk and its clinical significance

et al. 2021

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“…23 Knowledge of the anatomical variations of the pancreas is essential for invasive and mini-invasive procedures on the pancreas, its ducts and biliary system. 24 Careful preoperative evaluation of the abdominal anatomy is important in surgical practice. 25 The limitations of the present study are the relatively small number of cases which is to some degree accounted for by the fact that the material is based on cadaver dissection and the anomaly is extremely rare.…”

Section: Discussionmentioning

confidence: 99%

Bifid Pancreatic Tail: an Anatomical Case Series and their Classification

Covanţev¹,

Mazuruc²,

Belic³

2021

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Anomalies and variants of development of the pancreas are relatively frequent. Bifid pancreatic tail is a rare anatomic variation with only a few cases reported in the literature. The present case series were encountered during dissection of 50 anatomical specimens of the pancreas, spleen, and duodenum. We observed four unusual cases (8%) of bifid pancreatic tail. One case was of a vertically oriented bifid pancreas tail (2%), in another case, the tails here horizontally oriented (2%) and in two cases the bifid tails were horizontally oriented but unequal (4%). The bifid tails had an arterial supply that penetrated the glands between the tails and two out of four were also supplied by the superior horizontal pancreatic artery of Popova. The ductal system usually bifurcated at the level of the tails, but a case of trifurcation was also encountered. The current cases should be taken into account in hepato-pancreato-biliary surgery to avoid misdiagnosis and to comprehensively assess the patient preoperatively.

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“…Abdominal surgery is founded on a profound understanding of the anatomy including developmental variations [4]. To avoid some operative complications, we must take into account the diversity of shapes, surfaces, boundaries and dimensions of the spleen and its relationships with adjacent organs [5,6]. Different splenic shapes and variations can lead to misdiagnosis particularly in patients with abdominal traumas.…”

Section: Introductionmentioning

confidence: 99%

Spleen: an organ of multiple shapes

Covanţev¹,

Uzdenov²,

Turovets³

et al. 2021

Iberoam J Med

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Introduction: The spleen is located in the upper part of the abdominal cavity. As an organ, the spleen can have various shapes and size. Material and methods: The human spleen was studied in 273 cadavers (154 men and 119 women) who did not have diseases of the spleen. The shape of the spleen was analyzed based on splenic index, Michels classification. Results: The most common shape of the spleen in men is the elongated one. It was encountered in 79 (51.3%) cases out of 154. In women, the most common shape was the intermediate. It was encountered in 51 (42.9%) of the 119 cases. Based on Michels classification the clinoid (wedge) shape was encountered in 102 (37.74%) cases, triangular in 59 (21.83%) and tetrahedral in 30 (11.1%). In 30.26% the shape of the spleen couldn’t be classified according to Michels classification. In 21 cases (7.77%) the spleen had a flat shape; in 27 (9.99%) – dome-shaped; in 1 case (0,37%) – Z-shape; in 18 (6.66%) – round shape; in 6 (2.22%) – irregular shape; in 2 (0.66%) - shape with a node in the hilum; in 1 (0,37%) – rhomboid shape, in 2 (0,74%) – bilobed shape and in 4 cases (1,48%) – lobular shape. The splenic fissures located on the upper edge of the organ were found in 81 (29.91%) cases, and also on the lower edge - in 41 (14.02%) cases. In 13 (4.67%) cases fissures were encountered on both sides. In 148 (51.4%) cases the spleen had no fissures on its surface. Conclusions: The spleen has various shapes beyond the classical wedge, triangular and tetrahedral. All of these shapes do not represent a pathological finding but in certain situation may require further analysis and interpretation depending on the imaging technique and experience of the physician.

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A Case of Unusual Vascularization of Upper Abdominal Cavity’ Organs

Cited by 5 publications

References 14 publications

Unusual development of the celiac trunk and its clinical significance

Unusual development of the celiac trunk and its clinical significance

Bifid Pancreatic Tail: an Anatomical Case Series and their Classification

Spleen: an organ of multiple shapes

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