scholarly journals DOUBLE MIDDLE COLIC ARTERIES IN A FEMALE CADAVER OF ASIAN ORIGIN - A CASE REPORT. Doble arteria cólica media en un cadáver femenino de origen asiático – Presentación de un caso

2016 ◽  
Vol 7 (2) ◽  
pp. 118-121
Author(s):  
Chitra Ramasamy ◽  
Shakthi Kumaran Ramasamy
Keyword(s):  
Undergraduate Students ◽  
Celiac Trunk ◽  
Vascular Supply ◽  
Middle Colic Artery ◽  
Colic Artery ◽  
Asian Origin ◽  
Female Cadaver ◽  
Pancreatic Resections ◽  
Para Determinar ◽  
Left Middle

Tener conocimiento de las variantes en el suministro vascular del tracto gastrointestinal es esencial, sobre todo en procesos quirúrgicos de mínimamente invasivos. Se describe la rara variante de la arteria cólica media doble – arteria principal cólica media derecha de la arteria mesentérica superior y arteria accesoria cólica media izquierda del tronco celíaco en un cadáver femenino durante la disección ante estudiantes universitarios. Una arteriografía selectiva preoperatoria es importante para determinar tales anomalías antes de realizar resecciones pancreáticas electivas. Knowledge of variant vascular supply of the gastrointestinal tract is essential, especially in  minimal access surgical procedures. We describe the rare variation of double middle colic arteries, the main right middle colic artery from the superior mesenteric artery and the accessory left middle colic artery from the celiac trunk in a female cadaver during dissection for undergraduate students. A pre-operative selective arteriogram is important to determine such anomalies prior to performing elective pancreatic resections

Surgical anatomy of the accessory middle colic artery: a meta‐analysis with implications for splenic flexure cancer surgery

2021 ◽  
Author(s):  
Isaac Cheruiyot ◽  
Roberto Cirocchi ◽  
Jeremiah Munguti ◽  
Justin Davies ◽  
Justus Randolph ◽  
...  
Keyword(s):  
Splenic Flexure ◽  
Meta Analysis ◽  
Surgical Anatomy ◽  
Cancer Surgery ◽  
Middle Colic Artery ◽  
Colic Artery ◽  
Splenic Flexure Cancer

scholarly journals Re-interpreting mesenteric vascular anatomy on 3D virtual and/or physical models: positioning the middle colic artery bifurcation and its relevance to surgeons operating colon cancer

2021 ◽  
Author(s):  
Bjarte T. Andersen ◽  
Bojan V. Stimec ◽  
Bjørn Edwin ◽  
Airazat M. Kazaryan ◽  
Przemyslaw J. Maziarz ◽  
...  
Keyword(s):  
Colon Cancer ◽  
Splenic Vein ◽  
Vascular Anatomy ◽  
Middle Colic Artery ◽  
Inferior Mesenteric Vein ◽  
Anatomical Landmarks ◽  
Colic Artery ◽  
Mesenteric Vein ◽  
Wide Range ◽  
The Impact

Abstract Background The impact of the position of the middle colic artery (MCA) bifurcation and the trajectory of the accessory MCA (aMCA) on adequate lymphadenectomy when operating colon cancer have as of yet not been described and/or analysed in the literature. The aim of this study was to determine the MCA bifurcation position to anatomical landmarks and to assess the trajectory of aMCA. Methods The colonic vascular anatomy was manually reconstructed in 3D from high-resolution CT datasets using Osirix MD and 3-matic Medical and analysed. CT datasets were exported as STL files and supplemented with 3D printed models when required. Results Thirty-two datasets were analysed. The MCA bifurcation was left to the superior mesenteric vein (SMV) in 4 (12.1%), in front of SMV in 17 (53.1%) and right to SMV in 11 (34.4%) models. Median distances from the MCA origin to bifurcation were 3.21 (1.18–15.60) cm. A longer MCA bifurcated over or right to SMV, while a shorter bifurcated left to SMV (r = 0.457, p = 0.009). The main MCA direction was towards right in 19 (59.4%) models. When initial directions included left, the bifurcation occurred left to or anterior to SMV in all models. When the initial directions included right, the bifurcation occurred anterior or right to SMV in all models. The aMCA was found in 10 (31.3%) models, following the inferior mesenteric vein (IMV) in 5 near the lower pancreatic border. The IMV confluence was into SMV in 18 (56.3%), splenic vein in 11 (34.4%) and jejunal vein in 3 (9.4%) models. Conclusion Awareness of the wide range of MCA bifurcation positions reported is crucial for the quality of lymphadenectomy performed. The aMCA occurs in 31.3% models and its trajectory is in proximity to the lower pancreatic border in one half of models, indicating that it needs to be considered when operating splenic flexure cancer.

scholarly journals Elective Treatment of Middle Colic Artery Aneurysm

2014 ◽  
Vol 7 (3) ◽  
pp. 328-330 ◽  
Author(s):  
Kengo Nishimura ◽  
Takafumi Hamasaki ◽  
Rikako Ota ◽  
Takashi Ohno ◽  
Wataru Kodama ◽  
...  
Keyword(s):  
Artery Aneurysm ◽  
Middle Colic Artery ◽  
Colic Artery ◽  
Elective Treatment

scholarly journals Anatomical Study of Variations in the Branches of Superior Mesenteric Artery – A Study from a Teaching Hospital in Chennai, India

2021 ◽  
Vol 10 (20) ◽  
pp. 1506-1510
Author(s):  
Ganga Venkatachalam ◽  
Kanagavalli Paramasivam ◽  
Lakshmi Valliyappan
Keyword(s):  
Superior Mesenteric Artery ◽  
Abdominal Aorta ◽  
Mesenteric Artery ◽  
Lumbar Vertebra ◽  
Anatomical Study ◽  
Middle Colic Artery ◽  
Branching Pattern ◽  
Colic Artery ◽  
Human Cadavers ◽  
Derivatives Of

BACKGROUND Superior Mesenteric Artery (SMA) is one of the anterior branches of the abdominal aorta. It originates from abdominal aorta at the level of lower border of first lumbar vertebra, one centimeter below the coeliac trunk. It gives the first branch inferior pancreaticoduodenal artery (IPDA), The colic branches arise from concave right side of the superior mesenteric artery, these are middle colic artery (MCA), right colic artery (RCA), ileo colic artery (ICA). Jejunal and ileal branches arise from left side of the SMA. Superior mesenteric artery supplies derivatives of midgut. Knowledge of branching pattern of the SMA is clinically important to gastroenterologists operating on gut and neighboring structures like pancreas, duodenum, and liver. We wanted to study the variations in the branches of superior mesenteric artery. METHODS This is a descriptive study conducted on 50 adult embalmed human cadavers by conventional dissection method, the findings were noted and tabulated. RESULTS Present study shows that inferior pancreatic duodenal artery orginated from SMA in 47 (94 %) specimens. IPDA was absent in 3 (6 %) specimens. Middle colic artery was found to arise from SMA in 48 (94 %) and MCA was absent in 2 (4 %) specimens. Right colic artery was found to arise from SMA in 47 (94 %) specimens and it was absent in 3 (6 %) specimens. Ileo-colic artery was found to arise from SMA in all 50 (100 %) specimens. CONCLUSIONS Awareness of these complex variations may prevent devastating complications during colonic surgeries. Variations in the branching pattern of superior mesenteric artery is essential for surgeons operating on derivatives of midgut, liver, pancreas. KEY WORDS Branches, Colic, Superior Mesenteric Artery, Variations

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