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Erschienen in: Surgical and Radiologic Anatomy 3/2019

03.01.2019 | Anatomic Variations

Aberrant splenic artery rising from the superior mesenteric artery: a rare but important anatomical variation

Erschienen in: Surgical and Radiologic Anatomy | Ausgabe 3/2019

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Abstract

Aberrant splenic artery originating from the superior mesenteric artery (SMA) is extremely rare and recognition of this anomaly is important in the pre-operative planning of complex surgery such as pancreatic surgery, liver transplantation and vascular surgery. We present the case of an 80-year-old female diagnosed as septic shock due to mesenteric ischemia and obstructive pyelonephritis. Her splenic artery was originating from the SMA and the anomaly was readily appreciated on the pre-operative CT images. An explorative laparotomy associating extensive small bowel resection with endarterectomy of the proximal part of the SMA was performed. During intra-operative SMA control, we confirmed the aberrant splenic artery arising from SMA, and successfully avoid any arterial injury on the splenic artery with isolation and separated proximal and distal clamping. The anatomical vascular variation should be recognized in the pre-operative work-up of a determined surgical procedure to avoid potential intra-operative arterial injuries.
Literatur
1.
Zurück zum Zitat Fiorello B, Corsetti R (2015) Splenic artery originating from the superior mesenteric artery: an unusual but important anatomic variant. Ochsner J 15:476–478PubMedPubMedCentral Fiorello B, Corsetti R (2015) Splenic artery originating from the superior mesenteric artery: an unusual but important anatomic variant. Ochsner J 15:476–478PubMedPubMedCentral
2.
Zurück zum Zitat Montoya M, Gaddis B, Leoce BM, Dardik H, Bernik TR (2018) Aberrant splenic artery complicated by aneurysm during pregnancy. J Vasc Surg Cases Innov Tech 4:119–121CrossRefPubMedPubMedCentral Montoya M, Gaddis B, Leoce BM, Dardik H, Bernik TR (2018) Aberrant splenic artery complicated by aneurysm during pregnancy. J Vasc Surg Cases Innov Tech 4:119–121CrossRefPubMedPubMedCentral
3.
Zurück zum Zitat Panagouli E, Venieratos D, Lolis E, Skandalakis P (2013) Variations in the anatomy of the celiac trunk: a systematic review and clinical implications. Ann Anat 195:501–511CrossRefPubMed Panagouli E, Venieratos D, Lolis E, Skandalakis P (2013) Variations in the anatomy of the celiac trunk: a systematic review and clinical implications. Ann Anat 195:501–511CrossRefPubMed
4.
Zurück zum Zitat Pandey SK, Bhattacharya S, Mishra RN, Shukla VK (2004) Anatomical variations of the splenic artery and its clinical implications. Clin Anat 17:497–502CrossRefPubMed Pandey SK, Bhattacharya S, Mishra RN, Shukla VK (2004) Anatomical variations of the splenic artery and its clinical implications. Clin Anat 17:497–502CrossRefPubMed
5.
Zurück zum Zitat Potgieter RE, Taylor AM, Wessels Q (2018) A rare combined variation of the coeliac trunk, renal and testicular vasculature. Anat Cell Biol 51:62–65CrossRefPubMedPubMedCentral Potgieter RE, Taylor AM, Wessels Q (2018) A rare combined variation of the coeliac trunk, renal and testicular vasculature. Anat Cell Biol 51:62–65CrossRefPubMedPubMedCentral
6.
Zurück zum Zitat Zhou W, Qiu J, Yuan Q, Zhou W, Xiong J, Zeng Q (2014) Successful treatment of aberrant splenic artery aneurysm with a combination of coils embolization and covered stents. BMC Surg 14:62CrossRefPubMedPubMedCentral Zhou W, Qiu J, Yuan Q, Zhou W, Xiong J, Zeng Q (2014) Successful treatment of aberrant splenic artery aneurysm with a combination of coils embolization and covered stents. BMC Surg 14:62CrossRefPubMedPubMedCentral
Metadaten
Titel
Aberrant splenic artery rising from the superior mesenteric artery: a rare but important anatomical variation
Publikationsdatum
03.01.2019
Erschienen in
Surgical and Radiologic Anatomy / Ausgabe 3/2019
Print ISSN: 0930-1038
Elektronische ISSN: 1279-8517
DOI
https://doi.org/10.1007/s00276-018-02177-5

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