Multiple rare abdominal aortic branch variations in the case of a centenarian woman. Case report and review of the literature
Background: Anatomical variations of the abdominal aorta are crucial when considering the success of clinical procedures including diagnostic imaging, oncologic resections, organ transplantations, laparoscopic surgeries, management of penetrating abdominal injuries, and interventional radiological p...
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Elsevier
2025-03-01
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| Series: | Translational Research in Anatomy |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2214854X24000906 |
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| author | Michela Vincis Claire Lewis Denis Barry Marcello Trucas |
| author_facet | Michela Vincis Claire Lewis Denis Barry Marcello Trucas |
| author_sort | Michela Vincis |
| collection | DOAJ |
| description | Background: Anatomical variations of the abdominal aorta are crucial when considering the success of clinical procedures including diagnostic imaging, oncologic resections, organ transplantations, laparoscopic surgeries, management of penetrating abdominal injuries, and interventional radiological procedures. Accurate knowledge of these vessels is essential for these procedures to be effective. The literature underlying the relationships of the anterior visceral branches of the aorta, especially regarding their origins and distances from the aortic bifurcation, is limited. As part of routine anatomical dissection, we identified multiple rare aortic vessel variants in a cadaveric female with associated visceral adaptations. Methods: A 99-year-old formalin embalmed female donor was dissected at the Discipline of Anatomy, School of Medicine, Trinity College Dublin. The branches of the abdominal aorta were isolated, and their course and relationships with related abdominal organs were visualised. Results: A ptotic arrangement of the liver, pancreas, stomach and gall bladder displacement, and multiple rare aortic branch variants were identified, including variations in the inferior phrenic arteries, a long hepatosplenic trunk, a long cystic artery originating from the gastroduodenal artery, the anterior origin of the right renal artery adjacent to the superior mesenteric artery, and the bilateral absence of the ovarian arteries. Conclusions: These variations, combined with the inferior displacement of several abdominal viscera make this case exceptionally rare and significant for its potential clinical and surgical implications. This work demonstrates how the simultaneous presence of multiple rare abdominal vascular variations, and the concomitant displacement of abdominal organs has led to a complete adaptation of the vascular system and organ function. The donor had reached almost one hundred years of age without any significant symptoms, demonstrating how a systemic study of the patient is important prior to surgical intervention, where the presence of vascular variants is suspected. |
| format | Article |
| id | doaj-art-f3b75d3c9dd6499e9bf3427d40570e3b |
| institution | Kabale University |
| issn | 2214-854X |
| language | English |
| publishDate | 2025-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Translational Research in Anatomy |
| spelling | doaj-art-f3b75d3c9dd6499e9bf3427d40570e3b2025-01-24T04:45:13ZengElsevierTranslational Research in Anatomy2214-854X2025-03-0138100366Multiple rare abdominal aortic branch variations in the case of a centenarian woman. Case report and review of the literatureMichela Vincis0Claire Lewis1Denis Barry2Marcello Trucas3Department of Medical Sciences and Public Health, University of Cagliari, Cittadella Universitaria, 09042, Monserrato, Italy; Pathology Department, Royal College of Surgeon in Ireland, Beaumont Road in Beaumont, Dublin 9, D09V2N0, IrelandDiscipline of Anatomy, School of Medicine, Trinity College Dublin, Ireland, D02 R590Discipline of Anatomy, School of Medicine, Trinity College Dublin, Ireland, D02 R590Discipline of Anatomy, School of Medicine, Trinity College Dublin, Ireland, D02 R590; Department of Biomedical Sciences, University of Cagliari, Cittadella Universitaria, 09042, Monserrato, ItalyBackground: Anatomical variations of the abdominal aorta are crucial when considering the success of clinical procedures including diagnostic imaging, oncologic resections, organ transplantations, laparoscopic surgeries, management of penetrating abdominal injuries, and interventional radiological procedures. Accurate knowledge of these vessels is essential for these procedures to be effective. The literature underlying the relationships of the anterior visceral branches of the aorta, especially regarding their origins and distances from the aortic bifurcation, is limited. As part of routine anatomical dissection, we identified multiple rare aortic vessel variants in a cadaveric female with associated visceral adaptations. Methods: A 99-year-old formalin embalmed female donor was dissected at the Discipline of Anatomy, School of Medicine, Trinity College Dublin. The branches of the abdominal aorta were isolated, and their course and relationships with related abdominal organs were visualised. Results: A ptotic arrangement of the liver, pancreas, stomach and gall bladder displacement, and multiple rare aortic branch variants were identified, including variations in the inferior phrenic arteries, a long hepatosplenic trunk, a long cystic artery originating from the gastroduodenal artery, the anterior origin of the right renal artery adjacent to the superior mesenteric artery, and the bilateral absence of the ovarian arteries. Conclusions: These variations, combined with the inferior displacement of several abdominal viscera make this case exceptionally rare and significant for its potential clinical and surgical implications. This work demonstrates how the simultaneous presence of multiple rare abdominal vascular variations, and the concomitant displacement of abdominal organs has led to a complete adaptation of the vascular system and organ function. The donor had reached almost one hundred years of age without any significant symptoms, demonstrating how a systemic study of the patient is important prior to surgical intervention, where the presence of vascular variants is suspected.http://www.sciencedirect.com/science/article/pii/S2214854X24000906AnatomyDissectionSurgeryVariationsCeliac trunkHepatoptosis |
| spellingShingle | Michela Vincis Claire Lewis Denis Barry Marcello Trucas Multiple rare abdominal aortic branch variations in the case of a centenarian woman. Case report and review of the literature Translational Research in Anatomy Anatomy Dissection Surgery Variations Celiac trunk Hepatoptosis |
| title | Multiple rare abdominal aortic branch variations in the case of a centenarian woman. Case report and review of the literature |
| title_full | Multiple rare abdominal aortic branch variations in the case of a centenarian woman. Case report and review of the literature |
| title_fullStr | Multiple rare abdominal aortic branch variations in the case of a centenarian woman. Case report and review of the literature |
| title_full_unstemmed | Multiple rare abdominal aortic branch variations in the case of a centenarian woman. Case report and review of the literature |
| title_short | Multiple rare abdominal aortic branch variations in the case of a centenarian woman. Case report and review of the literature |
| title_sort | multiple rare abdominal aortic branch variations in the case of a centenarian woman case report and review of the literature |
| topic | Anatomy Dissection Surgery Variations Celiac trunk Hepatoptosis |
| url | http://www.sciencedirect.com/science/article/pii/S2214854X24000906 |
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