Summary
A case of anomalous mesenteric artery is reported. The artery was incidentally cannulated during angiography of a patient with a left renal tumor. It arose from the abdominal aorta between the superior and inferior mesenteric arteries. The artery then ascended directly upwards from its origin and supplied the transverse colon replacing the middle colic branch of the superior mesenteric artery. The anomaly must be a result of a anomalous concentration of unpaired visceral arteries in the developing embryo. This type of anomaly is very rare and it would be appropriate to name the artery the middle mesenteric artery.
Résumé
Un cas d'anomalie de l'artère mésentérique est rapporté. L'artère a été cathétérisée incidentallement lors de l'angiographie d'une patient présentant une tumeur rénale gauche. Elle naissait de l'aorte abdominale entre l'artère mésentérique supérieure et l'artère mésentérique inférieure. Elle montait directement à partir de son origine pour se distribuer au colon transverse et remplacer la branche colique moyenne normalement issue de l'artère mésentérique supérieure. Cette anomalie est sûrement le résultat d'une concentration anormale des artères viscérales impaires et médianes existant pendant la période embryonnaire. Ce type d'anomalie est très rare et justifierait le nom d'artère mésentérique moyenne.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Benton RS, Cotter WB (1963) A hitherto undocumented variation of the inferior mesenteric artery in man. Anat Rec 145: 171–173
Lawdahl RB, Keller FS (1987) The middle colic artery. Radiology 165: 371–372
Adachi B (1928) Das Arteriensystem der Japaner, Bd 2. Maruzen, Kyoto
Steward JA, Rankin FW (1933) Blood supply of the large intestine — its surgical consideration. Arch Surg 26: 843–891
Mayo CW (1955) Blood supply of the colon: surgical considerations. Surg Clin North Am 35: 1117–1121
Sonneland J, Anson BJ, Beaton LE (1958) Surgical anatomy of the arterial supply to the colon from the superior mesenteric artery based upon a study of 600 specimens. Surg Gynecol Obstet 106: 385–398
Michels NA, Siddharth P, Kornblith PL, Parke WW (1962) The variant blood supply to the small and large intestines: its import in regional resections. J Int Coll Surg 39: 127–170
Sierocinski W (1975) Arteries supplying the left colic flexure in man. Folia Morphol (Walsz) 39: 117–124
Michiniewicz-Nowak M (1975) Arteries supplying the ascending colon in man. Folia Morphol (Walsz) 34: 293–300
Kling A, Michiniewicz-Nowak M (1976) anastomoses between the colic branch of the ileocolic artery and the right colic artery. Folia Morphol (Walsz) 35: 307–312
Sierocinski W (1976) Anastomoses of the arteries supplying the descending and sigmoid colon in man. Folia Morphol (Walsz) 35: 467–479
Sierocinski W, Michniewicz-Nowak M (1980) Variation of the arising and the course of arteries vascularizing the transverse colon in man. Folia Morphol (Walsz) 39: 271–281
Cabanié H, Soutoul J (1953) L'arcade artèrielle intermésentérique (à propos de 8 cas). CR Assoc Anat 40: 937–950
Tandler J (1904) Zur Entwicklungsgeschichte der menschlichen Darmarterien. Anat Heft 23: 188–209
Moor KL (1988) The Developing Human — clinically oriented embryology, 4th edn. WB Saunders, Philadelphia
Romer AF (1971) The Vertebral Body, 4th edn. WB Saunders, Philadelphia
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Yoshida, T., Suzuki, S. & Sato, T. Middle mesenteric artery: an anomalous origin of a middle colic artery. Surg Radiol Anat 15, 361–363 (1993). https://doi.org/10.1007/BF01627894
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF01627894