Unusual duplication and vulnerable intrapancreatic course of the left gastroepiploic artery

a rare anatomical variation

Research output: Contribution to journalArticle

Abstract

The left gastroepiploic artery (LGEA) is the least described artery in the medical literature. Unusual variations of this artery might lead to vascular injuries, causing intraoperative bleeding after surgery. We observed rare vascular variations in an adult male cadaver. The left gastroepiploic artery after its origin from splenic artery pierced the pancreatic parenchyma at its posterior surface. After a short intrapancreatic course, the LGEA emerged out from the superior border of the body of the pancreas. LGEA then trifurcated into an omental branch, duplicated LGEA and another branch that continued as the main trunk of LGEA. Main LGEA and duplicated LGEA coursed towards the greater curvature of the stomach. The main LGEA ended by anastomosing with the right gastroepiploic artery, while the duplicated LGEA ended at the greater curvature of the stomach by ramifying into minute branches on the walls of the stomach and gave few gastric branches to supply the stomach and also supplied the greater omentum. This variation was associated with the presence of an accessory splenic artery. Anatomists, surgeons, and radiologists should be aware of such anomalous vascular variations as it could help to minimize complications related to pancreatectomy, omentoplasty, and resection of pancreatic tumors.

Original languageEnglish
Pages (from-to)351-353
Number of pages3
JournalSurgical and Radiologic Anatomy
Volume41
Issue number3
DOIs
Publication statusPublished - 01-03-2019

Fingerprint

Gastroepiploic Artery
Stomach
Splenic Artery
Blood Vessels
Arteries
Anatomists
Pancreatectomy
Omentum
Vascular System Injuries
Cadaver
Pancreas

All Science Journal Classification (ASJC) codes

  • Anatomy
  • Surgery
  • Pathology and Forensic Medicine
  • Radiology Nuclear Medicine and imaging

Cite this

@article{14af7e9c888b4ef7a5390e7ccc59c0ec,
title = "Unusual duplication and vulnerable intrapancreatic course of the left gastroepiploic artery: a rare anatomical variation",
abstract = "The left gastroepiploic artery (LGEA) is the least described artery in the medical literature. Unusual variations of this artery might lead to vascular injuries, causing intraoperative bleeding after surgery. We observed rare vascular variations in an adult male cadaver. The left gastroepiploic artery after its origin from splenic artery pierced the pancreatic parenchyma at its posterior surface. After a short intrapancreatic course, the LGEA emerged out from the superior border of the body of the pancreas. LGEA then trifurcated into an omental branch, duplicated LGEA and another branch that continued as the main trunk of LGEA. Main LGEA and duplicated LGEA coursed towards the greater curvature of the stomach. The main LGEA ended by anastomosing with the right gastroepiploic artery, while the duplicated LGEA ended at the greater curvature of the stomach by ramifying into minute branches on the walls of the stomach and gave few gastric branches to supply the stomach and also supplied the greater omentum. This variation was associated with the presence of an accessory splenic artery. Anatomists, surgeons, and radiologists should be aware of such anomalous vascular variations as it could help to minimize complications related to pancreatectomy, omentoplasty, and resection of pancreatic tumors.",
author = "Naveen Kumar and Aithal, {Ashwini P.} and Anitha Guru",
year = "2019",
month = "3",
day = "1",
doi = "10.1007/s00276-019-02188-w",
language = "English",
volume = "41",
pages = "351--353",
journal = "Surgical and Radiologic Anatomy",
issn = "0930-1038",
publisher = "Springer Paris",
number = "3",

}

TY - JOUR

T1 - Unusual duplication and vulnerable intrapancreatic course of the left gastroepiploic artery

T2 - a rare anatomical variation

AU - Kumar, Naveen

AU - Aithal, Ashwini P.

AU - Guru, Anitha

PY - 2019/3/1

Y1 - 2019/3/1

N2 - The left gastroepiploic artery (LGEA) is the least described artery in the medical literature. Unusual variations of this artery might lead to vascular injuries, causing intraoperative bleeding after surgery. We observed rare vascular variations in an adult male cadaver. The left gastroepiploic artery after its origin from splenic artery pierced the pancreatic parenchyma at its posterior surface. After a short intrapancreatic course, the LGEA emerged out from the superior border of the body of the pancreas. LGEA then trifurcated into an omental branch, duplicated LGEA and another branch that continued as the main trunk of LGEA. Main LGEA and duplicated LGEA coursed towards the greater curvature of the stomach. The main LGEA ended by anastomosing with the right gastroepiploic artery, while the duplicated LGEA ended at the greater curvature of the stomach by ramifying into minute branches on the walls of the stomach and gave few gastric branches to supply the stomach and also supplied the greater omentum. This variation was associated with the presence of an accessory splenic artery. Anatomists, surgeons, and radiologists should be aware of such anomalous vascular variations as it could help to minimize complications related to pancreatectomy, omentoplasty, and resection of pancreatic tumors.

AB - The left gastroepiploic artery (LGEA) is the least described artery in the medical literature. Unusual variations of this artery might lead to vascular injuries, causing intraoperative bleeding after surgery. We observed rare vascular variations in an adult male cadaver. The left gastroepiploic artery after its origin from splenic artery pierced the pancreatic parenchyma at its posterior surface. After a short intrapancreatic course, the LGEA emerged out from the superior border of the body of the pancreas. LGEA then trifurcated into an omental branch, duplicated LGEA and another branch that continued as the main trunk of LGEA. Main LGEA and duplicated LGEA coursed towards the greater curvature of the stomach. The main LGEA ended by anastomosing with the right gastroepiploic artery, while the duplicated LGEA ended at the greater curvature of the stomach by ramifying into minute branches on the walls of the stomach and gave few gastric branches to supply the stomach and also supplied the greater omentum. This variation was associated with the presence of an accessory splenic artery. Anatomists, surgeons, and radiologists should be aware of such anomalous vascular variations as it could help to minimize complications related to pancreatectomy, omentoplasty, and resection of pancreatic tumors.

UR - http://www.scopus.com/inward/record.url?scp=85061264807&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85061264807&partnerID=8YFLogxK

U2 - 10.1007/s00276-019-02188-w

DO - 10.1007/s00276-019-02188-w

M3 - Article

VL - 41

SP - 351

EP - 353

JO - Surgical and Radiologic Anatomy

JF - Surgical and Radiologic Anatomy

SN - 0930-1038

IS - 3

ER -