open access

Vol 79, No 2 (2020)
ORIGINAL ARTICLES
Published online: 2019-08-14
Submitted: 2019-05-12
Accepted: 2019-07-03
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Splenic artery angiography: clinical classification of origin and branching variations of splenic artery by multi-detector computed tomography angiography method

A. Ekingen, E. S. Hatipoğlu, C. Hamidi, M. C. Tuncer, Ö. Ertuğrul
DOI: 10.5603/FM.a2019.0088
·
Pubmed: 31436304
·
Folia Morphol 2020;79(2):236-246.

open access

Vol 79, No 2 (2020)
ORIGINAL ARTICLES
Published online: 2019-08-14
Submitted: 2019-05-12
Accepted: 2019-07-03

Abstract

Background: The splenic artery (SA) variations are rarely reported in the literature. Knowledge of the range of the SA and other arterial anomalies and their specific frequencies is very important ever for every visceral surgeon as well as for treatment of gastrointestinal bleeding, organ transplantation, transarterial chemoembolisation of neoplasm, infusion therapy, therapeutic arterial ligation, iatrogenic injuries. At the literature, there are more studies on the coeliac trunk, superior mesenteric artery and hepatic artery variations, but studies on the SA variations are uncommon. The studies on the SA variations are mostly in the form of case reports, but there are not many studies with large population on this issue. The purpose of this study was to evaluate the SA alone and to determine the variations determined separately from the other arteries. Accurate awareness of all the possible anatomic variations is crucial in the upper abdomen surgery.

Materials and methods: Seven hundred fifty patients undergoing multi-detector computed tomography angiography between 2015 and 2017 were retrospectively evaluated for the SA variations. We created a new classification system to determine anatomic variations of the SA.

Results: Twenty-three different types were identified related to anatomic variations in the origin and branching pattern of the SA. While 596 (79.47%) patients had standard SA anatomy, 154 (20.53%) patients had variant SA anatomy.

Conclusions: The SA has quite different variation types and the practical context of the issue is of primary importance in surgery, gastroenterology, oncology and radiology. Liver and pancreas transplantation, splenectomy, embolisation of tumours of the abdominal organs, as well as other numerous diagnostic and therapeutic procedures, require detailed anatomical knowledge

Abstract

Background: The splenic artery (SA) variations are rarely reported in the literature. Knowledge of the range of the SA and other arterial anomalies and their specific frequencies is very important ever for every visceral surgeon as well as for treatment of gastrointestinal bleeding, organ transplantation, transarterial chemoembolisation of neoplasm, infusion therapy, therapeutic arterial ligation, iatrogenic injuries. At the literature, there are more studies on the coeliac trunk, superior mesenteric artery and hepatic artery variations, but studies on the SA variations are uncommon. The studies on the SA variations are mostly in the form of case reports, but there are not many studies with large population on this issue. The purpose of this study was to evaluate the SA alone and to determine the variations determined separately from the other arteries. Accurate awareness of all the possible anatomic variations is crucial in the upper abdomen surgery.

Materials and methods: Seven hundred fifty patients undergoing multi-detector computed tomography angiography between 2015 and 2017 were retrospectively evaluated for the SA variations. We created a new classification system to determine anatomic variations of the SA.

Results: Twenty-three different types were identified related to anatomic variations in the origin and branching pattern of the SA. While 596 (79.47%) patients had standard SA anatomy, 154 (20.53%) patients had variant SA anatomy.

Conclusions: The SA has quite different variation types and the practical context of the issue is of primary importance in surgery, gastroenterology, oncology and radiology. Liver and pancreas transplantation, splenectomy, embolisation of tumours of the abdominal organs, as well as other numerous diagnostic and therapeutic procedures, require detailed anatomical knowledge

Get Citation

Keywords

anatomic variations, splenic artery, multi-detector computed tomography

About this article
Title

Splenic artery angiography: clinical classification of origin and branching variations of splenic artery by multi-detector computed tomography angiography method

Journal

Folia Morphologica

Issue

Vol 79, No 2 (2020)

Pages

236-246

Published online

2019-08-14

DOI

10.5603/FM.a2019.0088

Pubmed

31436304

Bibliographic record

Folia Morphol 2020;79(2):236-246.

Keywords

anatomic variations
splenic artery
multi-detector computed tomography

Authors

A. Ekingen
E. S. Hatipoğlu
C. Hamidi
M. C. Tuncer
Ö. Ertuğrul

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