Anatomical variant origin of suprarenal arteries from coeliac trunk development, and its clinical significance
DOI:
https://doi.org/10.18203/2320-6012.ijrms20200020Keywords:
Adrenal gland, Coeliac trunk, Inferior phrenic artery, Middle suprarenal artery, Superior suprarenal arteryAbstract
Background: One of the most vascular organ in the body Adrenal gland being highly variant in vasculature and tough to approach, its knowledge needs to be updated regularly. Anatomists, Surgeons and Radiologists will be benefitted with this study and improves the quality of care provided to patients by reducing morbidity and mortality.
Methods: This study was done on 48 formalin fixed cadavers (33 males, 15 females) in the department of anatomy, between 2014-2019. Coeliac trunk was skeletonized, and branches traced looking for suprarenal arterial branches.
Results: Superior Suprarenal Artery originated from Inferior phrenic artery in 13(27%) cases, and these Inferior phrenic arteries were arising from the Coeliac trunk, and in one (2.03%) case Superior suprarenal artery was arising directly from Coeliac trunk and which had even replaced the Middle Suprarenal Artery. None of the Middle and Inferior Suprarenal Artery came from coeliac trunk.
Conclusions: Knowledge of Superior Suprarenal Arterial variations while doing surgeries, and during radiological interventions in and around the lesser sac, and involving the Coeliac trunk helps the clinicians in reducing the morbidity and mortality.References
Dutta S. Suprarenal gland-arterial supply: an embryological basis and applied importance. Rom J Morphol Embryol. 2010 Jan 1;51(1):137-40.
Kahn PC, Nickrosz LV. Selective angiography of the adrenal glands. Am J Roentgenol. 1967 Nov;101(3):739-49.
Romanes GJ. Cunningham’s manual of practical anatomy volume 2: Thorax and abdomen in the abdominal cavity. 15th ed. Oxford: Oxford university press; 1990:127-135.
Sushma RK, Dhoot M, Harode HA, D’Souza AS, Mamatha H. Anatomical variations in the arterial supply of the suprarenal gland. Inter J Health Sci Res. 2014;4(5):31-6.
Lee JW, Kim S, Kim CW, Kim KH, Jeon TY. Massive hemoperitoneum due to ruptured inferior phrenic artery pseudoaneurysm after blunt trauma. Emerg Radiol. 2006 Dec 1;13(3):147-9.
Gwon DI, Ko GY, Yoon HK, Sung KB, Lee JM, Ryu SJ, et al. Inferior phrenic artery: anatomy, variations, pathologic conditions, and interventional management. Radiographics. 2007 May;27(3):687-705.
Sarkar M, Mukherjee P, Roy H, Sengupta SK, Sarkar AN. An Unusual Branch of Celiac Trunk Feeding Suprarenal Gland-A Case Report. J Clin Diag Res: JCDR. 2014 Apr;8(4):AD03.
Merklin RJ, Michels NA. The variant renal and suprarenal blood supply with data on the inferior phrenic, ureteral and gonadal arteries: a statistical analysis based on 185 dissections and review of the literature. J Inter College Surg. 1958 Jan;29(1 Pt 1):41.
Gagnon R. The arterial supply of the human adrenal gland. Revue Canadienne de Biologie. 1957 Dec;16(4):421.
Astik RB, Dave UH. Uncomman branching pattern of the coeliac trunk: origin of seven branches. Inter J Anatom Variat. 2011;4:83-5.
Manso JC, DiDio LJ. Anatomical variations of the human suprarenal arteries. Annal Anat-Anatomischer Anzeiger. 2000 Sep 1;182(5):483-8.
Hollinshed WH. Anatomy of endocrine glands, Surg Clin North Americ. 1952;32:1115-40.
Murakami T, Mabuchi M, Giuvarasteanu I, Kikuta A, Ohtsuka A. Coexistence of rare arteries in the human celiaco-mesenteric system. Acta Medica Okayama. 1998 Oct;52(5):239-44.