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NJBMS - Volume 5, Issue 1, July - September 2014

Pages: 32-35
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MULTIPLE VARIATIONS IN THE VESSELS AND VISCERA OF THE ABDOMEN – A RARE CASE REPORT

Author: KRISHNAMURTHY JWALA VENKATA , R. KALPANA, J. SRIVANI

Category: Anatomy

Abstract:

During routine dissection of the abdomen of a 60- year- old male cadaver at Anatomy Department, several vascular and visceral variations were observed . An accessory hepatic artery arose from common hepatic artery, proximal to gastroduodenal artery and supplied the left lobe of liver. The left gastric vein joined the dorsal pancreatic vein and opened into splenic vein . The portal vein formation was normal and it received inferior mesenteric vein at the junction between splenic and superior mesenteric veins. Visceral variations: The epiploic foramen was closed with fibrous adhesions. The greater omentum was attached to the visceral surface of the spleen. The appendix was very short in length and was in splenic position . The mucosa of the cecum and descending colon showed irregular growths. There was a matted lymph node mass in the para-vertebral gutter above the first part of the duodenum at L1 level supplied by the proper hepatic artery. A mass of superior mesenteric group of lymph nodes measuring 5 cm X 1.5 cm. extended from inferior duodenal flexure to the ileocaecal junction. Left para-aortic lymph nodes were matted and enlarged .There was pre aortic lump of matted lymph nodes below the left renal vein in the midline which drained into it.

Keywords: common hepatic artery, Epiploic foramen , Greater omentum, Hepatic artery, inferior mesenteric vein , left accessory hepatic artery, left gastric vein , Portal vein.