論文

本文へのリンクあり
2021年5月31日

Variations in the gonadal artery with a single common trunk: Embryological hypotheses by observation

Folia Morphologica (Poland)
  • H. Terayama
  • ,
  • Y. Miyaki
  • ,
  • N. Qu
  • ,
  • S. Katsuki
  • ,
  • R. Tanaka
  • ,
  • K. Umemoto
  • ,
  • N. Kosemura
  • ,
  • K. Suyama
  • ,
  • O. Tanaka
  • ,
  • K. Sakabe

80
2
開始ページ
324
終了ページ
330
記述言語
掲載種別
研究論文(学術雑誌)
DOI
10.5603/FM.A2020.0063

Background: A gonadal artery originates as a branch of the abdominal aorta and renal artery inferior to the level of origin of the renal arteries. Variations in multiple right testicular arteries (RTAs) arising from the abdominal aorta are common. We aimed to re-evaluate the unusual courses of gonadal arteries with a single common trunk in relation to the inferior vena cava and left renal vein and explain the developmental anatomy. Materials and methods: The observational cross-sectional study was performed on 54 Japanese adult cadavers (29 men and 25 women). We examined the literature and developed embryological hypotheses on the single common trunk of the gonadal artery. Results: The gonadal artery, testicular artery, and ovarian artery arose from the abdominal aorta in 93.1%, 96.3%, and 89.6% of cases, respectively, and from the renal artery in 4.9%, 3.7%, and 6.3% of cases, respectively. We found two rare variations in the RTAs observed during the routine dissection of two male cadavers; in these two cases, a single common trunk of the RTAs originated from the abdominal aorta. A single common trunk was found in 3.7% of cadavers, 2.0% of sides, and 2.0% of arteries in the gonadal artery and in 6.9% of cadavers, 3.8% of sides, and 3.7% of arteries in the testicular artery. All cases of the single common trunk, including those in past reports, were observed only in men. Conclusions: Knowledge of the variations in RTAs has important clinical consequences for invasive and non-invasive arterial procedures. In addition, this variation provides a new interpretation of the embryology of the gonadal artery. Variations similar to our findings have not been previously reported. Therefore, different variations concerning the RTA should be considered during surgical and non-surgical evaluations.

リンク情報
DOI
https://doi.org/10.5603/FM.A2020.0063
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/32488854
Scopus
https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85107902749&origin=inward 本文へのリンクあり
Scopus Citedby
https://www.scopus.com/inward/citedby.uri?partnerID=HzOxMe3b&scp=85107902749&origin=inward
ID情報
  • DOI : 10.5603/FM.A2020.0063
  • ISSN : 0015-5659
  • eISSN : 1644-3284
  • PubMed ID : 32488854
  • SCOPUS ID : 85107902749

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