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Case Reports
. 2018 Jul;40(7):743-748.
doi: 10.1007/s00276-018-2026-0. Epub 2018 Apr 17.

Rare combined variations of renal, suprarenal, phrenic and accessory hepatic arteries

Łukasz Olewnik  1 , Anna Waśniewska  2 , Michał Polguj  3 , Mirosław Topol  2
Affiliations
Case Reports

Rare combined variations of renal, suprarenal, phrenic and accessory hepatic arteries

Łukasz Olewnik et al. Surg Radiol Anat. 2018 Jul.

Abstract

Knowledge of the morphological variations within the abdominal cavity is significant for all medical practitioners planning surgery. This report presents the rare origin of a common trunk for the right inferior phrenic artery, and superior and inferior suprarenal artery from the right renal artery. An accessory hepatic artery was found, which served as a branch of the right inferior phrenic artery. The diameter of the common trunk was 3.95 mm, and the diameters of the inferior and superior suprarenal arteries were 1.84 and 1.36 mm, respectively. The diameter of the right inferior phrenic artery was 2.55 mm. Both the embryological background and the potential clinical significance of this morphological variation are discussed. Knowledge of this common trunk and the occurrence of the accessory right hepatic artery may be of significance in diagnostic and surgical procedures.

Keywords: Common trunk; The accessory hepatic artery; The inferior right phrenic artery; The suprarenal artery.

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Conflict of interest statement

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

This article does not contain any studies with human participants or animals performed by any of the authors.

Figures

Fig. 1
Fig. 1
Origin of a common trunk for the right inferior phrenic artery (which gives rise to the right accessory hepatic artery) and inferior and superior suprarenal artery. White arrowheads present the common trunk for the right inferior phrenic artery, and inferior and superior suprarenal artery. AO abdominal aorta, CT celiac trunk, SMA superior mesenteric artery, RIPA right inferior phrenic artery, RAHA right accessory hepatic artery, SSA superior suprarenal artery, ISA inferior suprarenal artery, RA renal artery
Fig. 2
Fig. 2
Schema of a common trunk for the right inferior phrenic artery (which gives the right accessory hepatic artery) and inferior and superior suprarenal artery. White arrowheads present the common trunk for the right inferior phrenic artery, and inferior and superior suprarenal artery. AO abdominal aorta, SMA superior mesenteric artery, RIPA right inferior phrenic artery, RAHA right accessory hepatic artery, AG adrenal gland, SSA superior suprarenal artery, ISA inferior suprarenal artery, RA renal artery, IVC inferior vena cava, K kidney, L liver, D diaphragm, CT celiac trunk, CHA common hepatic artery, SA splenic artery
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