IJAR.2024.222
Type of Article: Original Research
Volume 12; Issue 4 (December 2024)
Page No.: 9079-9084
DOI: https://dx.doi.org/10.16965/ijar.2024.222
Overview of Anatomical Variations in the Vasculature of Suprarenal Gland and Its Applied Surgical Importance
Preeti Dnyandeo Sonje 1, Sapna Athavar Shevade *2.
1 Professor and Head, Department of Anatomy, Dr D Y Patil Medical College Hospital and Research Centre, D Y Patil Vidyapeeth, Pune, Maharashtra, India. ORCiD: 0000-0002-3641-4577
*2 Assistant Professor of Anatomy in the College of Medicine, Gulf Medical University, UAE. ORCiD: 0000-0002-0352-637X
Corresponding Author: Dr Sapna Athavar Shevade, Assistant Professor of Anatomy in the College of Medicine, Gulf Medical University, UAE. E-Mail: dr.sapna@gmu.ac.ae
ABSTRACT
Background: The suprarenal gland (SrG) presents a substantial circulatory supply compared to its size. The superior, middle, and inferior suprarenal arteries (SrA) have one or more duplicate major branches, which supply each gland. this study aimed to observe the variable arteries and veins of the SrG. As the vessels of SrG are forming extensive network, they may get damaged during different surgical procedures like adrenalectomy, renal transplant surgeries
Methods: Present study conducted with Twenty five cadavers embalmed in 10% formalin. The inclusion criteria for study were intact blood vessels along with SrGs and the exclusion criteria included the damaged blood vessels and SrGs. Dissection was carried out as per standard dissection protocol.
Results: Origin of right superior suprarenal artery from inferior phrenic artery and superior mesenteric artery, Origin of right superior suprarenal artery from aorta and some other findings were noted.
Conclusions: This study highlights the critical importance of understanding the anatomical variations in the vasculature of the SrG, particularly in the context of surgical interventions such as adrenalectomy and renal transplantation. The intricate and variable nature of the blood supply to the SrG, including the SrA, as well as their venous drainage, presents significant challenges during surgery.
Key words: Suprarenal Gland, Suprarenal Artery, Suprarenal Vein, Phrenic Vessels.
REFERENCES
[1]. Megha R, Wehrle CJ, Kashyap S, Leslie SW. Anatomy, Abdomen and Pelvis: Adrenal Glands (Suprarenal Glands). In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 [cited 2024 Sep 26]. Available from: http://www.ncbi.nlm.nih.gov/books/NBK482264/
[2]. Dutt M, Wehrle CJ, Jialal I. Physiology, Adrenal Gland. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 [cited 2024 Sep 26]. Available from: http://www.ncbi.nlm.nih.gov/books/NBK537260/
[3]. Nicolaides NC, Willenberg HS, Bornstein SR, Chrousos GP. Adrenal Cortex: Embryonic Development, Anatomy, Histology and Physiology. In: Feingold KR, Anawalt B, Blackman MR, Boyce A, Chrousos G, Corpas E, et al., editors. Endotext [Internet]. South Dartmouth (MA): MDText.com, Inc.; 2000 [cited 2024 Sep 26]. Available from: http://www.ncbi.nlm.nih.gov/books/NBK278945/
[4]. Wright N, Burns B. Anatomy, Abdomen and Pelvis, Posterior Abdominal Wall Arteries. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 [cited 2024 Sep 26]. Available from: http://www.ncbi.nlm.nih.gov/books/NBK532972/
[5]. Lung K, Lui F. Anatomy, Abdomen and Pelvis: Arteries. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 [cited 2024 Sep 26]. Available from: http://www.ncbi.nlm.nih.gov/books/NBK525959/
[6]. Eldefrawy A, Arianayagam M, Kanagarajah P, Acosta K, Manoharan M. Anomalies of the inferior vena cava and renal veins and implications for renal surgery. Cent European J Urol. 2011;64(1):4-8.
https://doi.org/10.5173/ceju.2011.01.art1
PMid:24578852 PMCid:PMC3921701
[7]. Li SJ, Lee J, Hall J, Sutherland TR. The inferior vena cava: anatomical variants and acquired pathologies. Insights into Imaging [Internet]. 2021 Dec [cited 2024 Sep 26];12.
https://doi.org/10.1186/s13244-021-01066-7
PMid:34460015 PMCid:PMC8405820
[8]. Gray’s Anatomy, 39th Edition: The Anatomical Basis of Clinical Practice. AJNR Am J Neuroradiol. 2005 Nov;26(10):2703-4.
[9]. Manso JC, DiDio LJA. Anatomical variations of the human suprarenal arteries. Annals of Anatomy – Anatomischer Anzeiger. 2000 Sep 1;182(5):483-8.
https://doi.org/10.1016/S0940-9602(00)80064-3
PMid:11035646
[10]. Gann M. Cunningham’s Manual of Practical Anatomy (15th ed.) Upper and Lower Limbs (Vol. 1) Thorax and Abdomen (Vol. 2) Head and Neck and Brain (Vol. 3). The American Journal of Occupational Therapy. 1988 Mar 1;42(3):199-200.
https://doi.org/10.5014/ajot.42.3.199c
[11]. Reddy M. Venkateshwara, Ahmed Mohammed Meraj, kumar P. Praveen, Raghuramaiah G. A Study on Vasculature of The Suprarenal Glands. International Journal of Anatomy and Research. 2014 Jan-Mar; 2(1): 195-201.
[12]. Anatomy and embryology of the laboratory rat | Wageningen University and Research Library catalog [Internet]. [cited 2024 Sep 24]. Available from: https://library.wur.nl/WebQuery/titel/259008
[13]. Sushma, R K, Mahesh Dhoot, Hemant Ashish Harode, Antony Sylvan D’souza and Hosapatna Mamatha. “Anatomical Variations in the Arterial Supply of the Suprarenal Gland. International Journal of Health Sciences and Research 2014;4:31-36.
[14]. Toni R, Mosca S, Favero L, Ricci S, Roversi R, Toni G, et al. Clinical anatomy of the suprarenal arteries: a quantitative approach by aortography. Surg Radiol Anat. 1988;10(4):297-302.
https://doi.org/10.1007/BF02107902
PMid:3145571
[15]. Bordei P, St Antohe D, Sapte E, Iliescu D. Morphological aspects of the inferior suprarenal artery. Surg Radiol Anat. 2003;25(3-4):247-51.
https://doi.org/10.1007/s00276-003-0132-z
PMid:14504822
[16]. Rossi P, Passariello R, Simonetti G, Rovighi L, Crecco M. Arterious and venous system of the adrenal glands: anatomical considerations. Ann Radiol (Paris). 1979 May;22(4):372-7.
[17]. Lakshmi KV, Dhoot M. A study on the variations of arterial supply to adrenal gland. Int J of Biomed & Adv Res. 2016 Aug 23;7(8):373.
https://doi.org/10.7439/ijbar.v7i8.3522
[18]. Dutta S. Suprarenal gland-arterial supply: an embryological basis and applied importance. Rom J Morphol Embryol. 2010;51(1):137-40.
[19]. 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 Int Coll Surg. 1958 Jan;29(1 Pt 1):41-76.
[20]. Priya A, Narayan RK, Ghosh SK. Prevalence and clinical relevance of the anatomical variations of suprarenal arteries: a review. Anat Cell Biol. 2022 Mar 31;55(1):28-39.
https://doi.org/10.5115/acb.21.211
PMid:35046145 PMCid:PMC8968230
[21]. Kumar N, Padur AA, Gadahad MRK, Shanthakumar SR. Clinically important left superior polar artery giving rise to a left inferior suprarenal artery and an aberrant left inferior polar artery: a case report. J Vasc Bras. 22:e20230012.
https://doi.org/10.1590/1677-5449.202300122
PMid:37576723 PMCid:PMC10421583
[22]. Gagnon R. The arterial supply of the human adrenal gland. Rev Can Biol. 1957 Dec;16(4):421-33.
[23]. Hollinshead WH (William H. Anatomy for surgeons [Internet]. Philadelphia : Harper & Row; 1982 [cited 2024 Sep 24]. 570 p. Available from: http://archive.org/details/anatomyforsurgeo0001holl
