IJAR.2017.417
Type of Article: Original Research
Volume 5; Issue 4.2 (November 2017)
Page No.: 4606-4610
DOI: https://dx.doi.org/10.16965/ijar.2017.417
THE STUDY OF INFERIOR POLAR ARTERY IN ADULT HUMAN SPLEENS
Senthamizhselvi R *1, Nisha S. R. Manuel 2, Sivaranjani K 3.
*1 Assistant Professor, Department of Anatomy, Chengalpattu Medical College, Chengalpattu, Tamilnadu, India.
2 Assistant Professor, Department of Anatomy, Omandurar Medical College, Chennai, Tamilnadu, India.
3 Assistant Professor, Department of Anatomy, Chengalpattu Medical College, Chengalpattu, Tamilnadu, India.
Corresponding Author Address For Communication: Dr. R. Senthamizhselvi M.D.(Anatomy), Assistant Professor, Department of Anatomy, Chengalpattu Medical College, Chengalpattu, Tamilnadu, India. Contact no.: 9080637507
E-Mail: senrajselvi@gmail.com
ABSTRACT
Background and Aims: Spleen is supplied principally by splenic artery. In some spleens, additional arteries supply the superior or inferior pole of the spleen. The presence of such polar arteries in addition to the main splenic artery provides a firm base for the preservation of spleen during partial splenectomy and splenic artery embolization procedures. The aim of the present study is to observe the incidence of inferior polar artery and its origin in adult human spleens.
Materials and Methods: After obtaining ethical committee clearance, this observational study was done in Government Stanley Medical College and Hospital. Fifty adult human spleens were dissected out along with the entire course of splenic artery from the embalmed cadavers (35 males and 15 females). The spleen artery and its branches was traced by piecemeal dissection. Inferior polar branches, if present were dissected and traced.
Results: In the present study, Inferior polar artery was found in 72% of the splenic specimens. The inferior polar artery was originating from splenic artery in 55.56 %, left gastoepiploic artery in 25% and inferior terminal branch of splenic artery in 19.44% of splenic specimens.
Conclusion: Inferior polar artery originates from the splenic artery directly or inferior terminal branch of splenic artery or from the left gastroepiploic artery. The knowledge of the presence of inferior polar artery and its variations in origin is important for Surgeons, Interventional Radiologists and Surgical Gastroenterologists for performing surgical procedures involving the spleen.
Key words: Spleen, Inferior polar artery, Partial splenectomy.
REFERENCES
- John E. Skandalakis’ Surgical Anatomy. The Embryological and Anatomic Basis of Mordern Surgery. Greece: Paschalidis Medical Publications; 2004. p.254, 1231-1245.
- SusanStranding ed. Grey’s anatomy. The anatomical Basis Of Clinical Practice. 40 th London: Elsevier; 2008. p.1191-1195.
- Abdulmonem -Al- Hayani. Study of polar arteries supplying the spleen and their significance in its viability. JRMC. 2007;11(2):83-89.
- Birte Steiniger. Spleen.[Internet]. John Wiley and Sons; 2011, 15, September: Available from http// www.onlinelibrary.wiley.com.
- Michel NA. The variational anatomy of the spleen and the splenic artery. Jr. Anat. 1942;70:21-72.
- Katritsis E, Parashos A, Papadopoulos N. Arterial segmentation of the human spleen by doing a post-mortam angiogram and making corrosion casts. Angiology. 1982;33(11):720-27.
- JA Cortes and L Gomez Pellico. Arterial segmentation in the spleen. J Surg Radiol Anat. 1988;10:323-332.
- Garcia P. JA, Lemes A. Arterial segmentation and sub-segmentation in the human spleen. Anatomica (Basel).1988;131:276-83.
- Liu DL, Xia SS, Xu WX, Ye QF, Gao YM, Qian JQ Anatomy of vasculature of 850 spleen specimens and its application in partial splenectomy. Surgery.1996;119:27–33.
- Prashant Nashiket Chaware,Swati Milind Belsare,Yashwant Ramakrishna Kulkarni,Sudhir Vishnupant Pandit,Jaideo Manohar Ughade.Variational anatomy of the segmental branches of the splenic artery. JCDR.2012 May; 6(3):336-338.
- Voboril Z. On the question of human segmentation of human spleen. Folia Morphol 30: 295-314.
- Ignjatovic,B.Stimec, V.Zivanovic.The basis of splenic segmental dearterialization: a post-mortem study.J.surg Radiol Anat. 2005;27:15-18.
- Mikhail, Y, Kamel R, Nawar, N.N. and Rafla M.F. Observations of the mode of termination and paranchymal distribution of the splenic artery with evidence of splenic lobation and segmentation. Journal of Anatomy 1979;128:253-258.