Turkiye Klinikleri Journal of Medical Sciences

.: ORIGINAL RESEARCH
Trunkus Çölyakus, Arteria Mezenterika Superior ve Arteria Mezenterika İnferiorun Orijin ve Trunkus Varyasyonlarının Multidedektör Bilgisayarlı Tomografi ile İncelenmesi
Investigation of Origin and Trunc Variations of Coeliac Trunc, Superior Mesenterik Artery, and Inferior Mesenterik Artery by Multidetector Computed Tomography
Arzu EKİNGENa, Eyüp Savaş HATİPOĞLUa, Cihad HAMİDİc
aBatman Üniversitesi Sağlık Hizmetleri Meslek Yüksekokulu, Tıbbi Hizmetler ve Teknikler Bölümü, Batman, TÜRKİYE
bDicle Üniversitesi Tıp Fakültesi, Anatomi ABD, Diyarbakır, TÜRKİYE
cDicle Üniversitesi Tıp Fakültesi, Radyoloji ABD, Diyarbakır, TÜRKİYE
Turkiye Klinikleri J Med Sci.2020;40(4):458-67
doi: 10.5336/medsci.2020-75494
Article Language: TR
Full Text
ÖZET
 Amaç: Çalışmamızda, aorta abdominalis (AA)in en önemli tek dalları olan ve abdomen bölgesinde bulunan yapı ve organların çoğunun, arteriyel vaskülarizasyonunu sağlayan trunkus çölyakus (TC), arteria mezenterika superior (AMS), arteria mezenterika inferior (AMI)un orijin ve trunkus varyasyonlarının bilgisayarlı tomografi ile incelenmesi amaçlandı. Gereç ve Yöntemler: Dicle Üniversitesi Tıp Fakültesi, Radyoloji Departmanında, multidedektör bilgisayarlı tomografi (MDBT) anjiyografi tetkiki yapılan 261 (115 kadın, 146 erkek) hastanın 3 boyutlu görüntüleri retrospektif olarak incelendi. Çalışmaya, 16- 83 yaş aralığı dâhil edildi. Çalışma sonucunda elde edilen orijin ve trunkus tiplerine ait nicel veriler, SPSS programında istatistiksel olarak değerlendirildi. TC, AMS ve AMI'da saptanan orijin ve trunkus varyasyonları sınıflandırıldı. Bulgular: TC, AMS ve AMI arasında en fazla varyasyon gösteren dal TC (%31,03), en az varyasyon gösteren dal AMI (%7,84) olarak bulundu. TC ile ilgili 7 farklı, AMS ile ilgili 6 farklı ve AMI ile ilgili 3 farklı orijin ve trunkus varyasyonları tespit edildi. Trunkus çölyakomezenterikus %1,15, trunkus bimezenterikus %1,90, trunkus pankreatikoduodenomezenterikus %0,39 oranında bulundu. Sonuç: İnsanlarda, TC, AMS ve AMI'nın orijin ve trunkus yapısıyla ilgili klasik anatomi kitaplarında anlatılan tiplerinden oldukça farklı varyasyon tipleri bulunabilir. Bu konuda daha detaylı araştırmalara ihtiyaç vardır.

Anahtar Kelimeler: Anatomik varyasyonlar; trunkus çölyakus; arteria mezenterika superior; arteria mezenterika inferior; MDBT anjiyografi
ABSTRACT
 Objective: In our study, it was aimed to determine origin and trunc variations of the celiac trunc (CT), the superior mesenterik artery (SMA), and the inferior mesenterik artery (IMA) by computed tomography, these arteries are the most important unpaired visceral branches of the abdominal aorta (AA) and provide blood supply to most of the abdominal structures and organs. Material and Methods: Screening the datas of 261 patients (115 female, 146 male) who were obtained by multi detector computerized tomography angiography examination at the Radiology Department of Dicle University Medical Faculty was retrospectively examined. 16-83 age range were included in the study. The quantitative data of origin and truncus types obtained in the study were evaluated statistically in the SPSS program. The origin and truncus variations detected in the CT, SMA, and IMA were classified. Results: It was found that the branch shown the most variation is the CT (31.03%), the branch shown the least variation is the IMA (7.84%) among the CT, SMA and IMA. The origin and truncus variations were identified that seven different related to the CT, six different related to the SMA, and three different related to the IMA. The celiacomesenteric trunk in 1.15%, the bimesenteric trunk in 1.90%, the pancreaticoduodenomesenterik trunk in 0.39% rate were found. Conclusion: There can be quite different variation types in humans than the types described in the classical anatomy books on the origin and truncus structure of CT, SMA and IMA. More detailed research is needed on this subject.

Keywords: Anatomic variations; celiac trunk; inferior mesenteric artery; superior mesenteric artery; MDCT angiography
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