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The arterial blood supply of the pancreas: a review. V. The dorsal pancreatic artery

Vascularisation artérielle du pancréas

An anatomic review and a radiologic study

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Summary

The present article is the fifth part of a comprehensive review on the arterial blood supply of the pancreas and deals with the dorsal pancreatic artery. The aim of this review is to summarise the anatomic studies, starting from Haller's reports, and to supply, as far as possible with original material, angiographic evidence for the classic anatomic notions. For this purpose, the overall research was carried out by studying 1015 selective angiographies (celiac trunk and its branches, superior mesenteric artery) taken from the angiographic archives of the Institutes of Radiology of Siena, Rome (Catholic University), and Perugia. Angiographically, the authors could demonstrate the dorsal pancreatic artery, present in most instances, as arising from the splenic artery, common hepatic artery, superior mesenteric artery or celiac trunk and accessory right hepatic artery as coming from the superior mesenteric artery. Variations in the course and length of the dorsal pancreatic artery were demonstrated as well as some collateral branches. The authors underline the discordant opinions still existing regarding the incidence of the different ways the dorsal pancreatic artery arises, and discuss its uncertain embryologic development and surgical relevance.

Résumé

Cet article sur l'artère pancréatique dorsale représente le cinquième d'une étude d'ensemble sur la vascularisation artérielle du pancréas. Le but de cette étude est de résumer les recherches scientifiques depuis les rapports de Hallers, et de fournir avec un support original si possible, des preuves angiographiques des notions anatomiques classiques. Pour atteindre cet objectif, l'ensemble de la recherche a été réalisée en sélectionnant et en étudiant 1 015 angiographies (tronc coeliaque et ses branches, artère mésentérique supérieure) puisées dans les archives angiographiques de l'Institut de Radiologie de Sienne, de l'Université Catholique de Rome et Perugia. Angiographiquement, les auteurs pourraient démontrer que l'artère pancréatique dorsale, présente dans la plupart des cas, comme issue de l'artère splénique, de l'artère hépatique commune, de l'artère mésentérique supérieure, du tronc coeliaque et accessoirement de l'artère hépatique droite issue de l'artère mésentérique supérieure. Des variations dans la position et la longueur de l'artère pancréatique dorsale sont démontrées, tout comme quelques branches collatérales. Les auteurs soulignent les opinions discordantes qui demeurent concernant l'incidence des différentes directions dans lesquelles l'artère pancréatique dorsale se dirige et discutent son développement embryologique incertain et son intérêt chirurgical.

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Authors and Affiliations

  1. Department of Biomedical Sciences, University of Siena, Siena, Italy

    E. Bertelli & A. Bastianini

  2. Institute of Radiology, Catholic University, Policlinico Gemelli, Rome, Italy

    F. Di Gregorio

  3. Institute of Radiology, University of Perugia, Policlinico Monteluce, Perugia, Italy

    S. Mosca

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  1. E. Bertelli
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  2. F. Di Gregorio
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  3. S. Mosca
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  4. A. Bastianini
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Bertelli, E., Di Gregorio, F., Mosca, S. et al. The arterial blood supply of the pancreas: a review. V. The dorsal pancreatic artery. Surg Radiol Anat 20, 445–452 (1998). https://doi.org/10.1007/BF01653138

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  • DOI: https://doi.org/10.1007/BF01653138

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