Anat Cell Biol.  2014 Dec;47(4):274-278. 10.5115/acb.2014.47.4.274.

Multiple absences of the branches of abdominal aorta with congenital absence of the portal vein, unilateral adrenal agenesis and persistent ductus arteriosus in a female cadaver

• Ahmadpour
• Foghi K

• KMID: 1882608
• DOI: http://doi.org/10.5115/acb.2014.47.4.274

Abstract

We report on an extremely rare case of multiple absences of the branches of abdominal aorta with congenital absence of the portal vein, unilateral adrenal agenesis and persistent ductus arteriosus in an adult female cadaver. Specifically, instead of celiac trunk, superior and inferior mesenteric arteries, solely a single arterial trunk aroused from the anterior aspect of abdominal aorta, inferior phrenic and ovarian arteries were absent in both sides. Left kidneys drained by two veins. There were not superior, splenic and mesenteric veins, while left renal vein received an additional vein, which run downward and drained primarily all parts of digestive tract and its associated glands (portal vein did not exist). Right adrenal gland was absent. To the best of our knowledge, it is the only reported case with such widespread anomalies. We think the importance of this case is beyond the surgical consideration and needs more profound developmental studies.

Keyword

Abdominal aorta; Portal vein; Adrenal; Congenital; Agenesis; Persistent ductus arteriosus

MeSH Terms

Adrenal Glands
Adult
Aorta, Abdominal*
Arteries
Cadaver*
Ductus Arteriosus*
Female
Gastrointestinal Tract
Humans
Kidney
Mesenteric Artery, Inferior
Mesenteric Veins
Portal Vein*
Renal Veins
Veins

Figure

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  Fig. 1 Abdominal cavity right side view, small and large intestine have been removed upward and abdominal aorta (AA) and its single arterial branch (Sa) exposed. The Sa enters the mesentery. Left renal vein (RV) runs horizontally to right and drain to inferior vena cava (IVC).

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  Fig. 2 Aorta has been dissected and removed with intestines and kidneys. Thorasic aorta (ThA), abdominal aorta (AA), right and left kidneys (LK and RK). AA and its branches (two renal arteries and single branch to digestive tract). Celiac trunk, phrenic, superior and inferior mesenteric and ovarian arteries were absent.

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  Fig. 3 Left kidney drains by two veins, anterior left reneal vein (LRVa) passes anterior to abdominal aorta (AA) and another vein, posterior left renal vein (LRVp) run posterior to AA and collectively drain to inferior vena cava.

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  Fig. 4 Anterior left renal vein (LRVa) receives ovarian vein (OVV) and a single vein form gastrointestinal tract (VGI). AA, abdominal aorta; IVC, inferior vena cava.

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  Fig. 5 Left adrenal (LA) gland and left kidney (LK). Adrenal gland was absent in right side.

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  Fig. 6 Persistent ductus arteriosus. Pulmonary trunk (PT) connects to aorta by persistent ductus arteriosus (arrow). BC, brachiocephalic trunk; LCc, left common carotid; LSc, left subsabclavian.

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