Multiple Gastrointestinal Vascular Variations in a Male Cadaver: A Case Report and Literature Review of Embryonic, Genetic, and Clinicosurgical Implications of Pathogenicity

Adegbenro Omotuyi John Fakoya; Luis Manuel Perez-Protocarrero; Yulia Kungurova; Mariana  Ndrio; Xiomara  Marty-Ramirez; Derek Mizael Rodriguez-Pinero; Luis Eduardo Rentas-Figueroa; Nahu Gulelat Dimitri; Juan Manuel Collzao-Roman; Graham Robert Demsey-Corbett; Abayomi Afolabi; Thomas McCracken; David Otohinoyi

doi:10.3889/oamjms.2020.4543

Authors

Adegbenro Omotuyi John Fakoya Department of Anatomy, University of Medicine and Health Sciences, Basseterre, St. Kitts and Nevis
Luis Manuel Perez-Protocarrero Medical Student, University of Medicine and Health Sciences, Basseterre, St. Kitts and Nevis
Yulia Kungurova Medical Student, University of Medicine and Health Sciences, Basseterre, St. Kitts and Nevis
Mariana Ndrio Medical Student, University of Medicine and Health Sciences, Basseterre, St. Kitts and Nevis
Xiomara Marty-Ramirez Medical Student, University of Medicine and Health Sciences, Basseterre, St. Kitts and Nevis
Derek Mizael Rodriguez-Pinero Medical Student, University of Medicine and Health Sciences, Basseterre, St. Kitts and Nevis
Luis Eduardo Rentas-Figueroa Medical Student, University of Medicine and Health Sciences, Basseterre, St. Kitts and Nevis
Nahu Gulelat Dimitri Medical Student, University of Medicine and Health Sciences, Basseterre, St. Kitts and Nevis
Juan Manuel Collzao-Roman Medical Student, University of Medicine and Health Sciences, Basseterre, St. Kitts and Nevis
Graham Robert Demsey-Corbett Medical Student, University of Medicine and Health Sciences, Basseterre, St. Kitts and Nevis
Abayomi Afolabi Department of Anatomy, University of Medicine and Health Sciences, Basseterre, St. Kitts and Nevis
Thomas McCracken Department of Anatomy, University of Medicine and Health Sciences, Basseterre, St. Kitts and Nevis
David Otohinoyi Department of Research, All Saints University, College of Medicine, Saint Vincent and Grenadines

DOI:

https://doi.org/10.3889/oamjms.2020.4543

Keywords:

Celiac artery, Trifurcation, Mesenteric artery, Renal artery, Portocaval system, Genetics, Embryology

Abstract

BACKGROUND: To be acquainted with gastrointestinal vasculature variations is of utmost importance for establishing proper surgical management, improving safety, and decreasing the frequency of iatrogenic errors or complications arising in operational and post-operational settings.

CASE REPORT: The subject of the present publication involves a unique case of an 80-year-old Caucasian male who presented with various vascular variations during routine cadaveric dissection. Key variations presented in this report include unique findings such as an abnormal trifurcation of the celiac trunk, a bifurcation of the superior mesenteric artery, and its associated branches; an unusual portocaval system communication; and various renal variations. These variations are examined in an anatomical and clinical context. We further discuss the possible embryologic and genetic mechanisms which may lead to such vascular abnormalities.

CONCLUSION: Furthermore, with this report, we aim to demonstrate the strong need for adequate knowledge of vascular variations as well as the important role of pre-operative imaging in the identification of vascular variations and the elimination of iatrogenic errors during surgical procedures.

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