Article Sidebar

PDF
Issue: Vol. 565 No. 1 (2026)
Section: Các bài báo
DOI: 10.51298/vmj.v565i1.19219
Date Published: 03/11/2026
Views 53
Downloads 30
How to Cite
Thái, N. H., Nguyễn, V. H., & Phạm, V. Đ. (2026). MIDDLE COLIC ARTERY ORIGINATING DIRECTLY FROM AORTA AND ABSENCE OF LEFT COLIC ARTERY: SERIES CASES REPORT AND LITERATURE REVIEW. Vietnam Medical Journal, 565(1). https://doi.org/10.51298/vmj.v565i1.19219

MIDDLE COLIC ARTERY ORIGINATING DIRECTLY FROM AORTA AND ABSENCE OF LEFT COLIC ARTERY: SERIES CASES REPORT AND LITERATURE REVIEW

Nguyên Hưng Thái1, , Văn Huy Nguyễn2, Văn Đông Phạm3
1 Bệnh viện K
2 Trường Đại học Phenikaa
3 Bệnh viện Châm cứu Trung ương

Main Article Content

Abstract

Study aim: Evaluating the origin and course of Middle Colic Artery Originating Directly from Aorta and Absence of Left Colic Artery  and Literature Review.


Result:


Male patient, 56 years old, got 1/3 left transverse colon cancer. Intra operating Finding:  Middle Colic Artery Originating Directly from Aorta Proximal to superior mesenteric artery and divided into right branch that connect to ascending branch of right colic artery and left branch that annastomose with ascending branch of left colic artery.


Surgical Procedure: right extended hemicolectomy. Ligation of right branch of aberrant middle colic artery and side to side ileo- colono anastomosis.


Female patient, 68 years old, subobstruction for middle transverse colon cancer and rectal cancer. Intraoperation finding: absence of left colon artery (or acessory colonic artery measuring about 1mm) originating from inferior mesenteric artery. Surgical procedure: Transverse segmentectomy with middle colic artery ligation; end to end anastomosis. Protectomy with inferior mesenteric artery ligation, ultralow anastomosis.


Conclusion:


Middle Colic Artery Originating Directly from Aorta is rare aberrant Middle Colic Artery. Given the unusual origin and course, this artery is prone to iatrogenic injury and ligation leading to colon ischemia and anastomotic fistulas.


Absence of left colic artery is rare variant anatomy which leading to ischemia and anastomotic fistulas and colic necrosis due to middle colic artery ligation and inferior mesenteric artery ligation due to coexistence of 2 colic cancer.

Keywords

Anatomic variations of middle colic artery, Anatomic variations of left colic artery

Article Details

References

1. J.Sonneland, BJ Anson, LE Beaton: Surgical anatomy of the arterial supply of the colon from the superior mesenteric artery based upon a study of 600 specimens. Surg. Gynecol.Obstet., 106 (1958): PP 385-398.
2. Bergman”s Comprehensive Encyclopedia of Human Anatomic Variation (first ed) Wiley & Hoboken NJ, USA (2016), PP. 621-655.
3. Enis Ulucam et al. Middle Colic Artery Originating Directly from Aorta as a Middle Mesenteric Artery. Trakya Univ Tip Fak Derg 2009;26(1): 87-89.
4. Alice Weiglein, Karin Fischer, Anne Aibrecht, Constanze Nossol. Case Report of variant origin and course of middle colic artery. Translational Research in Anatomy. 43 (2026),100459.
5. Jia Ke et al. Anatomic variations of inferior mesenteric artery and left colic artery evaluated by 3-dimensional CT angiography: Insights into rectal cancer surgery- A retrospective observational study.International Journal of Surgery 2017,41:106-111.
6. Sandra Petzold et al. Variant Arterial Supply of the Descending Colon by the Coeliac Trunk: A case Report. Medicina 2021,57, 487.
7. Anett Christiena et al. Aberrant Left Colic Artery and its Surgical Implications. Cureus.2021 Jul 14; 13.
8. Vandamme JP et al. Re-evaluation of the colic irrigation from the inferior mesenteric artery. Cells Tissues Organs 1982,112,18-30..