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The Meandering Mesenteric Artery: A Historic Review and Surgical Implications

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Diseases of the Colon & Rectum

PURPOSE

The aim of this study was to review the literature regarding collateral mesenteric circulation with emphasis on the mesenteric meandering artery (of Moskowitz). Standard vascular embryology and anatomy are described as are the collateral mesenteric vessels that can develop with arterial stenosis or occlusion. A discussion on the correct usage of terms for describing mesenteric collateral vessels follows.

METHODS

We undertook review of the historical literature to discuss the surgical implications of the meandering mesenteric artery.

RESULTS

Despite a long history of study by anatomists and surgeons, confusion still persists regarding both the number and correct descriptive terminology of the collateral mesenteric vessels.

CONCLUSIONS

The use of the vague historic term “arc of Riolan” should be discarded for the more precise term “meandering mesenteric artery.” The meandering mesenteric artery should routinely be preserved in all surgical procedures, to include resection for cancer, given its critical function in providing collateral mesenteric circulation. Further evaluation in the asymptomatic patient, however, is unnecessary.

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Authors and Affiliations

  1. Department of Surgery, General Surgery Service, William Beaumont Army Medical Center, El Paso, Texas

    Eric J. Gourley M.D. & Scott A. Gering M.D.

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  1. Eric J. Gourley M.D.
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  2. Scott A. Gering M.D.
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Correspondence to Eric J. Gourley M.D..

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Gourley, E., Gering, S. The Meandering Mesenteric Artery: A Historic Review and Surgical Implications. Dis Colon Rectum 48, 996–1000 (2005). https://doi.org/10.1007/s10350-004-0890-7

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  • DOI: https://doi.org/10.1007/s10350-004-0890-7

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