Skip to main content
Fig. 3 | Annals of Pediatric Surgery

Fig. 3

From: Vascular anatomical considerations in preparing colonic flaps to replace the oesophagus

Fig. 3

Diagram demonstrating rare variation in the anatomy of middle colic artery (2%). a Superior mesenteric artery (SMA) giving origin for middle colic (2) and right colic arteries (3), while the inferior mesenteric artery (IMA) gives the left colic artery (1). The middle colic vessels (2) were multiple, short, and non-branching with interrupted continuity of marginal vessels at that point. b Boundaries of the right colonic flap (dashed line) based on the middle colic vessels after ligation of right colic vessels. Note: the appendix has been removed, followed by separation of the ileo-colic junction, while the gastrointestinal tract continuity will be restored by anastomosing the terminal ileum with the left colon. The dotted line in the cecum is marking for the site of anastomosis with the oesophagus in the neck

Back to article page