{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T23:24:00Z","timestamp":1768433040197,"version":"3.49.0"},"reference-count":8,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2018,1,1]],"date-time":"2018-01-01T00:00:00Z","timestamp":1514764800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2018,9,8]],"date-time":"2018-09-08T00:00:00Z","timestamp":1536364800000},"content-version":"vor","delay-in-days":250,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2018,1]]},"abstract":"ABSTRACT<\/jats:title>\n \n Introduction:<\/jats:title>\n Identification and ligation of the inferior mesenteric artery (IMA) is a crucial surgical step when performing lower anterior resection (LAR) for rectal cancer. Anatomic variations of the relation between the IMA and the bifurcation point of abdominal aorta (AA) encumber surgical maneuvers and are of great clinical importance.<\/jats:p>\n <\/jats:sec>\n \n Presentation of case:<\/jats:title>\n An unusual anatomic variation of the relation between IMA and the bifurcation point of AA was unexpectedly detected during LAR to a 69-year-old Caucasian female patient. The operation was uneventful. A meticulous review of the recent literature was conducted as well.<\/jats:p>\n <\/jats:sec>\n \n Discussion:<\/jats:title>\n Variations of the mesenteric vascular supply are mainly identified incidentally, during the operation. In particular, variations of IMA are extremely uncommon in the literature. However, such kind of congenital variations, are not as rare as considered and their presence encumbers surgical maneuvers and increases the potentiality of intraoperative injury and hemorrhage.<\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n Surgeons' deep knowledge and unceasing awareness concerning probable anatomic variations of the relation between the IMA and AA, combined with detailed exposure of the operative field and of the relationship between these adjacent arteries constitute the cornerstone of a safe operation.<\/jats:p>\n <\/jats:sec>\n \n Highlights<\/jats:title>\n <\/jats:sec>","DOI":"10.1016\/j.ijscr.2018.09.002","type":"journal-article","created":{"date-parts":[[2018,9,10]],"date-time":"2018-09-10T01:56:00Z","timestamp":1536544560000},"page":"385-387","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Anatomic variation of the relation between the inferior mesenteric artery and the bifurcation point of abdominal aorta during lower anterior resection"],"prefix":"10.1097","volume":"51","author":[{"given":"Maria","family":"Zarokosta","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Theodoros","family":"Piperos","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dimosthenis","family":"Chrysikos","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eythumios","family":"Nikou","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ioannis","family":"Flessas","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"George","family":"Skarpas","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ioannis","family":"Papapanagiotou","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ioannis","family":"Tsiaoussis","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"George","family":"Noussios","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Theodoros","family":"Mariolis-Sapsakos","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"R1-94-20260114","doi-asserted-by":"crossref","first-page":"8","DOI":"10.1007\/s00595-012-0359-6","article-title":"High ligation of the inferior mesenteric artery in rectal cancer surgery","volume":"43","author":"Hida","year":"2013","journal-title":"Surg. Today"},{"key":"R4-94-20260114","doi-asserted-by":"crossref","first-page":"1382","DOI":"10.3346\/jkms.2011.26.10.1382","article-title":"A case of the inferior mesenteric artery arising from the superior mesenteric artery in a Korean woman","volume":"26","author":"Yoo","year":"2011","journal-title":"J. Korean Med. Sci"},{"key":"R5-94-20260114","first-page":"321","article-title":"Abdominal aorta and its branches: morphometry - variations in autopsy cases","volume":"7","author":"Song\u00fcr","year":"2010","journal-title":"Eur. J. Gen. Med"},{"key":"R6-94-20260114","doi-asserted-by":"crossref","first-page":"180","DOI":"10.1016\/j.ijsu.2016.08.014","article-title":"The SCARE statement: consensus-based surgical case report guidelines","volume":"34","author":"Agha","year":"2016","journal-title":"Int. J. Surg"},{"key":"R7-94-20260114","first-page":"357","article-title":"Effect of inferior mesenteric artery ligation on blood flow in the marginal artery-dependent sigmoid colon","volume":"183","author":"Dworkin","year":"1996","journal-title":"J. Am. Coll. Surg"},{"key":"R10-94-20260114","doi-asserted-by":"crossref","first-page":"139","DOI":"10.2535\/ofaj.93.139","article-title":"Positional relationships of abdominal aortic branches for contrast radiography of the inferior mesenteric artery using the coeliac trunk and superior mesenteric artery as landmarks","volume":"93","author":"Nakayama","year":"2017","journal-title":"Okajimas Folia Anat"},{"key":"R11-94-20260114","doi-asserted-by":"crossref","first-page":"63","DOI":"10.1007\/BF01628118","article-title":"Effect of normal aging on the sites of aortic bifurcation and inferior vena cava confluence: a CT study","volume":"20","author":"Kornreich","year":"1998","journal-title":"Surg. Radiol. Anat"},{"key":"R12-94-20260114","doi-asserted-by":"crossref","first-page":"99","DOI":"10.1002\/ar.1092170113","article-title":"Rare case of the inferior mesenteric artery arising from the superior mesenteric artery","volume":"217","author":"Kitamura","year":"1987","journal-title":"Anat. Rec"}],"container-title":["International Journal of Surgery Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261218303638?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261218303638?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.lww.com\/01612930-201851000-00094","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T13:06:59Z","timestamp":1768396019000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/01612930-201851000-00094"}},"subtitle":["A rare case report"],"short-title":[],"issued":{"date-parts":[[2018,1]]},"references-count":8,"journal-issue":{"issue":"C","published-print":{"date-parts":[[2018]]}},"URL":"https:\/\/doi.org\/10.1016\/j.ijscr.2018.09.002","relation":{},"ISSN":["2210-2612"],"issn-type":[{"value":"2210-2612","type":"print"}],"subject":[],"published":{"date-parts":[[2018,1]]}}}