Vascularisation des glandes surrénales View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

1979-06

AUTHORS

J. Hureau, G. Hidden, A. Ta. Thanh Minh

ABSTRACT

La glande surrénale de l'homme réunit deux structures initialement sans rapport physiologique. Cette dualité phyllogénique et embryologique se retrouve dans sa structure vasculaire de façon paradoxale. Les artères métamériques de l'organe phéochrome irriguent en priorité le cortex. L'axe veineux de l'ébauche mésenchymateuse draine le réseau des capillaires sinusoïdaux vers la médulla. Le réseau lymphatique est quasi inexistant au niveau de la médulla. Bien développé dans le cortex, il se draine presque exclusivement de façon centrifuge le long des axes artériels. A côté de son intérêt anatomo-chirurgical évident, l'étude de la vascularisation des glandes surrénales se doit de répondre aux besoins des investigations morphologiques vasculaires. La connaissance des variations artérielles et de leur fréquence, des territoires glandulaires de distribution, des voies anastomotiques de suppléance et des regroupements typologiques a retenu notre attention. Elle facilitera la lecture des artériographies globales toujours difficile dans le plan rétro-péritonéal. Elle guidera l'angiographie artérielle sélective. La phlébographie cave occlusive permet d'obtenir des opacifications remarquables des veines centrales, en particulier à gauche. Cette méthode est utile dans l'étude des tumeurs rétro-péritonéales et dans l'exploration des masses ganglionnaires lombo-aortiques susceptibles d'imprimer leur empreinte sur les structures veineuses. Elle a d'autant plus d'intérêt que la lymphographie pédieuse qui opacifie bien les chaînes latéro-aortiques gauche et latérocave à droite, ne permet pas, sauf reflux à contrecourant, une étude de l'important carrefour inter-aortico-cave sous-rénal. Des cathétérismes et des prélèvements électifs au niveau des différentes voies excrétrices de cette glande endocrine (veines et lymphatiques) peuvent aider à une meilleure connaissance de la physiologie et de la pathologie de l'organe. Les voies de dérivations veineuses des glandes surrénales ont été étudiées dans cet esprit. More... »

PAGES

127-146

References to SciGraph publications

  • 1978-06. La veine rénale gauche in SURGICAL AND RADIOLOGIC ANATOMY (WITH FRENCH TRANSLATION)
  • 1908-05. Über die entwickelung und “wanderung” der zweige der aorta abdominalis beim menschen in BRAIN STRUCTURE AND FUNCTION
  • 1958-05. Nachweis von Venenklappen in der Niere von Hund, Schwein und Mensch in CELL AND TISSUE RESEARCH
  • 1954-11. Die arterielle Gefäßversorgung der Nebennieren in VIRCHOWS ARCHIV A PATHOLOGICAL ANATOMY AND HISTOPATHOLOGY
  • Identifiers

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    http://scigraph.springernature.com/pub.10.1007/bf01654426

    DOI

    http://dx.doi.org/10.1007/bf01654426

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1002254014


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