DOCSLIB.ORG

Bbm:978-1-4471-5182-1/1.Pdf

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Bbm:978-1-4471-5182-1/1.Pdf Index A embolization agent and preprocedure AAST. See American Association rupture , 99 for Surgery of Trauma (AAST) emergency situations , 99 Abdominopelvic tumors endovascular treatment , 99 adrenal , 423 extrahepatic proximal segment , 98 pelvic ( see Pelvic tumors) ischemic tolerance problems , 99 Adjuvant medications , 34 periarthritis nodosa/fi bro muscular AITP. See Autoimmune thrombocytopenic dysplasia , 100 purpura (AITP) technique , 98 American Association for Surgery visceral aneurysms , 99 of Trauma (AAST) and pseudoaneurysms abdominal visceral injuries , 357 catheterization , 161 “Baltimore” codifi cation , 360 indications , 161–162 grade I and II lesions , 360 outcomes , 162 grade IV and V , 358 visceral arteries , 160–161 organ injury scale , 388 Angiomyolipoma (AML) parietal cephalic impacts diagnosis , 233 and abdominal pain , 375 preventive embolization , 234 splenic traumatic injury , 380 symptomatic , 233 AML. See Angiomyolipoma (AML) Antibiotic prophylaxis , 37–39 Amplatzer vascular plugs Aortography (AVPs) , 20, 21, 81 infrarenal aorta , 316 Anesthesia and sedation ovarian arteries , 311 allergies , 34 vascularization, atonic uterus , 316 dosage , 35 Arteriovenous malformations (AVM) droperidol, propofol anesthesia , 408 and etomidate , 36 coaxial microcatheter , 408 intravascular injection , 34 embolization , 406 midazolam , 36 ethanol , 408 neuroleptanalgesia , 35 fl ow and type, malformation , 405 pain control , 36–37 hypoechoic serpiginous structures , plexus blocks , 35 406–407 sufentanil , 35–36 middle sacral artery , 408, 420 Aneurysms pulmonary pressure , 409 hepatic artery pulsatile mass , 406 P. Chabrot, L. Boyer (eds.), Embolization, 445 DOI 10.1007/978-1-4471-5182-1, © Springer-Verlag London 2014 446 Index Autoimmune thrombocytopenic purpura embospheres , 326 (AITP) , 164 gynecological consultation , 327 AVM. See Arteriovenous malformations hospital length , 328 (AVM) multidisciplinary discussion , 330 AVPs. See Amplatzer vascular plugs (AVPs) pelvic MRI , 329 post-embolization syndrome , 326 pre-and post-procedural phases , 325 B pregnancy and fertility , 330–331 BA. See Bronchial artery (BA) re-intervention procedures , 328–329 Balloon-occluded retrograde transvenous success rate and complications , 327–328 obliteration (BRTO) therapeutic protocol , 325–326 vs. endoscopic sclerosis , 426 uterine reperfusion , 326 portacaval gastrorenal shunt , 425 CurUFE. See Curative uterine fi broid renal vein , 426 embolization (CurUFE) Barcelona Clinic Liver Classifi cation (BCLC) , 121, 123 BCLC. See Barcelona Clinic Liver D Classifi cation (BCLC) DEB. See Drug-eluting beads (DEB) Bronchial artery (BA) Double systemic arterial , 69 adenocarcinoma , 75–76 Drug-eluting beads (DEB) , 117, 122 anastomosis , 73 angio and embolization techniques , 65–66 aorta , 64 E arterial wall erosion , 63 Embolization complications , 67, 70 anastomotic network , 357 CT , 64 blood transfusions , 357 ectopic and aberrant BA , 71 catheterization pathway and occlusion systemic hemorrhages , 67 type , 31 BRTO. See Balloon-occluded retrograde head trauma , 378–379 transvenous obliteration (BRTO) hemodynamic collapse , 385–387 hepatic trauma (see Hepatic trauma) highway accident, limb fractures , 380–381 C hypogastric aneurysms , 215 CA. See Celiac artery (CA) imaging work-up , 356 Carotid artery, cancerology , 50–51, 56 initial assessment and resuscitation , 355 Carotid blowout syndrome , 51–52, 57 liver injury and blush , 371–372 Catheterization devices morphological assessment , 367–370 frequently used , 23, 24 non-aneurysmal hypogastric arteries , guide wires , 24 215–216 hydrophilic catheters , 23 parenchymal embolizations ( see microcatheters , 23–24 Parenchymal embolizations) sheaths and catheters , 23 parietal cephalic impacts and abdominal Celiac artery (CA) , 195–196 pain , 375–377 Closure devices pelvic hematoma , 358 angiographic series , 25 polytrauma patients , 355 description , 25 renal traumatisms , 361–363 double-guided technique , 25–26 RPH , 357–358 Computed tomography (CT) scan , 81, 89–91, solid organs , 357 97, 100 splenic traumas ( see Splenic traumas) Curative uterine fi broid embolization terminal arterial tree organs , 356 (CurUFE) traumatic lesions , 356 catheterization diffi culties and spasms , 326 truncal embolizations , 31–32 contraindications and indications , 330 upper quadrant pain , 373–374 control angiography , 326 varicocele ( see Varicoceles) Index 447 vascularization type , 31 G vessel occlusion , 357 Gastrointestinal (GI) tract hemorrhages Endocrine tumors (ET) , 124 arteriography , 182 Endoleaks. See Endovascular cholecystectomy , 185 abdominal aortic aneurysm chronic lymphoid leukemia , 183–184 repair (EVAR) coloscopy , 187 Endotension , 292 complications , 179–180 Endovascular abdominal aortic aneurysm embolization , 176–177 repair (EVAR) esogastroduodenal endoscopy , 174 aortic aneurysms , 291 fi broscopy , 189–190 arteriovenous malformations , 295 hematemesis , 181 blood pressure , 291 hepatic segmentectomy , 183 endoleaks classifi cation , 291–292 iodine , 174 end-stage renal failure , 297–300 lower hemorrhages , 178, 179 indications , 296 necrotico-hemorrhagic acute pancreatitis , infrarenal AAA , 302–305 186 optimal occlusion agent , 296 PHT , 173 radiological anatomy , 292 radiological anatomy , 174–175 reintervention rate , 295 rectum cancer , 190–193 type I endoleaks , 292–293 upper hemorrhages , 178, 179 type II endoleaks ( see Type II endoleaks) urinary catheterization , 176 Epistaxes angiography , 48–49 anterior gauze plugging and endoscopic H electrocoagulation , 45 HCC. See Hepatocellular carcinoma (HCC) controlled hemorrhage, hemodynamic Hemarthrosis, knee arthroplasty instability , 48 conservative management , 429 description , 44 description , 428 endovascular treatment , 46–47, 55 synovectomy , 428 environment, indications and patient’s Hematological diseases situation , 47 AITP , 164 occlusion material , 47 myeloproliferative diseases , organic causes , 44 164–165 post-embolization neuropathies , 50 thalassemia , 165 refractory epistaxes etiologies , 44 Hematomas relevant radiological anatomy , anticoagulants , 259 45, 54 indications , 261–262 surgical treatment , 45–46 non-Hodgkin lymphoma , 266 systemic complications , 49 outcomes , 261 ET. See Endocrine tumors (ET) rectus sheath , 260 Ethylene vinyl alcohol (EVA) retroperitoneal hematoma , 263 instructions , 12 retroperitoneum and psoas , 260 onyx , 11–12 rhythmic cardiopathy , 264–265 technical characteristics , 11 Seldinger technique , 260–261 tumor neovascularizations , 12 ultrasound , 259–260 EVA. See Ethylene vinyl alcohol (EVA) Hemoptysis (H) EVAR. See Endovascular abdominal aortic aortogram, catheterization and post-embo aneurysm repair (EVAR) angiogram , 72 arterial bleeding ( see Systemic arterial bleeding) F bronchial circulation , 63 Fanconi syndrome , 79 bronchial hypervascularization , 73–74 FLR. See Future liver remnant (FLR) celiac trunk (CT) , 64 Future liver remnant (FLR) , 135 description , 63 448 Index Hemoptysis (H) ( cont.) chemoembolization, loaded double systemic arterial and pulmonary microspheres , 117 embolization, 69 cone beam CT , 119 multidetector CT (MDCT) , 64 HepaSphere microparticles , 118 percutaneous endovascular hepatic infusions, chemotherapy , embolization , 64 116–117 pulmonary arterial bleedings , 67–68 hepatic intra-arterial chemotherapy , 116 radiological anatomy , 64–65 inter-cure , 119 Hemorrhages, ENT lipiodol chemoembolization , 117 arterial embolization and hemorrhages , 43 Seldinger’s technique , 118 carotid blowout , 51–52, 57 randomized controlled trials , 121–122 epistaxes ( see Epistaxes) TACE , 131 external carotid artery, cancerology , 50–51, technical variations and evolutions 56 drugs , 123 microcatheterism technique , 53 endovascular treatments , 123 Rendu-Osler disease , 52 radioembolization , 122–123 tumors , 52, 58 radiosensitization agents , 123 Hepatic artery embolizations treatment , 141 aneurysms , 98–100 Hereditary hemorrhagic telangiectasia arterial segmentation, liver , 104 (HHT) , 79, 81 carcinoid secreting liver metastasis , 107 HHT. See Hereditary hemorrhagic CT , 104 telangiectasia (HHT) hypochondrium pain , 105–106 Hypersplenism liver traumatisms , 97–98 indications and outcomes , 163–164 liver tumors, hemorrhaging situations , PHT , 162 101–103 technique , 163 malignant pancreatic insulinoma , Hypogastric arteries 108–111 aneurysms , 213–214 radiological anatomy , 95–96 aortobifemoral bypass , 222–225 spontaneous hemoperitoneum , 100–101 aortoiliac aneurysms , 215–216 technique , 96–97 axial transverse , 218 vascular and traumatic disease , 95 embolization techniques , 214–215 Hepatic trauma endovascular techniques , 216 indications , 358–359 endovascular treatment , 213 morphological imaging , 359 iliac and hypogastric arteries , 219–221 mortality rate , 359 outcomes , 216 Hepatocellular carcinoma (HCC) radiological anatomy , 214 adjuvant treatment , 121 retrograde injection , 217 BCLC treatment algorithm , 121 and cholangiocarcinomas , 140 complication , 127 I contraindications , 120 ICBT. See Intercostobronchial CT , 126 trunk (ICBT) description , 115–116 IIA. See Internal iliac arteries (IIA) HepaSpheres , 121–122 ILA. See Iliolumbar artery (ILA) hepatic failure , 121 Iliolumbar artery (ILA) , 293–294 hepatic transplantation , 128–130 Intercostobronchial trunk (ICBT) , indications , 120 64, 65, 71 malignant liver tumors ( see Malignant Internal iliac arteries (IIA) tumors) bilateral embolization , 311 mortality and morbidity , 121 division
Load more

Recommended publications
  • The Acetabular Blood Supply: Implications for Periacetabular Osteotomies
    View metadata, citation and similar papers at core.ac.uk brought to you by CORE provided by RERO DOC Digital Library Surg Radiol Anat (2003) 25: 361–367 DOI 10.1007/s00276-003-0149-3 ANATOMIC BASES OF MEDICAL, RADIOLOGICAL AND SURGICAL TECHNIQUES M. Beck Æ M. Leunig Æ T. Ellis Æ J. B. Sledge Æ R. Ganz The acetabular blood supply: implications for periacetabular osteotomies Received: 22 April 2002 / Accepted: 27 February 2003 / Published online: 16 August 2003 Ó Springer-Verlag 2003 Abstract As the popularity of juxta-acetabular osteot- noise, une e´ tude anatomique apre` s injection de latex omies in adults increases, concern arises that such a colore´ ae´ te´ re´ alise´ e. La vascularisation du versant ex- procedure will potentially cause avascular necrosis of the terne du fragment pe´ ri-ace´ tabulaire a e´ te´ e´ tudie´ e sur 16 acetabular fragment. In order to verify the remaining hanches apre` s injection de latex colore´ dans l’aorte ab- vascularization after a Bernese periacetabular osteoto- dominale et celle de son versant interne sur 4 hanches. my, an injection study with colored latex was performed. Pour confirmer les conclusions tire´ es du travail anato- The vascularity of the outside of the periacetabular bone mique, une oste´ otomie pe´ ri-ace´ tabulaire bernoise a e´ te´ was studied in 16 hips after injection of colored latex re´ alise´ e sur deux hanches supple´ mentaires apre` s injec- into the abdominal aorta and the inside in four hips. To tion de latex. Cette e´ tude a montre´ que, par une voie confirm the conclusions drawn from the anatomic study, d’abord de Smith-Petersen modifie´ eetenre´ alisant a Bernese periacetabular osteotomy was performed in l’oste´ otomie a` partir du versant interne du bassin, le two additional hips after latex injection.
    [Show full text]
  • The Anatomy of Th-E Blood Vascular System of the Fox ,Squirrel
    THE ANATOMY OF TH-E BLOOD VASCULAR SYSTEM OF THE FOX ,SQUIRREL. §CIURUS NlGER. .RUFIVENTEB (OEOEEROY) Thai: for the 009m of M. S. MICHIGAN STATE COLLEGE Thomas William Jenkins 1950 THulS' ifliillifllfllilllljllljIi\Ill\ljilllHliLlilHlLHl This is to certifg that the thesis entitled The Anatomy of the Blood Vascular System of the Fox Squirrel. Sciurus niger rufiventer (Geoffroy) presented by Thomas William Jenkins has been accepted towards fulfillment of the requirements for A degree in MEL Major professor Date May 23’ 19500 0-169 q/m Np” THE ANATOMY OF THE BLOOD VASCULAR SYSTEM OF THE FOX SQUIRREL, SCIURUS NIGER RUFIVENTER (GEOFFROY) By THOMAS WILLIAM JENKINS w L-Ooffi A THESIS Submitted to the School of Graduate Studies of Michigan State College of Agriculture and Applied Science in partial fulfillment of the requirements for the degree of MASTER OF SCIENCE Department of Zoology 1950 \ THESlSfi ACKNOWLEDGMENTS Grateful acknowledgment is made to the following persons of the Zoology Department: Dr. R. A. Fennell, under whose guidence this study was completed; Mr. P. A. Caraway, for his invaluable assistance in photography; Dr. D. W. Hayne and Mr. Poff, for their assistance in trapping; Dr. K. A. Stiles and Dr. R. H. Manville, for their helpful suggestions on various occasions; Mrs. Bernadette Henderson (Miss Mac), for her pleasant words of encouragement and advice; Dr. H. R. Hunt, head of the Zoology Department, for approval of the research problem; and Mr. N. J. Mizeres, for critically reading the manuscript. Special thanks is given to my wife for her assistance with the drawings and constant encouragement throughout the many months of work.
    [Show full text]
  • PERIPHERAL VASCULATURE Average Vessel Diameter
    PERIPHERAL VASCULATURE Average Vessel Diameter A Trio of Technologies. Peripheral Embolization Solutions A Single Solution. Fathom™ Steerable Guidewires Total Hypotube Tip Proximal/ UPN Length (cm) Length (cm) Length (cm) Distal O.D. Hepatic, Gastro-Intestinal and Splenic Vasculature 24 8-10 mm Common Iliac Artery 39 2-4 mm Internal Pudendal Artery M00150 900 0 140 10 10 cm .016 in 25 6-8 mm External Iliac Artery 40 2-4 mm Middle Rectal M00150 901 0 140 20 20 cm .016 in 26 4-6 mm Internal Iliac Artery 41 2-4 mm Obturator Artery M00150 910 0 180 10 10 cm .016 in 27 5-8 mm Renal Vein 42 2-4 mm Inferior Vesical Artery 28 43 M00150 911 0 180 20 20 cm .016 in 15-25 mm Vena Cava 2-4 mm Superficial Epigastric Artery 29 44 M00150 811 0 200 10 10 cm pre-shaped .014 in 6-8 mm Superior Mesenteric Artery 5-8 mm Femoral Artery 30 3-5 mm Inferior Mesenteric Artery 45 2-4 mm External Pudendal Artery M00150 810 0 200 10 10 cm .014 in 31 1-3 mm Intestinal Arteries M00150 814 0 300 10 10 cm .014 in 32 Male 2-4 mm Superior Rectal Artery A M00150 815 0 300 10 10 cm .014 in 33 1-3 mm Testicular Arteries 1-3 mm Middle Sacral Artery B 1-3 mm Testicular Veins 34 2-4 mm Inferior Epigastric Artery Direxion™ Torqueable Microcatheters 35 2-4 mm Iliolumbar Artery Female 36 2-4 mm Lateral Sacral Artery C 1-3 mm Ovarian Arteries Usable 37 D UPN Tip Shape RO Markers 3-5 mm Superior Gluteal Artery 1-3 mm Ovarian Veins Length (cm) 38 2-4 mm Inferior Gluteal Artery E 2-4 mm Uterine Artery M001195200 105 Straight 1 M001195210 130 Straight 1 M001195220 155 Straight 1 Pelvic
    [Show full text]
  • Module Template
    PELVIC INJURY MODULE Introduction Pelvic injury is associated with significant morbidity and mortality through complications of major haemorrhage, soft-tissue infection and associated injury to intra-abdominal organs – particularly the bladder, bowel and genitalia. It is primarily caused by to blunt trauma with MVA and falls accounting for the majority of injuries. Overall mortality of pelvic fractures is 16%. Open pelvic injuries are particularly devastating, with mortality rates of up to 55%.1 Pelvic Anatomy The pelvis has a rich collateral blood supply, especially across the sacrum and posterior ileum. The close proximity of major arteries, veins and highly vascularised cancellous bone increases the risk of severe haemorrhage.1 The pelvic peritoneum (which theoretically should eventually limit and tamponade the bleeding pelvis), can accommodate more than 3 L of blood.2 The volume of a mechanically unstable pelvis (i.e. pubic diastasis) increases further, reducing the tamponade effect of the retroperitoneal tissues and intraperitoneal organs. Figure 1 The proximity of the arteries in relation to the pelvis: IL iliolumbar artery; SG superior gluteal artery; LS lateral sacral artery; IP internal pudendal artery; O obturator artery1 Culprit arterial bleeding sites in pelvic fractures:1 Anteriorly (43% total) Internal pudendal a 27% Obturator a 16% Posteriorly (57% total) Superior gluteal a 25% Lateral sacral a 23% Inferior gluteal a 9% The culprit venous bleeding site is the Iliolumbar Vein in up to 60% of cases3 PAH Department of Emergency Medicine Pelvic Injury Module Revised 2016 Classification of Pelvic Fractures There are many classifications systems in use. The Young-Burgess classification system is based on direction of force and is also useful in determining the likelihood of intrapelvic injury and haemorrhage.
    [Show full text]
  • Aberrant Iliac Artery: Far Lateral Lumbosacral Surgical Anatomy
    ■ Case Report Aberrant Iliac Artery: Far Lateral Lumbosacral Surgical Anatomy LAWRENCE A. DELASOTTA, MD, MPH; KRIS RADCLIFF, MD; MARCOS A. SONAGLI, MD; LUCIANO MILLER, MD abstract Full article available online at ORTHOSuperSite.com. Search: 20120123-28 A 44-year-old man presented after 3 weeks of progressively worsening atraumatic on- set pain in the right anteromedial thigh. The pain was sharp and radiated to the antero- medial shin and medial foot. The patient had no associated weakness, numbness, or bowel/bladder dysfunction. Nonsteroidal anti-infl ammatory, pain, and neuropathic- relieving drugs had limited effect. He underwent interlaminar injections, which pro- vided transient relief of his shin symptoms. After conservative management failed, a spine surgeon (not affi liated with our prac- tice) recommended an anterior lumbar interbody fusion via far lateral approach. The patient presented to our spine clinic for a second opinion. Closed magnetic resonance imaging revealed an aberrant iliac artery impinging on the lumbar plexus and a fo- raminal herniation at L4-L5 on the right, an orientation more lateral than expected or seen on the contralateral side. We recommended physical therapy that focused Figure: Sagittal magnetic resonance image show- on core strength and adequate stretching prior to considering surgery. The patient’s ing the abdominal aorta anterior to the L2 vertebral symptoms have since resolved. Common iliac artery anomalies are rare. No known in- body (arrow). cidence exists. The fi nding in this case was incidental and, if missed, could have led to vascular compromise. To prevent such an injury during minimally invasive (transpsoas lateral approach) spine surgery, we recommend careful examination of radiographs for aberrant vessels.
    [Show full text]
  • Assessment of the Iliolumbar Artery: Its Structural Variations and Applied Aspect
    International Journal of Research in Medical Sciences Upadhayay P et al. Int J Res Med Sci. 2021 Aug;9(8):2304-2308 www.msjonline.org pISSN 2320-6071 | eISSN 2320-6012 DOI: https://dx.doi.org/10.18203/2320-6012.ijrms20213074 Original Research Article Assessment of the iliolumbar artery: its structural variations and applied aspect Parul Upadhayay, Ranjeeta Hansdak*, Sneh Agarwal Department of Anatomy, Lady Hardinge Medical College, New Delhi, India Received: 30 May 2021 Accepted: 01 July 2021 *Correspondence: Dr. Ranjeeta Hansdak, E-mail: [email protected] Copyright: © the author(s), publisher and licensee Medip Academy. This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License, which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. ABSTRACT Background: The Iliolumbar artery normally arises from the posterior division of Internal iliac artery. The main artery and its two branches supply the iliacus and lumbar region and other vital structures in that area. However, various studies conducted depict the differences in the pattern of its origin and course. Thus, the goal of this study was to discover the various origins of the iliolumbar artery, as well as its relationships with other surgically significant anatomical structures; the importance of which can prevent any intraoperative hemorrhages during surgery. Methods: The study was conducted in Department of Anatomy Lady Hardinge Medical College between 2019-2021. Pelvis of 12 formalin fixed adult cadavers (8 females, 4 males) were dissected to observe the iliolumbar artery. Its origin, caliber and course were measured using a digital vernier caliper.
    [Show full text]
  • Session I - Anterior Abdominal Wall - Rectus Sheath
    ABDOMEN Session I - Anterior abdominal wall - Rectus sheath Surface landmarks Dissection Costal margins- right & left S u p e r f i c i a l f a s c i a ( f a t t y l a y e r, Pubic symphysis, tubercle membranous layer) Anterior superior iliac spine External oblique muscle Iliac crest Superficial inguinal ring Umbilicus, linea semilunaris Linea alba Mid-inguinal point & Lateral and anterior cutaneous branches of lower intercostal nerves Midpoint of inguinal ligament Anterior wall of rectus sheath Transpyloric & transtubercular planes Rectus abdominis & pyramidalis Right & left lateral (vertical) planes Superior & inferior epigastric vessels Nine abdominal regions – right & left hypochondriac, epigastric, right & left Posterior wall, arcuate line lumbar, umbilical, right & left iliac fossae, Internal oblique & transversus abdominis hypogastric muscles Region of external genitalia (tenth region) Fascia transversalis Terms of common usage for regions in the abdomen — Self-study Abdomen proper, pelvis, perineum, loin, Attachments, nerve supply & actions of groin, flanks external oblique, internal oblique, t r a n s v e r s u s a b d o m i n i s , r e c t u s abdominis, pyramidalis Bones Formation, contents and applied Lumbar vertebrae, sacrum, coccyx anatomy of rectus sheath Nerve supply, blood supply & lymphatic drainage of anterior abdominal wall ABDOMEN Session II - Inguinal Canal Dissection Self-study Aponeurosis of external oblique Boundaries of inguinal canal Superficial inguinal ring Contents of inguinal canal (in males and Inguinal
    [Show full text]
  • Bilateral Branching Variants of Internal and External Iliac Arteries - Cadaveric Study
    CASE REPORT Eur. J. Anat. 24 (1): 63-68(2020) Bilateral branching variants of internal and external iliac arteries - cadaveric study Bijo Elsy, Mansour A. Alghamdi, Lina E.S. Osman Department of Anatomy, College of Medicine, King Khalid University, Abha, Saudi Arabia SUMMARY olumbar, lateral sacral and the superior gluteal arteries (Williams et al., 1995). The internal iliac During a routine female cadaveric dissection, we arteries have multiple variations in the origin of its found an unusual bilateral pelvic branching pattern branches. Arterial branching pattern variation may of the internal and external iliac arteries. The vagi- be due to developmental anomalies, hemodynamic nal and middle rectal arteries had a common origin forces, genetic predisposition and intrauterine po- from the right internal pudendal artery. An aberrant sition of the fetus (Kumari and Gowda, 2016). obturator artery arises from both external iliac ar- The external iliac artery usually gives two main teries. A right aberrant obturator artery gives a branches, namely the deep circumflex iliac and the small branch to the back of the pubic bone. The left inferior epigastric arteries, and also gives small inferior epigastric artery arises from the common branches to the psoas major muscle and the trunk of the external iliac artery with the aberrant neighboring lymph nodes (Nayak, 2008). obturator artery. Knowledge of arterial variations helps to reduce the internal hemorrhage during CASE REPORT abdominal and pelvic surgeries. We have observed bilateral variations in the in- Keywords: Aberrant obturator artery – External ternal and external iliac arteries of a female cadav- iliac artery – Internal iliac artery – Middle rectal ar- er of unknown age during a routine dissection in tery – Vaginal artery the Anatomy Department of King Khalid University, Abha, Saudi Arabia.
    [Show full text]
  • 1 Anatomy of the Abdominal Wall 1
    Chapter 1 Anatomy of the Abdominal Wall 1 Orhan E. Arslan 1.1 Introduction The abdominal wall encompasses an area of the body boundedsuperiorlybythexiphoidprocessandcostal arch, and inferiorly by the inguinal ligament, pubic bones and the iliac crest. Epigastrium Visualization, palpation, percussion, and ausculta- Right Left tion of the anterolateral abdominal wall may reveal ab- hypochondriac hypochondriac normalities associated with abdominal organs, such as Transpyloric T12 Plane the liver, spleen, stomach, abdominal aorta, pancreas L1 and appendix, as well as thoracic and pelvic organs. L2 Right L3 Left Visible or palpable deformities such as swelling and Subcostal Lumbar (Lateral) Lumbar (Lateral) scars, pain and tenderness may reflect disease process- Plane L4 L5 es in the abdominal cavity or elsewhere. Pleural irrita- Intertuber- Left tion as a result of pleurisy or dislocation of the ribs may cular Iliac (inguinal) Plane result in pain that radiates to the anterior abdomen. Hypogastrium Pain from a diseased abdominal organ may refer to the Right Umbilical Iliac (inguinal) Region anterolateral abdomen and other parts of the body, e.g., cholecystitis produces pain in the shoulder area as well as the right hypochondriac region. The abdominal wall Fig. 1.1. Various regions of the anterior abdominal wall should be suspected as the source of the pain in indi- viduals who exhibit chronic and unremitting pain with minimal or no relationship to gastrointestinal func- the lower border of the first lumbar vertebra. The sub- tion, but which shows variation with changes of pos- costal plane that passes across the costal margins and ture [1]. This is also true when the anterior abdominal the upper border of the third lumbar vertebra may be wall tenderness is unchanged or exacerbated upon con- used instead of the transpyloric plane.
    [Show full text]
  • S E C T I O N 9 . C a R D I O V a S C U L a R S Y S T
    Section 9. Cardiovascular system 1 The heart (cor): is a hollow muscular organ possesses two atria possesses two ventricles is a parenchymatous organ is covered with adventitia 2 The human heart (cor) presents: apex (apex cordis) base (basis cordis) sternocostal surface (facies sternocostalis) pulmonary surface (facies pulmonalis) vertebral surface (facies vertebralis) 3 The grooves on the heart surface: coronary sulcus (sulcus coronarius) posterior interventricular sulcus (sulcus interventricularis posterior) anterior interventricular sulcus (sulcus interventricularis anterior) costal sulcus (sulcus costalis) anterior median sulcus(sulcus medianus anterior) 4 Coronary sulcus of the heart (sulcus coronarius): serves to be the outer border between atria (atria cordis) and ventricles (ventriculi cordis) contains the coronary vessels serves to be the outer border between the right and left atria (аtrium cordis dextrum/sinistrum) serves to be the outer border between the right and left ventricles (ventriculus cordis dexter/sinister) is proper to the pulmonary surface of heart (facies pulmonalis) 5 Heart auricles (auriculae): are constituent components of the right and left atrium (atrium dexter/sinister) are constituent components of the right and left ventricles (ventriculus dexter/ sinister) contain the papillary muscles contain the pectinate muscles participate in the base of heart 6 Anterior and posterior interventricular sulcuses (sulcus interventricularis anterior/posterior): connect at the apex of heart (apex cordis) connect at the
    [Show full text]
  • Bilateral Variation of Internal Iliac Artery
    Winter & Spring 2017, Volume 14, Number 1 Case Report: Bilateral Variation of Internal Iliac Artery Yousef Mohamadi1, Heydar Toolee1, Gholamreza Hassanzadeh1* 1. Department of Anatomy, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran. Citation: Mohamadi Y, Toolee H, Hassanzadeh Gh. Bilateral Variation of Internal Iliac Artery: A Case Study. Anatomical Sciences. 2017; 14(1):57- 60. Dr. Gholamreza Hassanzadeh is the professor and head of anatomy department in Tehran University Of Medical Sciences. He teaches some fields of anatomical sciences, including neuroanatomy and anthropological anatomy. His research fields are anthropology and neural tract tracing. He is the author of " Human Races" book that has been published in Persian language. Article info: A B S T R A C T Received: 15 Feb. 2016 Accepted: 06 May 2016 Understanding anatomical variations can help physicians achieve better results in clinical Available Online: 01 Jan 2017 practice. During routine dissection, we found variations in the branches of Internal Iliac Artery (IIA) of a 65-year-old Iranian female cadaver. The IIA ended by dividing to an unusual smaller anterior and a greater posterior trunk which was branched to the inferior Key Words: gluteal arteries. Both pelvis and the uterine artery were separated from the umbilical Internal iliac artery, Inferior artery in the left side. In addition, the left iliolumbar artery arose from the main trunk of gluteal artery, Iliolumbar artery, IIA. Although this cadaver had some uncommon variations, the findings are significant Arterial variation from clinical perspective. 1. Introduction sacral, and superior gluteal arteries originate from the posterior trunk of the IIA [1].
    [Show full text]
  • Morphometry of the Iliolumbar Artery and the Iliolumbar Veins and Their Correlations with the Lumbosacral Trunk and the Obturat
    Original Article DOI: 10.7860/JCDR/2013/4763.2789 Morphometry of the Iliolumbar Artery and the Iliolumbar Veins and Their Anatomy Section Correlations with the Lumbosacral Trunk and the Obturator Nerve CHANDRIKA GURULINGAPPA TELI, NILESH NEtaJI KatE, USHA KOTHANDARAMAN ABSTRACT iliac artery was 38.7±10.6 mm. Objectives: To reveal the variations of the iliolumbar artery and The mean distance of the iliolumbar veins from the inferior vena the iliolumabar veins and their correlation with the surrounding cava, overall, was 35± 9.9 mm. The mean width of the mouth important structures. of the iliolumbar vein was10.7 ± 5.1 mm and the mean angle of Methods: We dissected the iliolumbar region bilaterally in 20 obliquity of the vein with respect to the long axis of the common formalin-fixed adult cadavers. The diameter of the iliolumbar iliac vein was 75.50. The tributaries which drained into the main artery at its origin, its length up to the branching point, the iliolumbar vein were variable. distance between the iliolumbar artery and the inferior margin of The iliolumbar artery passed anterior in 70% and it passed the fifth lumbar vertebra and the distance between the iliolumbar posterior to the obturator nerve in 30%. The veins were lying artery and the bifurcation point of the common iliac artery, were anterior to the obturator nerve in 45% and they were lying measured. The pattern of drainage, the dimensions, the points posterior in 55%. The multiple tributaries which drained into of confluence with the common iliac vein and the obliquity of the iliolumbar vein relation of the tributaries were variable, few the iliolumbar vein were noted.
    [Show full text]