DOCSLIB.ORG

Radiology Imaging

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Radiology Imaging Question & Answer Radiology Imaging Jeffrey W. Hanna, MD From the Department of Radiology, Greenville Health System, Greenville, SC (J.W.H.) Patient Description hip replacement, and jaw surgery. MRI of the left 65-year-old woman presents with 12 hip/pelvis and lumbar spine were performed to months of low back pain radiating into further evaluate for structural causes of her pain Athe left leg. Previous history of surgeries (Fig 1.). Based on the below images, what is this includes breast reduction, abdominoplasty, right patient’s diagnosis? Answer on following page. Imaging Figure 1 MRI of patient’s left hip/pelvis and lumbar spine. Figure Legend: A) Coronal T1 image of upper pelvis; B) Coronal T1 image of the lumbar vertebra; C) Axial T2 image at level of L4/5 disc; D) Sagittal T2 of lateral lower lumbar spine. GHS Proc. June 2017; 2 (1): 5-7 5 Answer Figure 2 Retro-psoas right common iliac artery. Figure Legend: A) Coronal T1 image demonstrates abnormal C) Axial T2 image at level of L4/5 disc shows common iliac origin of right common iliac artery (arrows) with nearly 70° angle artery (CI) at lateral margin of the right intervertebral foramen from aorta. B) Coronal T1 image further posteriorly shows right abutting the right L4 nerve root (arrow). D) Sagittal T2 shows CI common iliac artery (arrow) posterior to the psoas muscle along coursing caudally along the lateral margins of the L4/5 and L5/S1 the posterior third of the 4th and 5th lumbar vertebra contiguous right intervertebral foramina with the right L5 nerve root (arrow) with the lumbosacral plexus. seen just caudal to the artery. Retro-Psoas Right Common these include singular reported cases by Vohra Iliac Artery in 1991,1 Sonneveld in 1998,2 Jain in 2008,3 Delasotta in 2012,4 and Yang in 2015.5 Overall, This anomaly of the iliofemoral arterial system it appears the anomaly was incidental to the is rare. Just a few cases have been published patient’s presenting symptoms and/or pathology describing this anomaly over the last 25 years; in all reported cases. 6 GHS Proc. June 2017; 2 (1): 5-7 QUESTION & ANSWER: RADIOLOGY IMAGING The patient reported by Vohra had iliac artery ste- Significance Correspondence 1 nosis, but no causation was suggested. Sonneveld Delasotta initially raised the concern that the Address to: discovered the anomaly as an incidental finding position of the retro-psoas iliac artery could pose Jeffrey W. Hanna, MD, with unrelated but clinically significant abdominal an unexpected hemorrhagic problem in manag- Greenville Health 2 aortic aneurysm. Jain encountered this anomaly ing patients with lumbar disc disease.4 Whether System, Department 3 in the setting of iliac fossa renal transplantation, being managed by discectomy or transforaminal of Radiology, and Delasotta was evaluating a patient for possi- steroid injection, the juxtaposition of this vessel 1210 W Faris Rd, 4 Greenville, SC 29605 ble spinal fusion through a far lateral approach. may cause difficulty. Finally, Yang et al discovered their case in the ([email protected]) evaluation of a patient requiring pelvic surgery for While vascular complications from these pro- urothelial malignancy.5 Unlike the more common cedures are uncommon, life-threatening hem- iliofemoral anomaly of a persistent sciatic artery, orrhage from vascular injury in far lateral disc which is predisposed to aneurysm formation, the surgery7 and caudal spine cord infarction in few reported cases of retro-psoas iliac artery were foraminal steroid injections have been reported.8 found incidentally. Furthermore, the incidence of far lateral disc protrusions attributed as the source of radicular Embryology symptoms has increased, incidence of far lateral The lower limb vasculature arises as a continua- disc herniation ranging between 0.7%–1.7% of all tion of the internal iliac artery but largely degen- disc herniations, with the increased use of MRI erates. The external iliac artery becomes its pri- for diagnosis.9 mary supply, which arises from the fifth lumbar intersegmental artery.6 Certainly, the limited surgical exposure and close approximation of the retro-psoas iliac artery to Sonneveld proposed that “the common iliac the far lateral disc protrusion will make knowl- and external iliac arteries are derived from the edge of this anomaly before the surgical approach umbilical arteries at the end of the fourth week helpful. Similarly, the typical posterolateral of gestation. The umbilical arteries develop a sec- approach to transforaminal epidural steroid ondary connection to the fifth lumbar interseg- injection results in high likelihood of arterial mental branches of the aorta; these new trunks puncture. form the common iliac arteries from which the external iliac arteries subsequently arise. It may Overall, while the retro-psoas iliac artery is not be possible that the retro-psoas iliac artery in our associated with an apparent inherent increase in case embryologically was derived from an abnor- pathology, the few reported cases have illustrated mal secondary connection between the umbilical how knowledge of this anomaly may reduce the artery and the fourth, instead of the fifth, lumbar likelihood of difficulty when involved with pelvic intersegmental artery.”2 or lumbar surgical procedures. References 1. Vohra R, Leiberman DP. An anomalous right iliac retro-psoas iliac artery: a case report. J Radiol Sci. artery presenting as iliac stenosis. Eur J Vasc Surg. 2015;40:13-6. 1991;5:209. 6. Schoenwolf GC, Bleyl SB, Brauer PR, Francis-West 2. Sonneveld DJ, van Dop, HR, van der Tol A. Anom- PH. Larsen’s Human Embryology. (5th edition) Else- alous retro-psoas iliac artery in a patient with an vier, Churchill Livingstone, Philadelphia (2015). abdominal aortic aneurysm. Eur J Vasc Endovasc 7. Harrington JF Jr. Far lateral disc excision at L5–S1 Surg. 1998;16:85-6. complicated by iliolumbar artery incursion: case 3. Jain A, Patil VP, Horton P, et al. Common iliac report. Neurosurgery. 2001;48:1377-9. artery lying posterior to psoas major identified 8. Murthy NS, Maus TP, Behrns CL. Intraforaminal during kidney transplantation. Transplantation. location of the great anterior radiculomedullary 2008;86:623-4. artery (artery of Adamkiewicz): a retrospective 4. Delasotta LA, Radcliff K, Sonagli MA, Miller L. review. Pain Med. 2010;11:1756-64. Aberrant iliac artery: far lateral lumbosacral surgical 9. Al-Khawaja DO, Mahasneh T, Li JC. Surgical treat- anatomy. Orthopedics. 2012;35:e294-7. ment of far lateral lumbar disc herniation: a safe and 5. Yang CJ, Tzeng WS, Shu G, Cheng HM. Anomalous simple approach. J Spine Surg. 2016;2:21-4. GHS Proc. June 2017; 2 (1): 5-7 7.
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]
  • Surgical Anatomy of the Common Iliac Veins During Para-Aortic and Pelvic Lymphadenectomy for Gynecologic Cancer
    Original Article J Gynecol Oncol Vol. 25, No. 1:64-69 http://dx.doi.org/10.3802/jgo.2014.25.1.64 pISSN 2005-0380·eISSN 2005-0399 Surgical anatomy of the common iliac veins during para-aortic and pelvic lymphadenectomy for gynecologic cancer Kazuyoshi Kato, Shinichi Tate, Kyoko Nishikimi, Makio Shozu Department of Gynecology, Chiba University School of Medicine, Chiba, Japan See accompanying editorial by Lee on page 1. Objective: Compression of the left common iliac vein between the right common iliac artery and the vertebrae is known to be associated with the occurrence of left iliofemoral deep vein thrombosis (DVT). In this study, we described the variability in vascular anatomy of the common iliac veins and evaluated the relationship between the degree of iliac vein compression and the presence of DVT using the data from surgeries for gynecologic cancer. Methods: The anatomical variations and the degrees of iliac vein compression were determined in 119 patients who underwent systematic para-aortic and pelvic lymphadenectomy during surgery for primary gynecologic cancer. Their medical records were reviewed with respect to patient-, disease-, and surgery-related data. Results: The degrees of common iliac vein compression were classified into three grades: grade A (n=28, 23.5%), with a calculated percentage of 0%-25% compression; grade B (n=47, 39.5%), with a calculated percentage of 26%-50% compression; and grade C (n=44, 37%), with a calculated percentage of more than 50% compression. Seven patients (5.9%) had common iliac veins with anomalous anatomies; three were divided into small caliber vessels, two with a flattened structure, and two had double inferior vena cavae.
    [Show full text]
  • Multiple Variations of Branches of Abdominal Aorta Salve V M , Ratanprabha C
    KATHMANDU UNIVERSITY MEDICAL JOURNAL Multiple Variations of Branches of Abdominal Aorta Salve V M , Ratanprabha C Dept.Of Anatomy ABSTRACT: Dr Pinnamaneni Siddhartha Institute Of Medical The Abdominal aorta and its major branches supply oxygenated blood to nearly Sciences & Reasearch Foundation, all the organs in the abdominal cavity. During routine dissection (January 2009) of a middle aged male cadaver at Dr. PSIMS, Gannavaram, Krishna Dist. (INDIA), Chinnaoutpalli, Gannavaram Mandal, the following variations of branches of abdominal aorta were found. The coeliac Krishna District, A.P. India trunk gave off three branches. The first branch was left inferior phrenic artery which arose directly from coeliac trunk. The second branch bifurcates into left gastric artery and accessory hepatic artery for left lobe of liver. The second branch gave off splenic artery and common hepatic artery. The right testicular artery took its origin from right aberrant renal artery. This variation was associated with the presence CORRESPONDING of bilateral aberrant renal arteries for lower poles of both kidneys arising from abdominal aorta and aberrant renal arteries bilateral for upper poles originating Dr Vishal M. Salve from the renal arteries. Anatomical variation of testicular arteries is reported to be 4.7 %. Apart from creating hazards during abdominal surgery, vascular variation can Associate Professor also become a technical problem for infusion therapy and chemoembolisation of neoplasm in the liver. Dept.Of Anatomy KEY WORDS Dr Pinnamaneni Siddhartha Institute Of Medical Sciences & Reasearch Foundation, Abdominal aorta, celiac trunk, aberrant renal arteries, accessory hepatic artery, inferior phrenic artery, splenic artery. Chinnaoutpalli, Gannavaram Mandal, Krishna District, A.P, India E-mail: [email protected] Citation Salve V M, Ratanprabha C.
    [Show full text]
  • Transection of Common Iliac Arteries and Veins Bilaterally a Survival After Bilateral Temporary Arterial Shunts and a Unique Postoperative Complication
    European Journal of Trauma Case Study Transection of Common Iliac Arteries and Veins Bilaterally A Survival after Bilateral Temporary Arterial Shunts and a Unique Postoperative Complication Eric J. Kuncir, Demetrios Demetriades1 Abstract Case Study This is an unusual case report of a victim of a single J.M., a 23-year-old Hispanic male, sustained a single gunshot wound with transection of all four common gunshot wound to the left flank at about the mid axillary iliac vessels. The patient developed preoperative car- line at the level of the umbilicus. Los Angeles County diac arrest for which he underwent a successful resus- Paramedics responded quickly to the scene, and the citative thoracotomy. The iliac veins were managed by patient was unresponsive and had no obtainable vital ligation and the iliac arteries were stented as part of signs during transport. The patient arrived in the trauma damage control. The patient developed delayed acute room at LAC + USC 7 min later. Primary survey anuria due to ureteric obstruction secondary to bilater- revealed agonal respirations, a faintly palpable carotid al infected false iliac artery aneurysms. Reoperation pulse, and Glasgow Coma Score of 4. There was no visi- with ligation of the arteries and extra-anatomic ble active bleeding from a single wound to the left flank. axillofemoral and femorofemoral bypass was success- The patient was intubated by rapid sequence induction ful. The patient survived with weakness of the lower and was taken directly to the operating room (OR) extremities. without any investigation. He lost pulses during trans- port and a resuscitative left thoracotomy simultaneous Key Words with a midline laparotomy were performed in the OR 15 Iliac vessels · Damage control · False aneurysms min after initial arrival to the hospital.
    [Show full text]
  • Anatomy of the Visceral Branches of the Iliac Arteries in Newborns
    MOJ Anatomy & Physiology Research Article Open Access Anatomy of the visceral branches of the iliac arteries in newborns Abstract Volume 6 Issue 2 - 2019 The arising of the branches of the internal iliac artery is very variable and exceeds in this 1 2 feature the arterial system of any other area of the human body. In the literature, there is Valchkevich Dzmitry, Valchkevich Aksana enough information about the anatomy of the branches of the iliac arteries in adults, but 1Department of normal anatomy, Grodno State Medical only a few research studies on children’s material. The material of our investigation was University, Belarus 23 cadavers of newborns without pathology of vascular system. Significant variability of 2Department of clinical laboratory diagnostic, Grodno State iliac arteries of newborns was established; the presence of asymmetry in their structure was Medical University, Belarus shown. The dependence of the anatomy of the iliac arteries of newborns on the sex was revealed. Compared with adults, the iliac arteries of newborns and children have different Correspondence: Valchkevich Dzmitry, Department structure, which should be taken into account during surgical operations. of anatomy, Grodno State Medical University, Belarus, Tel +375297814545, Email Keywords: variant anatomy, arteries of the pelvis, sex differences, correlation, newborn Received: March 31, 2019 | Published: April 26, 2019 Introduction morgue. Two halves of each cadaver’s pelvis was involved in research, so 46 specimens were used in total: 18 halves were taken from boy’s Diseases of the cardiovascular system are one of the leading cadavers (9 left and 9 right) and 27 ones from the girls cadavers (14 problems of modern medicine.
    [Show full text]
  • Anomalous Retro-Psoas Iliac Artery Is an Extremely Rare Congenital Iliolumbar Vascular ( Anomaly
    J Korean Soc Radiol 2020;81(6):1511-1516 Case Report https://doi.org/10.3348/jksr.2020.0002 pISSN 1738-2637 / eISSN 2288-2928 Received January 4, 2020 Revised February 15, 2020 Accepted April 9, 2020 Anomalous Retro-Psoas Iliac *Corresponding author Youngjun Kim, MD Department of Radiology, Artery: A Case Report Presbyterian Medical Center, 365 Seowon-ro, Wansan-gu, 허리근뒤 이상 온엉덩동맥: 증례 보고 Jeonju 54987, Korea. Tel 82-63-230-8006 Beum Jin Kim, MD , Youngjun Kim, MD* Fax 82-63-230-8387 E-mail [email protected] Department of Radiology, Presbyterian Medical Center, Jeonju, Korea This is an Open Access article distributed under the terms of the Creative Commons Attribu- tion Non-Commercial License The anomalous retro-psoas iliac artery is an extremely rare congenital iliolumbar vascular (https://creativecommons.org/ anomaly. A 51-year-old woman presented to our emergency department with worsening right licenses/by-nc/4.0) which permits unrestricted non-commercial lower extremity pain and weakness for 3 months. CT angiography of the right lower extremity use, distribution, and reproduc- showed no evidence of stenosis in the lower extremity arteries and the incidental finding of an tion in any medium, provided the original work is properly cited. anomalous right retro-psoas iliac artery. Herein, we report a rare case of anomalous retro-pso- as iliac artery. Surgeons and clinicians need to be aware of this rare congenital anomaly to avoid severe complications during pelvic or orthopedic surgery. ORCID iDs Beum Jin Kim Index terms ‌Iliac Artery; Congenital Abnormalities; Cardiovascular Abnormalities https:// orcid.org/0000-0002-9111-5617 Youngjun Kim https:// orcid.org/0000-0003-4638-9229 INTRODUCTION The anomalous retro-psoas iliac artery is an extremely rare congenital iliolumbar vascular anomaly (1-5).
    [Show full text]
  • Case Report-Iliac Artery.Pdf
    Internal iliac artery variations Rev Arg de Anat Clin; 2012, 4 (1): 25-28 __________________________________________________________________________________________ Case report VARIATIONS IN THE BRANCHING PATTERN OF THE INTERNAL ILIAC ARTERY IN AN ADULT MALE – A CASE REPORT Satheesha Nayak B*, Srinivasa Rao Sirasanagandla, Narendra Pamidi, Raghu Jetti Department of Anatomy, Melaka Manipal Medical College (Manipal Campus), Manipal University, Manipal, Udupi District, Karnataka State, India RESUMEN INTRODUCTION Variaciones en el patrón de ramificación de la arteria ilíaca interna son ocasionalmente encontradas en las Internal iliac artery is one of the terminal disecciones cadavéricas y las cirugías. Algunas de las branches of the common iliac artery. It supplies variaciones son de importancia quirúrgica y clínica e the organs of the pelvis and the proximal part of ignorarlas podría derivar en alarmantes sangrados the thigh, the gluteal region and the perineum. A durante las prácticas quirúrgicas. Evaluamos las number of complications can be caused when the variantes en el patrón de la arteria ilíaca interna en un cadáver masculino. La división de la arteria ilíaca artery or its branches are damaged during interna dio origen a las arterias rectal media y surgery. The complications include buttock obturatriz. La arteria vesical superior tenía su origen claudication, sexual dysfunction, colon ischemia, en la arteria obturatriz. La división posterior de la and distal spinal cord infarction and gluteal arteria ilíaca interna dio lugar a las arterias iliolumbar, necrosis. Normally the artery divides into anterior sacra lateral, glútea superior y pudenda interna. La and posterior divisions. The anterior division in arteria glútea inferior estaba ausente. males gives superior vesical, inferior vesical, Palabras clave: Arteria ilíaca interna; vasos pélvicos; middle rectal, obturator, internal pudendal and arteria glútea inferior; arteria obturatriz; arteria vesical inferior gluteal arteries.
    [Show full text]
  • Abdominal Aorta - Bilateral Arterial Variations
    Original Research Article Abdominal aorta - Bilateral arterial variations K Satheesh Naik1*, M Gurushanthaiah2 1Assistant professor, Department of Anatomy, Viswabharathi Medical College and General Hospital, Penchikalapadu, Kurnool, Andhrapradesh, INDIA. 2Professor, Department of Anatomy, Basaveshwara Medical College and Hospital, Chitradurga, Karnataka, INDIA Email: [email protected] Abstract Background: The abdominal aorta is an important artery in various abdominal surgeries. Hence, the aim of this study was to observe the variations in the branching pattern of abdominal aorta in cadavers. Material and Methods: We Dissected 40 cadavers of both the sex for Medical under graduates and came across the variations in branching pattern of abdominal aorta in about 3 male cadavers, bilaterally and variations were photographed. Results: In Laparoscopic surgeries and kidney transplantation Variations in the branching pattern of the aorta was clinically important. We observed bilateral accessory renal arteries arising from abdominal aorta; coeliac trunk gives rise to a common arterial trunk, which divides into left inferior phrenic and Left middle suprarenal arteries. Left superior suprarenal artery was arising from left inferior phrenic artery and left inferior suprarenal artery normally arising from left renal artery. We also studied the right inferior phrenic artery arising from abdominal aorta below the origin of coeliac trunk, and gives rise to right superior suprarenal artery. Right inferior suprarenal artery was arising from right accessory renal artery; right middle suprarenal artery was absent. We also observed Right gonadal artery was arising from ventral surface of abdominal aorta and left gonadal artery was arising from right accessory renal artery. Conclusion: The knowledge of arterial variations in radio diagnostic interventions and legating blood vessels in abdominal surgeries is useful for the surgeons.
    [Show full text]