A Case of Multiple Posterior Intercostal Artery Common Trunks in Conjunction with Additional Arterial Variations

Several thoracic vasculature variations were observed in an 81-year-old male cadaver during routine dissection. These included 5 common trunks of posterior intercostal arteries, a descending branch of the right vertebral artery, and atypical neurovascular relationships within intercostal spaces. On the right side, two common trunks of posterior intercostal arteries were observed supplying the 4th-7th intercostal spaces and 9th-11th intercostal spaces, respectively. There was also a small accessary branch supplying the 9th intercostal space. The first three posterior intercostal spaces on the right were supplied by a descending branch of the vertebral artery. On the left side, three common trunks of posterior intercostal arteries were encountered, supplying intercostal spaces 3-5, 6-7, and 11 plus the subcostal space. An atypical neurovascular relationship was observed in the right 6th intercostal space, as well as the left 2nd, 3rd, and 6th intercostal spaces. This is the first case report that presents 5 common trunks of posterior intercostal arteries, as well as common trunks in conjunction with other arterial variation in the posterior thoracic wall. These variations carry a high level of clinical significance and may be helpful in guiding decision-making related to surgical procedures related to the posterior thoracic cavity and spine.

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Unusual giant pleural lipomas: imaging features

BMJ Case Reports ◽

10.1136/bcr-2020-238870 ◽

2021 ◽

Vol 14 (6) ◽

pp. e238870

Author(s):

Dipin Sudhakaran ◽

Sheragaru Hanumanthappa Chandrashekhara ◽

Sunil Kumar ◽

Mohamed Sulaiman

Keyword(s):

Intercostal Space ◽

Parietal Pleura ◽

Imaging Features ◽

Thoracic Cavity ◽

Evolutionary Potential ◽

The Right

Pleural lipomas are rarely encountered in the thoracic cavity. Sometimes, they infiltrate the intercostal space to have a component on either side of the intercostal space forming a hourglass configuration. They are generally solitary, small and asymptomatic. We present the case of a 49-year-old man with two giant pleural lipomas, both originating from the right parietal pleura, and one of which was passing through the intercostal space giving rise to a hourglass-shaped configuration. When they occur, although benign, considering the evolutionary potential, excision is recommended.

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A rare anomalous origin of right vertebral artery with double branch: First case report

Interventional Neuroradiology ◽

10.1177/1591019917733126 ◽

2017 ◽

Vol 24 (2) ◽

pp. 225-228 ◽

Cited By ~ 2

Author(s):

Ya-dong Liu ◽

Zhi-qiang Li ◽

Jing-jing Fu ◽

Ya-jun E

Keyword(s):

Case Report ◽

Carotid Artery ◽

Vertebral Artery ◽

Subclavian Artery ◽

Common Carotid Artery ◽

Incidental Findings ◽

Aberrant Right Subclavian Artery ◽

First Case ◽

The Right ◽

Double Origin

Vertebral artery origin anomalies are typically incidental findings during angiography. We present an extremely rare variant in which the right vertebral artery has a double origin from the right subclavian artery and right common carotid artery in association with an aberrant right subclavian artery, which has never been reported before.

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Anomalous Superior Thyroid Artery

Kathmandu University Medical Journal ◽

10.3126/kumj.v8i4.6246 ◽

2012 ◽

Vol 8 (4) ◽

pp. 429-431 ◽

Cited By ~ 2

Author(s):

Vandana Mehta ◽

Rajesh K. Suri ◽

Jyoti Arora ◽

Gayatri Rath ◽

Srijit Das

Keyword(s):

Thyroid Gland ◽

Laryngeal Nerve ◽

Superior Thyroid Artery ◽

External Laryngeal Nerve ◽

Arterial Variations ◽

Anomalous Artery ◽

Unusual Distribution ◽

Male Cadaver ◽

Left And Right ◽

The Right

The variations in the pattern of distribution of superior thyroid artery assume paramount importance for neck surgeons, in view of its vital topographical relationship to the external laryngeal nerve. In this study, we report an unusual variation in the arterial supply of the thyroid gland, which was detected during a routine dissection of an adult male cadaver. The right superior thyroid artery was absent whereas the left superior thyroid artery took origin from the left common carotid artery and showed a dominant pattern of distribution supplying the superior aspect of both the left and right lobes of the thyroid gland. It exhibited a usual relationship with the left external laryngeal nerve. The inferior thyroid arteries did not show any unusual distribution. Knowledge of such arterial variations related to the thyroid gland is immensely helpful for surgeons in order to put ligature on anomalous artery and to avoid damage to vital structures in this area, such as the external laryngeal nerve.http://dx.doi.org/10.3126/kumj.v8i4.6246 Kathmandu Univ Med J 2010;8(4):429-31

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Do the Hydatid Cysts Have Unusual Localization and Dissemination Ways in the Chest Cavity?

Case Reports in Surgery ◽

10.1155/2016/7092494 ◽

2016 ◽

Vol 2016 ◽

pp. 1-3

Author(s):

Yucel Akkas ◽

Tevfik Kaplan ◽

Neslihan Gulay Peri ◽

Bulent Kocer

Keyword(s):

Hydatid Cyst ◽

Male Patient ◽

Pleural Cavity ◽

Cystic Mass ◽

Thoracic Wall ◽

Hydatid Cysts ◽

Chest Cavity ◽

First Case ◽

Treatment Indications ◽

The Right

We wanted to report our two cases of intrathoracic extrapulmonary hydatid cyst in pleural cavity due to its rarity. Our first case is a 24-year-old male patient who was admitted with a cystic mass lesion consistent with hydatid cyst which was incidentally detected in inferior lobe of the right lung neighboring to thoracic wall and diaphragm. Our second case is a 32-year-old male patient who was admitted with chest pain and a cystic lesion in apex of the right hemithorax and intercostal field in basal after he had been medically treated due to hydatid cyst of the dome of the liver for two years. The cysts were removed with thoracotomy. Extrapulmonary intrathoracic hydatid cysts were evaluated with regard to invasion ways and treatment indications and methods.

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Meningeal Melanocytoma Associated with Ipsilateral Nevus of Ota Presenting as Intracerebral Hemorrhage: Case Report

Neurosurgery ◽

10.1227/01.neu.0000159716.45457.bc ◽

2005 ◽

Vol 56 (6) ◽

pp. E1376-E1376 ◽

Cited By ~ 21

Author(s):

Ken Hino ◽

Motoo Nagane ◽

Yasunori Fujioka ◽

Yoshiaki Shiokawa

Keyword(s):

Intracerebral Hemorrhage ◽

Intracerebral Hematoma ◽

Current Case ◽

Meningeal Melanocytoma ◽

Nevus Of Ota ◽

First Case ◽

Resected Tumor ◽

History Of ◽

The Right ◽

High Level

Abstract OBJECTIVE AND IMPORTANCE: The authors report a rare case of meningeal melanocytoma presenting with unconsciousness, which was caused by an intracerebral hematoma and associated with a history of ipsilateral nevus of Ota. CLINICAL PRESENTATION: A 75-year-old woman developed nevus of Ota in the first and second divisions of the right trigeminal nerve territory, which had been treated with a skin graft 40 years earlier. She noticed right exophthalmos but left it untreated for 2 years and then became comatose owing to orbital and intracranial tumors, the latter manifesting with hemorrhage. INTERVENTION: She underwent craniotomy, during which the tumor was partially removed with intracerebral hematoma. Histopathologically, the tumor was diagnosed as meningeal melanocytoma. Western blot analysis demonstrated a retained protein expression of cell cycle inhibitor p16INK4A and a high level of antiapoptotic Bcl-2 in the resected tumor. CONCLUSION: The combination of nevus of Ota and meningeal melanocytoma has been reported in only four cases in the literature, including the current case. This is the first case coinciding with intracerebral hemorrhage, suggesting the necessity for careful follow-up with radiological images.

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Unusual Locations of Pancreatic Pseudocysts in Lumbar Triangle, Psoas Muscle and Intercostal Space, and Obturator Externus

Journal of Clinical Imaging Science ◽

10.4103/jcis.jcis_29_18 ◽

2018 ◽

Vol 8 ◽

pp. 33 ◽

Cited By ~ 1

Author(s):

Sanjay Mhalasakant Khaladkar ◽

Akshay Mahadev Waghmode

Keyword(s):

Chronic Pancreatitis ◽

Abdominal Wall ◽

Psoas Muscle ◽

Intercostal Space ◽

Thoracic Wall ◽

Lumbar Region ◽

Lateral Abdominal Wall ◽

Obturator Externus ◽

The Right ◽

Lumbar Triangle

Pancreatic pseudocyst develops as a complication of both acute and chronic pancreatitis. Although the common location of pseudocyst is lesser sac, extension of pseudocyst can occur into mesentery, retroperitoneum, inguinal region, scrotum, liver, spleen, mediastinum, pleura, and lung. Extension of pseudocyst into psoas muscle and lumbar triangle is extremely rare. The development of pseudocyst in lumbar triangle is radiologically equivalent and further extension of Grey Turner's sign seen clinically in acute pancreatitis. This extension occurs due to the destructive nature of pancreatic enzymes. The lumbar triangle is the site of anatomic weakness in the lateral abdominal wall in the lumbar region. We report the case of a 35-year-old alcoholic male patient who presented with abdominal pain followed by distension and swelling in the right lumbar region for 1 week. On computed tomography scan of the abdomen, acute-on-chronic pancreatitis with multiple pseudocysts in the right posterior pararenal space, extending through the right lumbar triangle in the right lateral abdominal wall, right posterior paraspinal muscles, right iliopsoas, right obturator externus, and medial aspect of the right upper thigh, beneath anterior abdominal wall in the upper abdomen and in the right lateral thoracic wall through the right 11th intercostal space, was detected.

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Ultrasonography of the lungs and pleura in healthy camels (Camelus dromedarius)

Acta Veterinaria Hungarica ◽

10.1556/avet.2013.019 ◽

2013 ◽

Vol 61 (3) ◽

pp. 309-318 ◽

Cited By ~ 3

Author(s):

Mohamed Tharwat

Keyword(s):

Respiratory Diseases ◽

Intercostal Space ◽

Camelus Dromedarius ◽

Thoracic Wall ◽

Air Content ◽

Pulmonary Parenchyma ◽

The Right ◽

Narrow Bands

This study describes ultrasonography of the lungs and pleura in healthy camels (Camelus dromedarius). The different layers of the thoracic wall appeared as narrow bands of variable echogenicity. Reverberation artefacts appeared as lines of variable echogenicity that ran parallel to the pulmonary surface medial to the pleura. Because of its air content, the pulmonary parenchyma was not visualised in all camels. On the right side, the pulmonary surface was seen in the 5th through the 10th intercostal space (ICS). In addition, it was imaged in the 11th ICS in 20 camels and in the 4th ICS in three camels. The dimension of the ventral lung border was largest at the 4th ICS and smallest at the 11th ICS. The echogenic line on the surface of the lung, consisting of the costal and the parietal pleurae, was 1 to 4 mm thick. The left pulmonary surface and pleura were imaged with approximately the same frequencies as the right side. At this side, only the pulmonary surface and pleura were imaged in 15 camels in the 11th ICS. In conclusion, ultrasonography of the lungs and pleura provides information that can be used as a reference when examining camels suspected to have respiratory diseases.

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Variant course of right vertebral artery - a case report

National Journal of Clinical Anatomy ◽

10.1055/s-0039-3401767 ◽

2014 ◽

Vol 03 (04) ◽

pp. 237-239

Author(s):

Nirmala D. ◽

Anjali Gupta

Keyword(s):

Case Report ◽

Vertebral Artery ◽

Blood Supply ◽

Subclavian Artery ◽

Surgical Procedures ◽

Cervical Vertebra ◽

Incomplete Knowledge ◽

Male Cadaver ◽

The Right ◽

The Brain

AbstractThe Vertebral artery is the first branch of subclavian artery. It is an important source of blood supply to the brain. During dissection of an adult male cadaver, a unilateral variation in the course of Vertebral artery was found. The right Vertebral artery took origin from the subclavian artery and entered foramen transversarium of fourth cervical vertebra. An understanding of the variability of the Vertebral artery remains most important in angiography & surgical procedures where an incomplete knowledge of its anatomy can lead to complications.

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Endovascular Management of Complete Vertebral Artery Dissection Presenting with Subarachnoid Haemorrhage

Interventional Neuroradiology ◽

10.1177/159101999900500209 ◽

1999 ◽

Vol 5 (2) ◽

pp. 161-166 ◽

Cited By ~ 4

Author(s):

R.K. Lenthall ◽

B.D. White ◽

N.S. McConachie

Keyword(s):

Subarachnoid Haemorrhage ◽

Vertebral Artery ◽

Posterior Inferior Cerebellar Artery ◽

Vertebral Artery Dissection ◽

Artery Dissection ◽

Endovascular Techniques ◽

First Case ◽

Surgical Clip ◽

Cerebellar Artery ◽

The Right

Spontaneous vertebral artery (VA) dissection may involve the intradural segment of the VA and result in subarachnoid haemorrhage (SAH). These lesions are frequently associated with recurrent SAH, and have a high mortality. Prior to the development of endovascular techniques the majority of these lesions were treated surgically. In cases where the dissection involved the posterior inferior cerebellar artery (PICA) origin surgery was associated with significant complications including recurrent SAH from retrograde VA flow into the dissected segment above the surgical clip. We describe two cases of complete VA dissection in which the entire intradural VA was sacrificed to prevent recurrent SAH. The first case tolerated planned left PICA occlusion without developing a significant neurological deficit. The second case had infarcted the right PICA territory at presentation.

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Hypoplasia of the vertebral artery in human - a case report

Journal of Morphological Sciences ◽

10.4322/jms.074914 ◽

2015 ◽

Vol 32 (03) ◽

pp. 206-208

Author(s):

D. Campos

Keyword(s):

Vertebral Artery ◽

Medical Literature ◽

Imaging Techniques ◽

Routine Activities ◽

Human Anatomy ◽

Radiological Imaging ◽

Santa Cruz ◽

Vascular Abnormality ◽

Male Cadaver ◽

The Right

AbstractHypoplasia of the vertebral artery (VA) is rare, and incidentally encountered in radiological imaging techniques. During routine activities in the Laboratory of Human Anatomy from University of Santa Cruz do Sul, Brazil, it was observed a 70 years old male cadaver with hypoplasia of the right VA. Thus, the purpose of this study is to report this case of hypoplasia of the VA emphasizing some morphological, functional and clinical data about this rare vascular abnormality, in order to offer useful information to anatomists, radiologists, vascular and head and neck surgeons. Moreover, to our knowledge, this variation has not been cited in recent medical literature.

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