scholarly journals VARIATIONS IN THE BRANCHING PATTERN OF THE INTERNAL ILIAC ARTERY IN AN ADULT MALE – A CASE REPORT. Variaciones en el patrón de ramificación de la arteria ilíaca interna en un varón adulto: informe de un caso

2016 ◽  
Vol 4 (1) ◽  
pp. 25-28
Author(s):  
Satheesha Nayak B ◽  
Srinivasa Rao Sirasanagandla ◽  
Narendra Pamidi ◽  
Raghu Jetti

Variaciones en el patrón de ramificación de la arteria ilíaca interna son ocasionalmente encontradas en las disecciones cadavéricas y las cirugías. Algunas de las variaciones son de importancia quirúrgica y clínica e ignorarlas podría derivar en alarmantes sangrados durante las prácticas quirúrgicas. Evaluamos las variantes en el patrón de la arteria ilíaca interna en un cadáver masculino. La división de la arteria ilíaca interna dio origen a las arterias rectal media y obturatriz. La arteria vesical superior tenía su origen en la arteria obturatriz. La división posterior de la arteria ilíaca interna dio lugar a las arterias iliolumbar, sacra lateral, glútea superior y pudenda interna. La arteria glútea inferior estaba ausente. Variations in the branching pattern of the internal iliac artery are occasionally encountered during cadaveric dissections and surgeries. Some of the variations are of surgical and clinical importance and ignoring them might result in alarming bleeding during surgical procedures. We report variant branching pattern of the right internal iliac artery in a male cadaveric specimen. The anterior division of the internal iliac artery gave origin to obturator and middle rectal arteries. Superior vesical artery took its origin from the obturator artery. The posterior division of the internal iliac artery gave iliolumbar, lateral sacral, superior gluteal and internal pudendal arteries. The inferior gluteal artery was absent.


2012 ◽  
Vol 01 (01) ◽  
pp. 007-013
Author(s):  
Ramakrishnan PK ◽  
Selvarasu CD ◽  
Elezy MA

Abstract Background And Aims: Variations in the origin of the parietal branches of internal iliac artery are of great surgical and radiological importance. Very few studies regarding the variations in the origin of the branches of internal iliac artery have been reported from South India. The present study was carried out to investigate the sites of origin of the large parietal branches of the internal iliac artery in a sample Indian population from two Southern states. Materials And Methods: 50 pelvic halves of embalmed cadavers were dissected and observed for variations in the origins of superior gluteal, inferior gluteal, internal pudenda! and obturator arteries. Results: Among the 50 pelvic halves studied, the origins of superior gluteal, inferior gluteal and internal pudenda! arteries confirmed to a Type I arrangement on the Adachi scale in 30 cases (60%), a Type III pattern being found in 15 cases (30%) and a Type II pattern was seen in 4 cases (8%). Type IV was less frequent and was seen in only one case (2%). The obturator artery arose directly from the anterior division of internal iliac artery in 40% of cases; in the rest of specimens, it arose as a branch from either the inferior gluteal-internal pudenda! trunk or internal pudenda! or superior gluteal or iliolumbar arteries. Conclusions: The data obtained from this study show that the branching pattern of internal iliac artery is subject to great variation, especially with regard to its four large parietal branches. These observations are important in diagnostic & interventional radiological procedures of this major artery as well as in pelvic surgery to minimize intra-operative blood loss.



2016 ◽  
Vol 15 (2) ◽  
pp. 168-172
Author(s):  
Satheesha Badagabettu Nayak ◽  
Anitha Guru ◽  
Deepthinath Reghunathan ◽  
Prasad Alathadi Maloor ◽  
Abhinitha Padavinangadi ◽  
...  

Abstract The internal iliac artery (IIA) is one of the branches of the common iliac artery and supplies the pelvic viscera, the musculoskeletal part of the pelvis, the gluteal region, the medial thigh region and the perineum. During routine cadaveric dissection of a male cadaver for undergraduate Medical students, we observed variation in the course and branching pattern of the left IIA. The artery gave rise to two common trunks and then to the middle rectal artery, inferior vesicle artery and superior vesicle artery. The first, slightly larger, common trunk gave rise to an unnamed artery, the lateral sacral artery and the superior gluteal artery. The second, smaller, common trunk entered the gluteal region through the greater sciatic foramen, below the piriformis muscle and presented a stellate branching pattern deep to the gluteus maximus muscle. Two of the arteries forming the stellate pattern were the internal pudendal artery and the inferior gluteal artery. The other two were muscular branches.





2018 ◽  
Vol 11 (4) ◽  
pp. 2201-2207
Author(s):  
Yuvaraj Maria Francis ◽  
Thotakura Balaji ◽  
Hannah Sugirthabai Rajila Rajendran ◽  
Vaithianathan Gnanasundaram ◽  
Aruna Subramanian ◽  
...  

The variations in blood vessels are common and have long received the attention of anatomists and surgeons. The true pelvic cavity usually refers to that part of pelvis, which has its bony walls, the sacrum and lower part of hip bone. This small area is well covered by bones and has important structures namely the pelvic viscera, pelvic floor muscles, vessels and nerves supplying it. The aim of the study was to know the branching pattern of internal iliac artery based on the Adachis classification, along with length and thickness of artery. The internal iliac artery was traced from its origin, course, branching pattern, length and thickness of the trunk of internal iliac artery was measured by using digital vernier calliper from its point of origin to bifurcation into anterior and posterior division. The length of right & left internal iliac artery ranged from 2.4 cm to 5.4 cm with average length of 3.943cm ± 0.859cm, whereas the length of left internal iliac artery ranged from 2.7cm to 4.7cm with average length of 3.610cm ± 0.626cm. Bilateral ligation of internal iliac artery is helpful in controlling postpartum haemorrhage. Applying ligatures on an anomalous blood vessel may lead to alarming haemorrhage. The most ideal point of ligation of internal iliac artery would be distal to its posterior division, since proximal ligation has been associated with buttock claudication and necrosis. Knowledge regarding the internal iliac artery and its branches is helpful in applying ligatures safely during pelvic surgeries.





2014 ◽  
Vol 2014 ◽  
pp. 1-6 ◽  
Author(s):  
Sumathilatha Sakthivelavan ◽  
Sharmila Aristotle ◽  
Anandarani Sivanandan ◽  
Sakthivelavan Sendiladibban ◽  
Christilda Felicia Jebakani

Internal iliac artery (IIA) is one of the terminal branches of the common iliac artery and is the prime artery of pelvis. The artery has many parietal and visceral branches and hence the variations are frequently noted. The larger branches, namely, the inferior gluteal artery, the superior gluteal artery, and the internal pudendal artery, show sufficient regularity in their patterns of origin to allow typing. The variability of the IIA and its branching pattern were studied by dissecting sixty-eight male pelvic halves (34 right and 34 left) and forty-eight female pelvic halves (24 right and 24 left sides). In significant number of specimens, IIA terminated without dividing into 2 trunks as against the usual description. There was also considerable interchange of branches between the 2 terminal divisions. The patterns of branching noted were grouped as per Adachi’s classification. The incidence was noted to be as follows: type Ia in 60.6%, type Ib in 2.6%, type IIa in 15.8%, and type III in 21%. The other types were not observed in this study. Conclusion. Interventions in the pelvic region must take into account the variability of the IIA and its branches that can modify the expected relations and may lead to undesired hemorrhagic or embolic accidents.



2011 ◽  
Vol 16 (2) ◽  
pp. 37 ◽  
Author(s):  
Ashwini S Shetty ◽  
Raghu Jetti ◽  
Bindu Shivaram ◽  
Sampat Madhyastha


2018 ◽  
Vol 40 ◽  
pp. 18-20 ◽  
Author(s):  
Johannes Fänder ◽  
Maximilian Büttner ◽  
Heike Kielstein ◽  
Simon Jasinski-Bergner


Sign in / Sign up

Export Citation Format

Share Document