scholarly journals A rare case of anatomical variation of the femoral artery and vein

2020 ◽  
Vol 9 (2) ◽  
pp. 1826-1830
Author(s):  
B. Ba ◽  
T. Touré ◽  
A. Kanté ◽  
M. Koné ◽  
K.D. Kouamenou ◽  
...  
Keyword(s):  
Femoral Artery ◽  
Rare Case ◽  
Great Saphenous Vein ◽  
Anatomical Variation ◽  
Femoral Vein ◽  
Iliac Vein ◽  
External Iliac Vein ◽  
Medial Side ◽  
Femoral Vessels ◽  
The Right

During a dissection of the two femoral trigons in a female corpse, about 14 years old, we discovered on the right side, the deep artery of the thigh arising from the medial side of the femoral artery and passed in front of the femoral vein above the mouth of the great saphenous vein; on both sides, there was the presence of a collateral canal which communicated the external iliac vein with the femoral vein on the right, on the left, it communicated the external iliac vein with the quadricipital vein. The lower part of the femoral vein was duplicated on both sides, but on the right, there was an interconnecting channel between the two trunks of the duplication. Variations of the femoral vessels are very frequent and can be responsible for an incident during the practice of certain gestures at the level of the femoral trigon such as: catheterization of the femoral artery or vein, the treatment of femoral hernias. Key words: Deep thigh artery, collateral venous canal, external iliac vein, anatomic variations.

The role of circumflex femoral veins in the saphenofemoral junction incompetence: a case report

2011 ◽  
Vol 26 (3) ◽  
pp. 121-124
Author(s):  
F Passariello
Keyword(s):  
Great Saphenous Vein ◽  
Femoral Vein ◽  
Anatomical Variations ◽  
Iliac Vein ◽  
Lower Limbs ◽  
Valsalva Manoeuvre ◽  
External Iliac Vein ◽  
The Common ◽  
Saphenofemoral Junction

A 31 year-old female patient, an opera singer, came for a consultation, mainly for aesthetic problems of the lower limbs. An asymptomatic bilateral P-point pelvic shunt was demonstrated by the EchoDoppler, while no nutcracker syndrome was detected. The examination demonstrated a medial circumflex femoral vein (MCFV), going into the common femoral vein and then into the great saphenous vein (GSV). The Valsalva manoeuvre showed the GSV terminal valve incompetence. A dilated MCFV vein at the level of the saphenofemoral junction was the source of the reflux through the GSV, while the external iliac vein was competent. GSV reflux with Valsalva was present only in the lying position. Flow in the MCFV was directed toward the CFV during and after the Valsalva. The examination shows clearly that a GSV reflux can sometimes occur in absence of iliac reflux. Circumflex femoral veins (medial and lateral) are anatomical variations, but common findings during ordinary EchoColourDoppler investigations of the venous system of the lower limbs.

scholarly journals Successful Surgical Intervention of Strangulated Ileus with a Simple Cut of the External Iliac Vein without Vein Reconstruction

2021 ◽  
pp. 846-851
Author(s):  
Takanori Hishikawa ◽  
Shoji Oura ◽  
Masafumi Tomita
Keyword(s):  
Lymph Node ◽  
Lymph Node Dissection ◽  
Femoral Vein ◽  
Iliac Vein ◽  
Node Dissection ◽  
Bilateral Oophorectomy ◽  
External Iliac Vein ◽  
Ischemic Change ◽  
Leg Edema ◽  
The Right

A 67-year-old woman with epigastralgia was referred to our hospital. The patient had undergone hysterectomy, bilateral oophorectomy, omentectomy, and radical pelvic and para-aortic lymph node dissection for her ovarian cancer 6 years before. Despite the gastrointestinal decompression therapy under the presumed diagnosis of adhesive ileus, computed tomography scans taken 3 days after the onset of epigastralgia showed marked dilatation of the small intestine and an oval high-density mass, that is, thrombi, in the right femoral vein. Aggravation of ileus with the thrombi in the femoral vein made us to treat the patient with surgery. Intraoperative findings showed that the terminal ileum was strangulated by a gap between the exposed right external iliac vein and artery presumably formed by pelvic lymph node dissection. Distal ileum strangulated by the gap, however, showed no ischemic change with no surgically available peritoneum left around the external iliac vein. To prevent the pulmonary embolism and the recurrence of this type of ileus due to both the thrombi and the persistent gap, we released the strangulated ileum with a simple cut of the external iliac vein without vein reconstruction. The patient recovered uneventfully and was discharged on the 13th day after operation. The patient has been well with nominal right leg edema. In this situation, that is, internal hernia caused by external iliac vessels with thrombi in the femoral vein and no leg edema, a simple cut of the external iliac vein without vein reconstruction is a feasible treatment option.

scholarly journals External iliac vein compression and lower-extremity swelling caused by an iliopectineal ganglion: a case report

2019 ◽  
Vol 13 (1) ◽  
Author(s):  
Kiyokazu Fukui ◽  
Ayumi Kaneuji ◽  
Norio Kawahara
Keyword(s):  
Lower Extremity ◽  
Femoral Vein ◽  
Signs And Symptoms ◽  
Iliac Vein ◽  
Needle Aspiration ◽  
Case Presentation ◽  
Vein Thrombosis ◽  
External Iliac Vein ◽  
Iliac Vein Compression ◽  
Deep Vein

Abstract Background A hip joint ganglion is a rare cause of lower-extremity swelling. Case presentation We report a case of a Japanese patient with ganglion of the hip with compression of the external iliac/femoral vein that produced signs and symptoms mimicking those of deep vein thrombosis. Conclusions Needle aspiration of the ganglion was performed, and swelling of the lower extremity promptly decreased. At 7.5 years after aspiration, there was no recurrence of swelling of the leg. Although the recurrence rate for ganglions after needle aspiration is high, it is worthwhile trying aspiration first.

scholarly journals Anatomical variation of obturator vessels and its practical risk: a case report from an anatomic study

2008 ◽  
Vol 7 (3) ◽  
pp. 275-277 ◽  
Author(s):  
Somayaji Nagabhooshana ◽  
Venkata Ramana Vollala ◽  
Vincent Rodrigues ◽  
Seetharama Bhat ◽  
Narendra Pamidi ◽  
...  
Keyword(s):  
Iliac Artery ◽  
Anatomical Variation ◽  
External Iliac Artery ◽  
Iliac Vein ◽  
Inferior Epigastric Artery ◽  
Undergraduate Medical Students ◽  
Obturator Artery ◽  
External Iliac Vein ◽  
Epigastric Artery ◽  
Internal Iliac

Obturator artery is frequently a branch of anterior division of the internal iliac artery. It has drawn attention of pelvic surgeons, anatomists and radiologists because of the high frequency of variations in its course and origin. The obturator vein is usually described as a tributary of the internal iliac vein. During routine dissection classes to undergraduate medical students we have observed obturator artery arising from external iliac artery, obturator vein draining into external iliac vein, communicating vein between obturator vein and external iliac vein and inferior epigastric artery arising from the obturator artery. The anomalous obturator vessels and inferior epigastric artery in the present case may be in a dangerous situation in pelvic surgeries that require dissection or suturing along the pelvic rim. Developmental reasons and clinical significances of the variations are discussed.

scholarly journals Intravascular synovial sarcoma of the external iliac vein and reconstruction with the superficial femoral vein

2005 ◽  
Vol 42 (2) ◽  
pp. 365-367 ◽  
Author(s):  
Jonathan S. White ◽  
Shaun A.C. Medlicott ◽  
Holly Brown ◽  
Randy Moore ◽  
Wally Temple
Keyword(s):  
Synovial Sarcoma ◽  
Femoral Vein ◽  
Iliac Vein ◽  
Superficial Femoral Vein ◽  
External Iliac Vein

Migration of an Ingested Foreign Body into the Right External Iliac Vein

2009 ◽  
Vol 20 (3) ◽  
pp. 420-422 ◽  
Author(s):  
Yu-Dong Chen ◽  
Hsiou-Shan Tseng ◽  
Rheun-Chuan Lee ◽  
Yi-You Chiou ◽  
Jen-Huey Chiang ◽  
...  
Keyword(s):  
Foreign Body ◽  
Iliac Vein ◽  
External Iliac Vein ◽  
Ingested Foreign Body ◽  
The Right

scholarly journals High bifurcation of common carotid artery and origin of thyrolingual trunk - a rare case report

2015 ◽  
Vol 04 (02) ◽  
pp. 102-104
Author(s):  
Sudipa Biswas ◽  
Suranjali Sharma ◽  
Sanjib Kumar Ghosh ◽  
Soumya Chakraborty
Keyword(s):  
Carotid Artery ◽  
Common Carotid Artery ◽  
Rare Case ◽  
Superior Thyroid Artery ◽  
Clinical Implications ◽  
Medical College ◽  
Medial Side ◽  
Rare Case Report ◽  
The Right ◽  
North Bengal

AbstractIn this rare case, found during routine dissection of head and neck in North Bengal Medical College on the right side of the neck, common carotid artery bifurcated at a higher level than usual and 1.25 cm below the bifurcation, gave a common origin of lingual and superior thyroid artery from its medial side (thyorolingual trunk). No such anomaly was noted on the left side. This type of combination of variations has important clinical implications.

scholarly journals Acute compartment syndrome of the lower leg causing cardiac arrest after resection of the right external iliac vein for autologous graft: a case report

2019 ◽  
Vol 5 (1) ◽  
Author(s):  
Koji Hoshino ◽  
Toru Nakamura ◽  
Mineji Hayakawa ◽  
Yusuke Itosu ◽  
Hitoshi Saito ◽  
...  
Keyword(s):  
Cardiac Arrest ◽  
Portal Vein ◽  
Compartment Syndrome ◽  
Iliac Vein ◽  
Lower Leg ◽  
Acute Compartment Syndrome ◽  
External Iliac Vein ◽  
Portal Vein Reconstruction ◽  
Vein Resection ◽  
The Right

Abstract Background The right external iliac vein (REIV) is often used for portal vein reconstruction in patients undergoing pancreatoduodenectomy with portal-superior mesenteric vein resection. We report a case of cardiac arrest caused by acute lower leg compartment syndrome as a result of REIV resection. Case presentation A 53-year-old man underwent pancreatoduodenectomy with portal vein resection. Hyperkalemia progressed during surgery due to intestinal reperfusion injury, which caused recurrent ventricular arrhythmia required for cardio-pulmonary resuscitation. The surgery was discontinued after resuscitation, and portal vein reconstruction using the REIV was performed 2 days post-operatively. Acute compartment syndrome was diagnosed immediately following the surgery. Hyperkalemia progressed, causing pulseless ventricular tachycardia. Emergent fasciotomy was performed, but right leg dysfunction persisted after discharge. Conclusion REIV resection can cause lower-extremity acute compartment syndrome. The status, including intracompartmental pressure, of the lower extremity should be carefully observed after REIV resection during and after surgery.

scholarly journals Surgical techniques for hemostasis in penetrating trauma to femoral artery

2016 ◽  
Vol 12 (1) ◽  
Author(s):  
Nazir Ahmad ◽  
Ashfaq Ahmad ◽  
Syed Tahir Ahmad Shah
Keyword(s):  
Femoral Artery ◽  
Vein Graft ◽  
Femoral Vein ◽  
Penetrating Trauma ◽  
Limb Ischemia ◽  
Arterial Injury ◽  
Skin Damage ◽  
Ischemia Time ◽  
Study Results ◽  
Femoral Vessels

Objectives: To analyse the efficacy of various operative procedures and factors affecting the outcome especially the effect of limb ischemia time in penetrating trauma to the femoral artery. Study Design: Prospective. Setting: Study was conducted at West Surgical Ward, Mayo Hospital Lahore. Duration: August 2001 to July 2004. Materials and Methods: All the patients >12 years of age referred from periphery as well as directly admitted with penetrating trauma to the femoral vessels alone or associated with other organ injuries having hard/soft physical signs of an arterial injury were included in the study. Results: 39(97.5%) patients were male, age ranged from 14-53 years with the mean limb ischemia time of 7.8 hours in the series. 35(87.5%) patients sustained firearm injuries. Superficial femoral artery was injured in 23(57.5%) followed by vein in 12(30%) and major vessels were found intact in 4(10%) patients. Lateral arteriorrhaphy was performed in 4(10%) & venorrhaphy in 3(7.5%) patients with 100 % succ ess rate, resection and primary anastomosis in 18(45%) patients with pseudo aneurysm formation in 1(2.5%) patient. Reverse great saphenous vein graft was interposed in 9(22.5%) patients with graft failure rate of 5% (2 patients). Femoral vein was ligated in 12(30%) patients with development of deep vein thrombosis in 2(5%) patients. There were 3(7.5%) deaths. No synthetic graft was used in the series. Conclusion: Exsanguination, prolonged injury duration, associated organ injuries and extensive soft tissue and skin damage of the extremities were the major factors responsible for increased morbidity particularly limb loss and mortality. Proximity of injury to the femoral vessels was a poor predictor of an arterial injury in the study. Arteriorrhaphy and primary end-to-end anastomosis are the main stays for an arterial injury repair, next comes the use of autogenous vein graft, in our setup. Moreover ligation of femoral vein is not associated with leg amputation.

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