1.Unusual Path of Branches of Ilioinguinal Nerve: A Clinically Important Anatomic Variant
Satheesha BN ; Srinivasa RS ; Prakashchandra S ; Surekha DS ; Deepthinath R ; Raghu J ; Abhinitha P ; Jyothsna P
Journal of Surgical Academia 2014;4(2):59-61
Ilioinguinal nerve is a collateral branch of lumbar plexus. Its anatomical variations in relation to adjacent
musculoaponeurotic structures play a crucial role in the development of neuropathies associated with lower
abdominal surgeries. In this report, we present a rare case of unusual course and branches of the ilioinguinal nerve, in
a 55-year-old male cadaver. In the lateral part of inguinal canal ilioinguinal nerve gave three branches. Two of its
branches pierced the external oblique aponeurosis, about 6 cm above the pubic symphysis, to supply the skin of the
lower part of the anterior abdominal wall. Another branch pierced the conjoint tendon, in the medial part of the
inguinal canal about 2 cm above the superficial inguinal ring. Knowledge of unusual path of these branches may be
important to avoid injuries during the surgical repair of groin hernias. Further care should be taken while dealing
with the conjoint tendon in the Bassini procedure.
2.High Origin of Ulnar Artery with Unusual Superficial Course and Abnormal Additional Branches from the Superficial Palmar Arch
Mohandas Rao KG ; Somayaji SN ; Jyothsna P ; Sapna M ; Ashwini LS ; Ashutosh Rao
Journal of Surgical Academia 2012;2(1):42-45
Though ulnar arterial variations are rare, superficial ulnar artery (SUA) is one of its commonest variations. During routine dissection in our department, we observed a unilateral case of SUA in a 70-year-old male human cadaver. It originated from the left brachial artery in the middle of the arm, 13cm above the medial epicondyle of humerus (15cm below the outer margin of first rib). From its origin, it passed downwards in the medial part of arm and forearm in a superficial plane compared to normal ulnar artery. In the hand, the SUA anastomosed with the superficial palmar branch of the radial artery, creating the superficial palmar arch. The superficial palmar arch gave additional branches to the thumb and index finger. Brachial artery divided into the radial and common interosseous arteries in the cubital fossa. The normal ulnar artery was absent. The existence of a SUA is undeniably of interest to the clinicians as well as to the anatomists. We hereby present a case of unilateral SUA along with a brief review of the literature and analysis of its clinical significance.
3.An Unusual Termination of Facial Vein and Anterior Division of Retromandibular Vein into External Jugular Vein: A Case Report
Jyothsna P, Naveen K ; Mohandas Rao KG ; Ashwini LS ; Somayaji SN ; Satheesha Nayak B
Journal of Surgical Academia 2014;4(1):54-56
Facial vein, being the largest vein of the face forms the common facial vein after joining with the anterior division of
retromandibular vein below the angle of the mandible. Usually, it drains into the internal jugular vein. During
routine dissection of head and neck region of a male cadaver, aged approximately 50 years, an unusual pattern in the
termination of veins on the left side of the neck was observed. The formation, course and termination of external
jugular vein were normal. The anterior division of retromandibular vein joined with external jugular vein about 5 cm
above the clavicle and the facial vein opened into the external jugular vein about 2.5 cm above the clavicle. In
addition, there was a thin venous communication between anterior division of retromandibular vein and external
jugular vein. The superficial veins of the neck are often used for cannulation; either for intravenous infusion or for
central venous pressure monitoring. Furthermore, these venous segments are used as a patch for carotid
endarterectomies. Hence, a thorough knowledge of the normal anatomy and their variations may be useful for
performing these procedures.
4.A Rare Case of Undescended Caecum Accompanied by Looped Retroperitoneal Appendix
Ashwini AP ; Naveen K ; Jyothsna P ; Swamy R S ; Satheesha NB
Journal of Surgical Academia 2014;4(2):32-34
Intestinal malrotations are associated with various anatomical anomalies. We report a unique case wherein the
caecum was located in the right lumbar region instead of the right iliac fossa. The ileo-caecal junction was also
placed higher up. The appendix was ‘uncinate’ shaped, highly coiled and retroperitoneal with the absence of mesoappendix.
Both, the caecum and appendix were supplied by ascending branch of the ileocolic artery instead of the
descending branch. Further, we also observed that the ascending colon was very short and sub-hepatic in position.
Such type of variations is of clinical and surgical importance in diagnosis and treatment of appendicitis.
5.Abnormal Intraparotid Termination of Facial Vein and Its Clinical Importance
Satheesha Nayak B, Srinivasa Rao S ; Sapna M ; Ashwini LS ; Jyothsna P ; Ashwini Aithal P ; Swamy Ravindra S ; Abhinitha
Journal of Surgical Academia 2012;2(2):27-29
Facial vein is the main vein of the face. Though its origin is constant, it frequently shows variations in its termination. We report a rare type of variation of facial vein. The right facial vein coursed transversely across the masseter, superficial to the parotid duct and entered into the substance of the parotid gland, at its anterior border. Deep dissection of the gland revealed the abnormal termination of facial vein into the superficial temporal vein. The transverse facial vein drained into the facial vein. The superficial temporal vein after receiving the facial vein continued as retromandibular vein. Knowledge of this anomalous course and termination of facial vein may be important for the surgeons doing parotid, maxillofacial and plastic surgeries.
6.Eight prehilar branches of the right renal artery.
Satheesha B NAYAK ; Surekha D SHETTY ; Swamy RAVINDRA ; Srinivasa Rao SIRASANAGANDLA ; Ashwini P AITHAL ; Jyothsna PATIL ; Naveen KUMAR
Anatomy & Cell Biology 2014;47(3):214-216
Imaging technology with its advancement in the field of urology is the boon for the patients who require minimally invasive approaches for various kidney disorders. These approaches require a precise knowledge of the normal and variant anatomy of vessels at the hilum of the kidney. During routine dissections, a variation in the branching pattern of the right renal artery was noted in an adult male cadaver. The right renal artery divided into upper and lower divisions 6cm away from the hilum of the kidney. The upper division gave 4 branches, and the lower division gave two branches. These two branches further bifurcated and gave 2 branches each. Thus, there were 8 prehilar branches of renal artery. The multiple prehilar branches led to a congested atmosphere at the hilum of the kidney. This arterial congestion might result in hindering the blood flow at the renal hilum. Apart from this, it might cause difficulties in diagnostic and therapeutic invasive procedures. Knowledge of this variation is of importance to radiologists and urologists in particular.
Adult
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Atmosphere
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Cadaver
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Estrogens, Conjugated (USP)
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Humans
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Kidney
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Kidney Pelvis
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Male
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Renal Artery*
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Urology