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.Occurrence of Three Headed Sternocleidomastoid Muscle and a Common Thyro-Linguo-Facial Vein – A Case Report
Gayathri S Prabhu ; Satheesha B Nayak ; Prakashchandra Shetty ; Deepthinath Reghunathan ; Prasad AM
Journal of Surgical Academia 2015;5(2):54-57
Variant anatomy of muscles and veins of the neck is of importance to plastic surgeons, radiologists and general
surgeons. We report the variations of sternocleidomastoid muscle and veins of the neck in the present article. Right
sternocleidomastoid muscle had three heads of origin. The third head took its origin from the clavicle just lateral to
the usual clavicular head. All the three heads were about 4 inches long and united with each other at the level of
thyroid cartilage. There was no external jugular vein on the right side. The retromandibular vein united with facial
vein to form common facial vein. Common facial vein joined with superior thyroid and lingual veins to form a thyrolinguo-facial
trunk one inch below the angle of mandible. This trunk was about 2 inches long and terminated into the
internal jugular vein. Knowledge of this case could be useful while raising a sternocleidomastoid flap, administering
anesthesia to brachial plexus, neck surgeries and carotid endarterectomy.
Neck Muscles
3.Short Axillary Vein and an Axillary Venous Ladder Formed by Basilic and Brachial Veins – An Anatomical and Clinical Perspective
Satheesha Nayak B ; Srinivasa RS ; Ashwini AP ; Naveen K ; Swamy RS ; Deepthinath R ; Surekha DS ; Prakashchandra S
Journal of Surgical Academia 2015;5(2):29-32
Knowledge of anatomic variants of veins in the arm and axilla play a key role in planning of successful venous
access. Possible anatomic variants of axillary vein, brachial vein and basilic vein and their clinical implications have
been well described in the literature. We report a rare case of formation of a short axillary vein associated with
complex venous communications between the basilic and brachial veins forming a venous ladder in the axilla, in
formalin embalmed male cadaver. Axillary vein was formed in the upper part of the axilla by the fusion of basilic
vein and unpaired brachial vein, and it was about 3cm in length. The higher-up confluence of basilic and brachial
veins was also associated with presence of three communicating veins between the basilic and brachial veins in the
axilla. Knowledge of reported venous variations is very useful during preoperative venous mapping and also for
planning and execution of various surgical invasive procedures involving these veins.
Axillary Vein