1.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.
2.A rare case of hepatic cysticercosis
Vishwanath SATHYANARAYANAN ; Charudutt SAMBHAJI ; Kavitha SARAVU ; Abdul RAZAK ; Ashwin POLNAYA ; Rao SN
Asian Pacific Journal of Tropical Biomedicine 2011;(z1):141-142
Human cysticercosis is an infection with the larval stage of Taenia solium and is commonly seen in developing countries. It usually involves the central nervous system but other organs like the heart, skeletal muscle and the orbit can also be involved. Rarely, the liver can also be the site of involvement. We report a case of a 25-year-old male with no premorbid illness but with a history of headache and vomiting. His physical and laboratory examinations suggested a diagnosis of tubercular meningitis. However, the high resolution ultrasound imaging of his abdomen showed that there were multiple cysticerci with scolices. IgG of cysticercosis detected by ELISA was also strongly positive, which supported the diagnosis of hepatic cysticercosis. He was managed with albendazole. This kind of cases has only been reported twice before in medical literature. It highlights the need to use high resolution ultrasonography in patients with a high index of suspicion of hepatic cysticercosis because of its occult presentation.
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.