1.Uncommon Peritoneal Anomaly of Spleen Associated with the Unusual Relationship of Spleen with the Left Lobe of the Liver
Satheesha NB, Srinivasa Rao S ; Narendra P, Anitha G ; Surekha DS ; Naveen K ; Ashwini A ; Swamy RS
Journal of Surgical Academia 2013;3(1):47-49
Though congenital anomalies of the spleen are quite common, the peritoneal anomalies of the spleen are very rare. In
the present case, we observed two unusual phrenico-splenic ligaments connecting the spleen to the diaphragm. Apart
from this, the left lobe of the liver was elongated and was related to the diaphragmatic surface of the spleen. The
splenic artery had a straight course to the spleen, indicating the possible restricted movements of the spleen.
Knowledge of such unusual relation of spleen is essentially important for the surgeons as the elongated left lobe of
the liver might get ruptured in addition to the spleen in the fractures of the left 9th, 10th and 11th ribs. Awareness of
the straight course of the splenic artery is also of importance to Radiologists performing arterial splenoportography.
2.An Unusual Venous Plexus on Psoas Major Muscle Connecting the Inferior Mesenteric and Testicular Veins
Satheesha Nayak B ; Bincy MG ; Snigdha M ; Srinivasa Rao S ; Surekha DS
Journal of Surgical Academia 2015;5(1):58-60
Knowledge of communication between parietal abdominal veins, testicular vein and mesenteric veins is important
for Surgeons, Urologists and Radiologists. These communications can result in varicocele or hemorrhoids and may
lead to low success rate in hemorrhoid and varicocele surgeries. During routine dissection classes, we observed an
unusual large venous plexus on the left psoas major muscle. The venous plexus was unilateral and was formed by
many anastomotic venous channels on the psoas fascia and communicated with the left testicular and inferior
mesenteric veins. The testicular and inferior mesenteric veins were significantly enlarged below the level of
communication with the venous plexus.
Mesenteric Veins
3.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.
4.Analysis of the morphometry and variations in the extensor digitorum brevis muscle: an anatomic guide for muscle flap and tendon transfer surgical dissection.
Srinivasa Rao SIRASANAGANDLA ; Ravindra S SWAMY ; Satheesha B NAYAK ; Nagabhooshana S SOMAYAJI ; Mohandas K G RAO ; Kumar M R BHAT
Anatomy & Cell Biology 2013;46(3):198-202
The extensor digitorum brevis muscle (EDB) is a practical option for use as an island flap or free flap when reconstructing soft tissue defects in the ankle as well as in the entire lower limb. It is frequently used to correct crossover toe deformity and other painful toe disorders. We evaluated the morphometry of the EDB in 44 formalin-fixed limbs. Length and width of the muscles were measured. Surface area was calculated as the product of length and width of the muscle. The length of each tendon was also measured from its origin to the point of distal attachment. Presence of any additional tendons was noted. Mean length, width, and surface area of the muscle were 7.39+/-0.71 cm, 4.1+/-0.37 cm, and 30.5+/-4.78 cm2 on the right side and 7.2+/-0.84 cm, 3.9+/-0.37 cm, and 28.4+/-5.35 cm2 on the left side, respectively. Morphometry of the tendons revealed that the tendon of the great toe had the highest mean length (9.5 cm) and the tendon of the fourth toe had the lowest mean length (6.3 cm). Four of the limbs studied (9.09%) had only three tendons. Three of the limbs studied (6.81%) had five tendons, and in one exceptional case (2.27%), six tendons were detected. These observations have significant value and are applicable to plastic and orthopedic surgery.
Animals
;
Ankle
;
Congenital Abnormalities
;
Extremities
;
Free Tissue Flaps
;
Lower Extremity
;
Muscles
;
Orthopedics
;
Plastics
;
Tendon Transfer
;
Tendons
;
Toes
5.A peculiar liver with surgically and radiologically important variations: a case report.
Satheesha B NAYAK ; Snigdha MISHRA ; Bincy M GEORGE ; Surekha D SHETTY ; Naveen KUMAR ; Anitha GURU ; Srinivasa S RAO ; Ashwini AITHAL
Anatomy & Cell Biology 2013;46(1):82-84
A peculiar liver was found in an adult male cadaver during a dissection class for undergraduate medical students. The quadrate lobe and fissure for the ligamentum teres were totally absent. Thus, the cystic notch on the inferior border was very broad and deep, and the fundus and body of the gall bladder popped out through this notch. The cystic duct terminated into the right hepatic duct at the porta hepatis instead of terminating into the common hepatic duct. Awareness of variations of the lobes and fissures may minimize a misdiagnosis of liver problems. The aim of the current study was to alert radiologists and surgeons about possible variations in the external appearance and anomalies of the lobes and fissures of the liver.
Adult
;
Cadaver
;
Cystic Duct
;
Diagnostic Errors
;
Hepatic Duct, Common
;
Humans
;
Liver
;
Male
;
Students, Medical
;
Urinary Bladder