1.A Rare Unilateral Variation in the Course of External and Internal Carotid Arteries
Satheesha BN, Srinivasa RS, Swamy RS ; Deepthinath R ; Sudarshan S ; Naveen K
Journal of Surgical Academia 2014;4(2):35-37
Vascular variations in the neck region are not uncommon. Knowledge of incidence of morphological variations in
the course and branching of the carotid arteries is important for radiological interpretation and surgical correction
when they are symptomatic. Internal carotid artery (ICA) is known to show elongation in its extra cranial course.
Previous studies have demonstrated the incidence and clinical symptoms of this morphological entity. However, the
occurrence of elongation and looping of the external carotid artery (ECA) is seldom reported in the literature. During
regular dissections, we came across a rare case of unilateral morphological variation of both ECA and ICA, in a male
cadaver aged about 55 years. ICA presented a curved course with convexity directed posteriorly, at the level of the
C2-C3 vertebrae. ECA presented a pronounced kinking or coiling, one inch below the level of the angle of the
mandible. In addition, a linguo-facial trunk arising from the ECA also presented a pronounced kinking throughout its
entire length.
2.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
3.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.