1.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.
2.Unique variation of the left testicular artery passing through a vascular hiatus in renal vein
Ashwini Aithal PADUR ; Naveen KUMAR
Anatomy & Cell Biology 2019;52(1):105-107
Surgeons should have a thorough knowledge regarding the morphologic variations of the testicular arteries as any injury to this artery during surgery might cause testicular atrophy. We report in here an unusual course of left testicular artery and discuss its embryological basis and its clinical implications. The left testicular artery had a high origin from the anterior aspect of the abdominal aorta at the level of origin of renal artery. In its further course, the left testicular artery passed through a hiatus present in the left renal vein. This unusual course of the testicular artery through the vascular hiatus might lead to its entrapment and is worth reporting in efforts to educate clinicians involved in abdominal and urogenital surgical procedures.
Aorta, Abdominal
;
Arteries
;
Atrophy
;
Renal Artery
;
Renal Veins
;
Surgeons
;
Testis
;
Urogenital Surgical Procedures
3.Rare case of median nerve and brachial artery entrapment by an abnormal musculo-fascial tunnel in the arm: possible cause of neurovascular compression syndrome
Naveen KUMAR ; Ashwini Aithal PADUR ; Gayathri PRABHU ; Swamy Ravindra SHANTHAKUMAR ; Ravi BHASKAR
Anatomy & Cell Biology 2019;52(1):84-86
Entrapment neuropathies of the peripheral nervous system are frequently encountered due to anatomical variations. Median nerve is the most vulnerable nerve to undergo entrapment neuropathies. The clinical complications are mostly manifested by median nerve impingement in forearm and wrist areas. Median nerve entrapment could also occur at the arm, due to the presence of ligament of Struthers. Here we report a rare case of proximal entrapment of median nerve and brachial artery in the arm by an abnormally formed musculo-fascial tunnel. The tunnel was formed by the muscle fibers of brachialis and medial intermuscular septum in the lower part of arm. Due to this, the median nerve coursed deep, below the tunnel and continued distally into the forearm, underneath the pronator teres muscle and hence did not appear as a content of cubital fossa. The present entrapment of neurovascular structures in the tunnel might lead to pronator syndromes or other neurovascular compression syndromes.
Arm
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Brachial Artery
;
Forearm
;
Ligaments
;
Median Nerve
;
Nerve Compression Syndromes
;
Peripheral Nervous System
;
Wrist
4.Double pouched, sigmoid gallbladder that can cause a diagnostic dilemma to radiologists: a case report.
Satheesha B NAYAK ; Ashwini P AITHAL ; Abhinitha PADAVINANGADI ; Gayathri PRABHU
Anatomy & Cell Biology 2018;51(3):209-211
Gallbladder shows frequent variations in position, shape, interior, and its duct system. These variations may go unnoticed lifelong; however, they may predispose it for cholecystitis and cholelithiasis. We observed a double pouched gallbladder in an adult male cadaver. The gallbladder was folded to have a sigmoid shape. It had two broad pouches: anterior and posterior and a narrow isthmus in between. Its anterior pouch was covered by peritoneum, whereas the posterior pouch was covered by extrahepatic connective tissue. We discuss the clinical and radiological importance of the case.
Adult
;
Cadaver
;
Cholecystectomy
;
Cholecystitis
;
Cholelithiasis
;
Colon, Sigmoid*
;
Connective Tissue
;
Gallbladder*
;
Humans
;
Laparoscopy
;
Male
;
Peritoneum
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
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Cadaver
;
Cystic Duct
;
Diagnostic Errors
;
Hepatic Duct, Common
;
Humans
;
Liver
;
Male
;
Students, Medical
;
Urinary Bladder
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
;
Atmosphere
;
Cadaver
;
Estrogens, Conjugated (USP)
;
Humans
;
Kidney
;
Kidney Pelvis
;
Male
;
Renal Artery*
;
Urology