1.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.
2.A Rare Case of Undescended Caecum Accompanied by Looped Retroperitoneal Appendix
Ashwini AP ; Naveen K ; Jyothsna P ; Swamy R S ; Satheesha NB
Journal of Surgical Academia 2014;4(2):32-34
Intestinal malrotations are associated with various anatomical anomalies. We report a unique case wherein the
caecum was located in the right lumbar region instead of the right iliac fossa. The ileo-caecal junction was also
placed higher up. The appendix was ‘uncinate’ shaped, highly coiled and retroperitoneal with the absence of mesoappendix.
Both, the caecum and appendix were supplied by ascending branch of the ileocolic artery instead of the
descending branch. Further, we also observed that the ascending colon was very short and sub-hepatic in position.
Such type of variations is of clinical and surgical importance in diagnosis and treatment of appendicitis.