1.Multiple renal veins clogging the hilum of the right kidney
Satheesha B NAYAK ; Narendra PAMIDI ; Vasanthakumar PACKIRISAMY ; Soumya Kodimajalu VASUDEVA
Anatomy & Cell Biology 2023;56(1):141-144
Knowledge of variations of renal vessels is of utmost importance in retroperitoneal surgeries and kidney transplant surgeries. We report concurrent variations of the right renal vessels, observed in an adult male cadaver during dissection classes. The right kidney was supplied by three renal arteries, out of which two entered the kidney through the hilum and the other one entered through the lower pole of the kidney. There were five renal veins, emerging independently from the hilum and opening separately through five openings into the inferior vena cava. Among the veins, only one emerged anterior to the renal pelvis and the other four emerged behind it. Four of them terminated into the posterolateral aspect of the inferior vena cava, whereas one terminated into its anterior aspect. Fourth vein from above, received the right testicular vein. The renal hilum was clogged with the presence of seven vessels and renal pelvis.
2.Mylohyoid foramen of mandible: a rare exit point of intra-mandibular origin of nerve to mylohyoid
Satheesha B. NAYAK ; K.V. SOUMYA
Anatomy & Cell Biology 2020;53(1):114-116
Nerve to mylohyoid is a branch of inferior alveolar nerve. It arises in the infratemporal fossa and runs in the mylohyoid groove of mandible to reach the submandibular region, where it supplies the anterior belly of digastric and mylohyoid muscles. Though sensory distribution of this nerve have been described, it is predominantly a motor nerve. Here, a rare intra-mandibular origin of nerve to mylohyoid has been presented. This nerve arose from the inferior alveolar nerve inside the mandible and came out to the submandibular region by passing through a small foramen present on the medial surface of the body of the mandible. It ended by supplying the anterior belly of digastric and mylohyoid muscles. The knowledge of this variation could be of importance to maxillofacial surgeons and radiologists.
3.Anomalous peritoneal band connecting greater omentum to the ascending colon: a possible cause for dilation of ascending colon
Satheesha B. NAYAK ; K.V. SOUMYA
Anatomy & Cell Biology 2020;53(3):372-375
Anomalies of the peritoneum and the colon are quite common. Some of these anomalies can disturb the normal digestive and absorptive functions of the intestine and the others might result in formation of volvulus or impede the blood supply of the intestine. We report a rare, combined variation of peritoneum and ascending colon. In a 70-year-old male cadaver, the greater omentum was very small and extended only for about an inch below the transverse colon. From its lower end, a fibrous band extended to the right wall of the upper part of ascending colon. There was a deep constriction on the right wall of the ascending colon at the site of attachment of the fibrous band. The ascending colon was grossly dilated. Further, the ascending colon was mobile and presented a small ascending mesocolon along its left edge. We discuss the possible embryological basis and clinical and surgical relevance of the case.
4.Independent origin of anterior interventricular and left marginal arteries from the left posterior aortic sinus
Prakash SHETTY ; Satheesha B NAYAK
Anatomy & Cell Biology 2019;52(3):340-343
We present a unique, unreported variation of the left coronary artery. During dissection classes for first-year medical students, we observed the absence of left coronary artery in an adult male cadaver aged approximately 78 years. The left aortic sinus was dilated and it gave origin to anterior interventricular and left marginal arteries independently. Left marginal artery was large and the circumflex artery arose from it. There were two independent opening for anterior interventricular and left marginal arteries in the left posterior aortic sinus. No variations were found in the origin and branching pattern of right coronary artery and the walls and chambers of the heart.
Adult
;
Aorta
;
Arteries
;
Cadaver
;
Coronary Vessels
;
Heart
;
Humans
;
Male
;
Sinus of Valsalva
;
Students, Medical
5.Partial duplication of tentorium cerebelli and complete duplication of falx cerebelli
Satheesha B NAYAK ; Surekha D SHETTY
Anatomy & Cell Biology 2019;52(3):337-339
Variations of the dural folds and the dural venous sinuses are infrequently reported in the existing medical literature. Such variations in the posterior cranial fossa may pose difficulties in various analytical and surgical procedures of this region. We present a rare concurrent variation of the falx cerebelli and tentorium cerebelli that was detected during routine dissection of an adult male cadaver. While removing the brain, a partial duplication of tentorium cerebelli was observed below the left half of the tentorium cerebelli and above the left cerebellar hemisphere. This fold did not have any dural venous sinus in it. Further, a complete duplication of falx cerebelli with a single occipital venous sinus within its attached border was also observed. We present the review of literature and discuss the comparative anatomy of this case.
Adult
;
Anatomy, Comparative
;
Brain
;
Cadaver
;
Cranial Fossa, Posterior
;
Dura Mater
;
Humans
;
Male
;
Meninges
;
Spinal Cord
6.Clinical importance of tensor fasciae suralis arising from linea aspera along with short head of biceps femoris: a rare anomaly
Bincy M GEORGE ; Satheesha B NAYAK ; Sapna MARPALLI
Anatomy & Cell Biology 2019;52(1):90-92
Tensor fasciae suralis, also known as ischioaponeuroticus is a clinically relevant muscle variant located in the popliteal fossa. Though rare, when present the muscle may arise from any of the hamstrings and gets inserted to the crural fascia of leg or tendocalcaneus and is innervated by the tibial component of sciatic nerve. Here we report a variant of tensor fasciae suralis originated from the lowermost part of linea aspera along with the fibers of short head of biceps femoris in the left lower limb of a male cadaver aged approximately 58 years. The muscle was 16 cm in length and 1 cm breadth in its widest part. It was found inserted to the crural fascia over the lateral head of gastrocnemius and was found innervated by common peroneal nerve. To the best of our knowledge, the tensor fascia suralis muscle originated from linea aspera along with short head of biceps femoris and innervated by common peroneal nerve has not been reported in either cadaveric or imaging studies.
Cadaver
;
Fascia
;
Head
;
Humans
;
Leg
;
Lower Extremity
;
Male
;
Peroneal Nerve
;
Sciatic Nerve
7.Trifurcation of right coronary artery and its huge right ventricular branch: can it be hazardous?.
Anatomy & Cell Biology 2018;51(2):139-141
The objective of this case report is to alert the cardiologists and radiologists about the possibility of an extremely rare trifurcation of the right coronary artery. During dissection classes, an early trifurcation of the right coronary artery (RCA) was observed in an adult male cadaver aged approximately 65 years. The RCA had a normal origin from the anterior aortic sinus. After a course of just 2 mm, it trifurcated into a conus artery, a huge right ventricular branch and then a main continuation of the RCA. The conus artery entered the myocardium of the conus after a short course. The huge ventricular branch had a downward and left course almost till the apex of the heart. Right marginal artery was absent. No other vascular variations of heart were observed apart from this. Knowledge of this trifurcation could be useful in coronary angioplasty and bypass procedures.
Adult
;
Angioplasty
;
Arteries
;
Cadaver
;
Conus Snail
;
Coronary Vessels*
;
Heart
;
Humans
;
Male
;
Myocardium
;
Sinus of Valsalva
8.Solitary osteochondroma in the body of the pubic bone: a cadaveric case report.
Satheesha B. NAYAK ; Naveen KUMAR ; Srinivasa Rao SIRASANAGANDLA ; Srilatha Parampalli SRINIVAS ; Narendra PAMIDI ; Surekha D. SHETTY
Anatomy & Cell Biology 2018;51(2):136-138
Osteochondromas develop as cartilaginous nodules in the periosteum of bones. They are the commonest benign tumors of the skeleton, generally observed in the long bones. Rarely, they are also found in the axial skeleton, flat bones of skull and facial bones. During a regular dissection, we came across a solitary osteochondroma in posterior surface of the body of the right pubic bone. Histopathology of the bony projection confirmed the typical features of the osteochondroma. The symptomatic osteochondromas are usually evaluated during radiographic examination. Though, the observed osteochondroma is relatively smaller its unusual location is remarkable and knowledge of occurrence of such nodules is clinically important during the diagnosis and planning of treatment.
Cadaver*
;
Diagnosis
;
Facial Bones
;
Osteochondroma*
;
Periosteum
;
Pubic Bone*
;
Skeleton
;
Skull
9.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
10.Dangerous twisted communications between external and internal iliac veins which might rupture during catheterization.
Anatomy & Cell Biology 2018;51(4):309-311
In this report, four unusual communications between external and internal iliac veins of the left side have been presented. The lowest communication was the narrowest measuring about 2 mm in diameter, the second measured 6 mm, the third had a diameter of 7 mm and the last communication measured 5 mm in breadth. The upper three communications were twisted in a helical manner. The internal iliac vein had its normal tributaries except that the iliolumbar vein drained into the external iliac vein at the level of the third communication. The external iliac vein was slightly dilated just below the level of lowest communication.
Cardiology
;
Catheterization*
;
Catheters*
;
Iliac Vein*
;
Rupture*
;
Veins

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