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Multiple variations of renal vessels – A case report
S50
j o u r n a l o f t h e a n a t o m i c a l s o c i e t y o f i n d i a 6 4 S ( 2 0 1 5 ) S37–S62
Conclusion: In-folding of the diaphragm may be considered to be one of the developmental anomalies, which may not contribute to any functional impairment of the liver.
47. Dual inferior venacava – Report of a rare venous variation N. Hema ∗ , K. Padmalatha ESIC-MC & PGIMSR, Bengaluru, Karnataka, India Objective: Dual Inferior venacava is a congenital variation resulting from the persistence of few of the vessels of the embryonic venous system. The percentage of incidence of dual inferior venacava is about 2.2–3%. The majority of cases are clinically silent and diagnosed in routine dissection studies, in retroperitoneal surgeries and incidentally on imaging for other reasons. Although venous variations are rare, their knowledge is crucial in diagnosis and treatment. We report a case of Dual Inferior venacava and review of relevant literature. Methods: The present case was observed during routine dissection in an adult male cadaver for the undergraduate students in the Department of Anatomy, Rajarajeswari medical college and Hospital, Bangalore. Results: The right IVC received the right gonadal vein, right renal vein and the right suprarenal vein. The left IVC was formed by the left internal iliac vein and the left external iliac vein at the level of fifth lumbar vertebra. The other features will be discussed in detail during presentation. Conclusion: Hence, the variations of IVC should be recognized by radiologists and surgeons in order to avoid mistakes during imaging of the area or surgeries and in case of venous thromboembolic disease.
48. Multiple variations of renal vessels – A case report K. Padmalatha 1,∗ , B.S. Prakash 2 , N. Balachandra 1,2,3,4 , J.P. Nalini 1,2,3,4 , B.R. Ramesh 3 ESIC Medical College & PGIMSR, Bengaluru, India; 2 Hassan Institute Of Medical Sciences, Hassan, India; 3 DR.B.R.Ambedkar Medical College, K.G.Halli, Bengaluru, India; 4 Sridevi Inst of Med Sciences, Karnataka, India 1
Case report: During the routine dissection of Cadavers allotted for I MBBS students, we came across certain variations in the branching pattern of Renal Vessels in an adult male cadaver aged about 50 years. On the right side, Renal Artery originated from aorta at the level of Superior mesenteric artery, dividing into anterior & posterior segmental arteries, and series of branches were given to diaphragm (inferior phrenic artery), Suprarenal gland (suprarenal artery), and accessory renal arteries to the upper pole of the right kidney. On the same side, the Right gonadal vein drained into right Renal vein. On the left side, Renal artery dividing into anterior and posterior division and each dividing into 3 or 4 segmental branches . Accessory renal artery on the left side originated from aorta.
Further, Suprarenal artery arose from accessory renal artery. Further accessory renal vein from the lower pole of left kidney draining into left renal vein. The clinical significance and embryological significance will be discussed in detail during the presentation.
49. A variant odontoid process of axis B.S. Prakash 1,∗ , K. Padmalatha 2 , Bindusar G. Hosmani 3 Hassan Institute of Medical Sciences, Hassan, India; 2 ESIC Medical College & PGIMSR, Bengaluru, India; 3 ESIC Medical College & PGIMSR, Bengaluru, India
1
Case Report: During the routine Osteology demonstration for I year MBBS students, we came across the presence of a variant odontoid process in one of the axis bone. Odontoid process or dens is the toothlike projection that rises perpendicularly from the upper surface of the body of the second cervical vertebra (axis) and that serves as a pivot point for the rotation of the atlas (first cervical vertebra), enabling the head to turn. We came across an additional bony projection over the tip of the dens, which may be due to the ossification of the ligaments attached to the dens. The clinical significance & embryological significance will be discussed in detail during the presentation.
50. Bicornuate uterus – A case report Tejaswini M. Pawar 1 , B.S. Prakash 2,∗ , B.R. Ramesh 3 DR B R Ambedkar Medical College, Bengaluru, India; 2 Hassan Institute of Medical Sciences, Hassan, India; 3 DR B R Ambedkar Medical College, Bengaluru, India 1
Introduction: A bicornuate uterus or bicornate uterus, commonly referred to as a “heart-shaped” uterus, is a type of uterine malformation, where two “horns” form at the upper part of the uterus. There are many degrees of a bicornuate uterus. The bicornuate uterus is designated as a type IV anomaly and is subclassified as an incomplete or complete defect, depending on the extent of failure of the Mullerian ducts to fuse. Case Report: A female aged 22 years, G2 P1 L1 with 9 months amenorrhea, with previous LSCS. Bicornuate uterus with deep external uterine cleft & wide intercornual distance was found on LSCS. Pregnancy was carried out in left horn; right horn was rudimentary and had the cervical opening. Uterine structural anomalies are often asymptomatic and are often discovered during pregnancy or at the time of abortion or during infertility evaluation. The clinical and embryological significance will be discussed in detail.
51. Bilateral variant origin of inferior phrenic artery Jain A. Angel ∗ Christian Medical College and Hospital, Ludhiana, India
j o u r n a l o f t h e a n a t o m i c a l s o c i e t y o f i n d i a 6 4 S ( 2 0 1 5 ) S37–S62
Conclusion: In-folding of the diaphragm may be considered to be one of the developmental anomalies, which may not contribute to any functional impairment of the liver.
47. Dual inferior venacava – Report of a rare venous variation N. Hema ∗ , K. Padmalatha ESIC-MC & PGIMSR, Bengaluru, Karnataka, India Objective: Dual Inferior venacava is a congenital variation resulting from the persistence of few of the vessels of the embryonic venous system. The percentage of incidence of dual inferior venacava is about 2.2–3%. The majority of cases are clinically silent and diagnosed in routine dissection studies, in retroperitoneal surgeries and incidentally on imaging for other reasons. Although venous variations are rare, their knowledge is crucial in diagnosis and treatment. We report a case of Dual Inferior venacava and review of relevant literature. Methods: The present case was observed during routine dissection in an adult male cadaver for the undergraduate students in the Department of Anatomy, Rajarajeswari medical college and Hospital, Bangalore. Results: The right IVC received the right gonadal vein, right renal vein and the right suprarenal vein. The left IVC was formed by the left internal iliac vein and the left external iliac vein at the level of fifth lumbar vertebra. The other features will be discussed in detail during presentation. Conclusion: Hence, the variations of IVC should be recognized by radiologists and surgeons in order to avoid mistakes during imaging of the area or surgeries and in case of venous thromboembolic disease.
48. Multiple variations of renal vessels – A case report K. Padmalatha 1,∗ , B.S. Prakash 2 , N. Balachandra 1,2,3,4 , J.P. Nalini 1,2,3,4 , B.R. Ramesh 3 ESIC Medical College & PGIMSR, Bengaluru, India; 2 Hassan Institute Of Medical Sciences, Hassan, India; 3 DR.B.R.Ambedkar Medical College, K.G.Halli, Bengaluru, India; 4 Sridevi Inst of Med Sciences, Karnataka, India 1
Case report: During the routine dissection of Cadavers allotted for I MBBS students, we came across certain variations in the branching pattern of Renal Vessels in an adult male cadaver aged about 50 years. On the right side, Renal Artery originated from aorta at the level of Superior mesenteric artery, dividing into anterior & posterior segmental arteries, and series of branches were given to diaphragm (inferior phrenic artery), Suprarenal gland (suprarenal artery), and accessory renal arteries to the upper pole of the right kidney. On the same side, the Right gonadal vein drained into right Renal vein. On the left side, Renal artery dividing into anterior and posterior division and each dividing into 3 or 4 segmental branches . Accessory renal artery on the left side originated from aorta.
Further, Suprarenal artery arose from accessory renal artery. Further accessory renal vein from the lower pole of left kidney draining into left renal vein. The clinical significance and embryological significance will be discussed in detail during the presentation.
49. A variant odontoid process of axis B.S. Prakash 1,∗ , K. Padmalatha 2 , Bindusar G. Hosmani 3 Hassan Institute of Medical Sciences, Hassan, India; 2 ESIC Medical College & PGIMSR, Bengaluru, India; 3 ESIC Medical College & PGIMSR, Bengaluru, India
1
Case Report: During the routine Osteology demonstration for I year MBBS students, we came across the presence of a variant odontoid process in one of the axis bone. Odontoid process or dens is the toothlike projection that rises perpendicularly from the upper surface of the body of the second cervical vertebra (axis) and that serves as a pivot point for the rotation of the atlas (first cervical vertebra), enabling the head to turn. We came across an additional bony projection over the tip of the dens, which may be due to the ossification of the ligaments attached to the dens. The clinical significance & embryological significance will be discussed in detail during the presentation.
50. Bicornuate uterus – A case report Tejaswini M. Pawar 1 , B.S. Prakash 2,∗ , B.R. Ramesh 3 DR B R Ambedkar Medical College, Bengaluru, India; 2 Hassan Institute of Medical Sciences, Hassan, India; 3 DR B R Ambedkar Medical College, Bengaluru, India 1
Introduction: A bicornuate uterus or bicornate uterus, commonly referred to as a “heart-shaped” uterus, is a type of uterine malformation, where two “horns” form at the upper part of the uterus. There are many degrees of a bicornuate uterus. The bicornuate uterus is designated as a type IV anomaly and is subclassified as an incomplete or complete defect, depending on the extent of failure of the Mullerian ducts to fuse. Case Report: A female aged 22 years, G2 P1 L1 with 9 months amenorrhea, with previous LSCS. Bicornuate uterus with deep external uterine cleft & wide intercornual distance was found on LSCS. Pregnancy was carried out in left horn; right horn was rudimentary and had the cervical opening. Uterine structural anomalies are often asymptomatic and are often discovered during pregnancy or at the time of abortion or during infertility evaluation. The clinical and embryological significance will be discussed in detail.
51. Bilateral variant origin of inferior phrenic artery Jain A. Angel ∗ Christian Medical College and Hospital, Ludhiana, India