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Left vertebral artery from arch of aorta – A case report
S130
Abstracts / Journal of the Anatomical Society of India 65S (2016) S98–S142
reduce till birth. Omphalocele is having high mortality hence should be screen before birth by repeated USG during ANC checkup.
prophylactic antibiotics to those patients most likely to benefit and rule out if any surgical intervention is needed.
Conflicts of interest
Conflicts of interest
The authors have none to declare.
The author has none to declare.
http://dx.doi.org/10.1016/j.jasi.2016.08.424
http://dx.doi.org/10.1016/j.jasi.2016.08.426
118
120
Intracranial haemorrhage, sequel of sickle cell anaemia
Left vertebral artery from arch of aorta – A case report
G. Elena Krupa
Chitragar Mahalakshmi ∗ , B.S. Prakash
Andhra Medical College, Visakhapatnam, India
Department of Anatomy, Hassan Institute of Medical Sciences, Hassan, Karnataka, India
To study the neurovascular complications of sickle cell anaemia by MRI and CT scan modalities and analysing the different clinical presentation. An 8 year old female child presented with sudden onset of severe throbbing headache and medial deviation of right eye to the Department of Neuromedicine, KGH, Visakhapatnam, during our routine peripheral postings. The MRI imaging showed right frontal haemorrhage. The child was later diagnosed to have sickle cell anaemia. Usually intracranial haemorrhage is a late complication of sickle cell anaemia but in this case it was presented earlier. Cerebrovascular accident is one of the leading causes of death in both children and adults with an incidence of 0.61–0.76% per year. The observations and clinical presentation related to the anatomical site of brain involved in haemorrhage according to the different sites of involvement will be discussed in the conference.
http://dx.doi.org/10.1016/j.jasi.2016.08.425
Vertebral artery forms major part of the posterior cerebral circulation. It arises from posterosuperior part of the subclavian artery and courses within foramen transversarium of sixth to first cervical vertebrae and enters the cranial cavity through foramen magnum. Arterial variations in branching pattern of arch of aorta are uncommon and may occur as a result of developmental changes in the fusion and absorption of various pharyngeal arch arteries into the aortic sac. Its incidence, etiology and clinical significance will be dealt in detail. During dissection of a male cadaver aged around 50–55 years in Hassan Institute of Medical Sciences, Hassana, we observed a variation in the origin and course of left vertebral artery which directly arose from arch of aorta and entered foramen transversarium of seventh cervical vertebra (C7). Right vertebral artery had normal origin and course. Understanding the vessels of the aortic arch and their variations is important for endovascular interventionist, radiologists and surgeons in various procedures which require exposure of the arch of aorta and its branches such as aortic arch reconstruction, graft technique for total arch replacement, aneurysm repair and endarterectomy.
119
Conflicts of interest
Conflicts of interest The author has none to declare.
Antenatal hydronephrosis – A case report
The authors have none to declare.
Nowsheeba Khurshid Maharishi Markendeshwar Institute of Medical Sciences & Research, Mullana, Ambala, Haryana, India Antenatal hydronephrosis is the dilatation of collecting system of fetal kidney and common anomaly detected during fetal ultrasonography. The condition may be unilateral or bilateral and usually resolves by birth or during infancy, while others may require intervention. Here patient was diagnosed with antenatal bilateral hydronephrosis on routine USG at 6 months of fetal life. At birth both kidneys were normal with no hydronephrosis as per USG findings done on 7th day. At 3rd month patient had febrile UTI with positive urine culture, USG showing left sided hydronephrosis with anteroposterior diameter of 19 mm of renal pelvis, antibiotics were started and vesico-ureteric reflux was ruled off on Micturating Cyctourithogram. Patient is still on prophylactic antibiotic and USG at 7 months shows anteroposterior diameter of 8 mm of left kidney. In most cases hydronephrosis resolves itself within 1 year postnatally, it is important to select an appropriate postnatal imaging and to follow up based on clinical scenario and to prescribe
http://dx.doi.org/10.1016/j.jasi.2016.08.427 121 Aposthia–complete preputial agenesis: Report of a rare case H. Sharma Geetanjali Medical College & Hospital, Udaipur, Rajasthan, India The study reports a rare case of complete agenesis of prepuce in an adult patient and discusses the significance regarding embryology and functional aspects of human prepuce. A 70-year-old patient presenting with urinary complaints, on examination, was found to have complete agenesis of prepuce which is an extremely rare condition. The patient was studied and literature search was done regarding this anomaly. Embryologic, functional and development aspects of prepuce in humans were studied. The reported patient is the first case of aposthia in an adult to the best of our knowledge. Similar cases reported earlier have been either anecdotal or in children. The human prepuce is not a vestigial organ as has been conjectured to be by many authors.
Abstracts / Journal of the Anatomical Society of India 65S (2016) S98–S142
reduce till birth. Omphalocele is having high mortality hence should be screen before birth by repeated USG during ANC checkup.
prophylactic antibiotics to those patients most likely to benefit and rule out if any surgical intervention is needed.
Conflicts of interest
Conflicts of interest
The authors have none to declare.
The author has none to declare.
http://dx.doi.org/10.1016/j.jasi.2016.08.424
http://dx.doi.org/10.1016/j.jasi.2016.08.426
118
120
Intracranial haemorrhage, sequel of sickle cell anaemia
Left vertebral artery from arch of aorta – A case report
G. Elena Krupa
Chitragar Mahalakshmi ∗ , B.S. Prakash
Andhra Medical College, Visakhapatnam, India
Department of Anatomy, Hassan Institute of Medical Sciences, Hassan, Karnataka, India
To study the neurovascular complications of sickle cell anaemia by MRI and CT scan modalities and analysing the different clinical presentation. An 8 year old female child presented with sudden onset of severe throbbing headache and medial deviation of right eye to the Department of Neuromedicine, KGH, Visakhapatnam, during our routine peripheral postings. The MRI imaging showed right frontal haemorrhage. The child was later diagnosed to have sickle cell anaemia. Usually intracranial haemorrhage is a late complication of sickle cell anaemia but in this case it was presented earlier. Cerebrovascular accident is one of the leading causes of death in both children and adults with an incidence of 0.61–0.76% per year. The observations and clinical presentation related to the anatomical site of brain involved in haemorrhage according to the different sites of involvement will be discussed in the conference.
http://dx.doi.org/10.1016/j.jasi.2016.08.425
Vertebral artery forms major part of the posterior cerebral circulation. It arises from posterosuperior part of the subclavian artery and courses within foramen transversarium of sixth to first cervical vertebrae and enters the cranial cavity through foramen magnum. Arterial variations in branching pattern of arch of aorta are uncommon and may occur as a result of developmental changes in the fusion and absorption of various pharyngeal arch arteries into the aortic sac. Its incidence, etiology and clinical significance will be dealt in detail. During dissection of a male cadaver aged around 50–55 years in Hassan Institute of Medical Sciences, Hassana, we observed a variation in the origin and course of left vertebral artery which directly arose from arch of aorta and entered foramen transversarium of seventh cervical vertebra (C7). Right vertebral artery had normal origin and course. Understanding the vessels of the aortic arch and their variations is important for endovascular interventionist, radiologists and surgeons in various procedures which require exposure of the arch of aorta and its branches such as aortic arch reconstruction, graft technique for total arch replacement, aneurysm repair and endarterectomy.
119
Conflicts of interest
Conflicts of interest The author has none to declare.
Antenatal hydronephrosis – A case report
The authors have none to declare.
Nowsheeba Khurshid Maharishi Markendeshwar Institute of Medical Sciences & Research, Mullana, Ambala, Haryana, India Antenatal hydronephrosis is the dilatation of collecting system of fetal kidney and common anomaly detected during fetal ultrasonography. The condition may be unilateral or bilateral and usually resolves by birth or during infancy, while others may require intervention. Here patient was diagnosed with antenatal bilateral hydronephrosis on routine USG at 6 months of fetal life. At birth both kidneys were normal with no hydronephrosis as per USG findings done on 7th day. At 3rd month patient had febrile UTI with positive urine culture, USG showing left sided hydronephrosis with anteroposterior diameter of 19 mm of renal pelvis, antibiotics were started and vesico-ureteric reflux was ruled off on Micturating Cyctourithogram. Patient is still on prophylactic antibiotic and USG at 7 months shows anteroposterior diameter of 8 mm of left kidney. In most cases hydronephrosis resolves itself within 1 year postnatally, it is important to select an appropriate postnatal imaging and to follow up based on clinical scenario and to prescribe
http://dx.doi.org/10.1016/j.jasi.2016.08.427 121 Aposthia–complete preputial agenesis: Report of a rare case H. Sharma Geetanjali Medical College & Hospital, Udaipur, Rajasthan, India The study reports a rare case of complete agenesis of prepuce in an adult patient and discusses the significance regarding embryology and functional aspects of human prepuce. A 70-year-old patient presenting with urinary complaints, on examination, was found to have complete agenesis of prepuce which is an extremely rare condition. The patient was studied and literature search was done regarding this anomaly. Embryologic, functional and development aspects of prepuce in humans were studied. The reported patient is the first case of aposthia in an adult to the best of our knowledge. Similar cases reported earlier have been either anecdotal or in children. The human prepuce is not a vestigial organ as has been conjectured to be by many authors.