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Variations in arterial supply of spleen – A case report
Abstracts / Journal of the Anatomical Society of India 65S (2016) S98–S142
Osteolytic skull lesions may have many different causes. In adults, tumoral causes predominate whereas in children, congenital defects, dermoid cysts, LCH and metastasis from neuroblastoma are more frequent. The benign lesions have well-defined borders with sclerotic margins, predictable location are usually solitary, whereas permeative, multiple and randomly distributed, are probably aggressive. The first step in radiological evaluation of the calvarium is plain radiography. Calvarial tumors in children ranges from benign to malignant disease so, need to be carefully evaluated. Conflicts of interest The authors have none to declare. http://dx.doi.org/10.1016/j.jasi.2016.08.384
S119
We procured a formalin preserved fetus for fetal autopsy in the department of Anatomy, SGRRIM&HS, Dehradun under the guidance of Head of the department. Manual dissection was done. Result: measurements taken and samples for histopathology were procured wherever appropriate. Measurement for crown heel length (CHL) was 233 mm, crown rump length (CRL) was 157 mm, head circumference (HC) was 160 mm, biparietal diameter (BPD) was 48 mm, chest circumference (CC) was 131 mm, abdominal circumference (AC) was 111 mm, small intestine length (SIL) was 785 mm. Weight of thymus gland was 0.57 gm, lung 5.108 g, liver 8.157 g. The results were compared with those of earlier studies and approximate gestational age of the fetus was found to be 19 weeks. The cause being idiopathic. Karyotyping should also be done in such cases considering a major percentage of fetal demise being contributed by genetic factors.
78 Variations in arterial supply of spleen – A case report
Conflicts of interest The author has none to declare.
N. Balachandra ∗ , Vasudha Kulkarni, B.R. Ramesh Department of Anatomy; DR B R Ambedkar Medical College, K G Halli, Bengaluru, Karnataka, India Splenic artery is the largest branch from the coeliac trunk supplying the spleen, pancreas and the stomach. It is tortuous from its origin and lies in multiple loops or even coils which appear above the superior border of the pancreas and descend to lie behind the gland. It divides into two or three main branches before entering the hilum of the spleen. As these branches enter the hilum they further divide into four or five segmental arteries that each supply a segment of the splenic tissue. There is relatively little collateral circulation between the segments implying infarction of that part of the spleen whose segmental artery becomes occluded. In a female cadaver aged about 80 year, given to IMBBS students for discussion, we found the splenic artery giving of a superior polar branch and the main artery before reaching the hilum spleen is giving off segmental branches to the spleen and then is going to the pancreas. The spleen also has lobulations. Knowledge of variation in the branching pattern of the splenic artery is of importance during radiological and radiological procedures of the upper abdominal region to avoid any catastrophic complications. Conflicts of interest The authors have none to declare. http://dx.doi.org/10.1016/j.jasi.2016.08.385 79 Fetal autopsy: Case report Daisy Dwivedi SGRRIM&HS, Dehradun, Uttarakhand, India The ‘fetus’ or ‘foetus’ is defined as a developing human from two months after conception to birth. The loss of fetus at any stage is a fetal demise. The cause of fetal demise is unknown in 25–60% of all cases. In the cases where a cause is clearly identified, the cause of fetal death can be attributed to fetal, maternal, or placental pathology. We report here, a case of fetal autopsy conducted on a formalin preserved foetus with unknown maternal history to evaluate the cause of fetal death.
http://dx.doi.org/10.1016/j.jasi.2016.08.386 80. Bilateral multiple renal arteries with anomalous origin of ovarian arteries on both sides: A case report R. Roy ∗ , P. Som, A.K. Ghosal, R. Kundu Institute of Post Graduate Medical Education and Research, Kolkata, West Bengal, India Knowledge about the presence of supernumerary renal arteries with anomalous origin of gonadal arteries is important with the increasing number of laparoscopic renal surgeries and donor nephrectomy. Renal transplantation may be jeopardized with additional renal and gonadal arteries. Therefore this case report will help surgeons to anticipate possible complications during aforesaid surgeries. In the Department of Anatomy, I.P.G.M.E&R, Kolkata during routine dissection of abdomen of an embalmed female cadaver of about 70 years of age, the said abnormalities were noted. On the right side four renal arteries were noted. The ovarian artery originated from the third one from above. All the renal arteries originated from abdominal aorta separately, three arose above the superior mesenteric artery and one below. The upper three renal arteries entered through renal hilum, crossing the inferior vena cava (IVC) from behind but the fourth one entered through the lower pole after crossing the IVC anteriorly. On the contrary, on left side main renal artery divided much proximally into three branches with the upper one coursed through the upper pole of the respective kidney and the rest two passed through the hilum. An additional renal artery from the aorta, entering through the hilum, was also noted on left side which gave origin to the left ovarian artery. Though the variations of renal and gonadal vessels may be silent or undiagnosed throughout the life, their presence may result in vascular injury of any additional vessel during renal and retroperitoneal surgery. Conflicts of interest The authors have none to declare. http://dx.doi.org/10.1016/j.jasi.2016.08.387
Osteolytic skull lesions may have many different causes. In adults, tumoral causes predominate whereas in children, congenital defects, dermoid cysts, LCH and metastasis from neuroblastoma are more frequent. The benign lesions have well-defined borders with sclerotic margins, predictable location are usually solitary, whereas permeative, multiple and randomly distributed, are probably aggressive. The first step in radiological evaluation of the calvarium is plain radiography. Calvarial tumors in children ranges from benign to malignant disease so, need to be carefully evaluated. Conflicts of interest The authors have none to declare. http://dx.doi.org/10.1016/j.jasi.2016.08.384
S119
We procured a formalin preserved fetus for fetal autopsy in the department of Anatomy, SGRRIM&HS, Dehradun under the guidance of Head of the department. Manual dissection was done. Result: measurements taken and samples for histopathology were procured wherever appropriate. Measurement for crown heel length (CHL) was 233 mm, crown rump length (CRL) was 157 mm, head circumference (HC) was 160 mm, biparietal diameter (BPD) was 48 mm, chest circumference (CC) was 131 mm, abdominal circumference (AC) was 111 mm, small intestine length (SIL) was 785 mm. Weight of thymus gland was 0.57 gm, lung 5.108 g, liver 8.157 g. The results were compared with those of earlier studies and approximate gestational age of the fetus was found to be 19 weeks. The cause being idiopathic. Karyotyping should also be done in such cases considering a major percentage of fetal demise being contributed by genetic factors.
78 Variations in arterial supply of spleen – A case report
Conflicts of interest The author has none to declare.
N. Balachandra ∗ , Vasudha Kulkarni, B.R. Ramesh Department of Anatomy; DR B R Ambedkar Medical College, K G Halli, Bengaluru, Karnataka, India Splenic artery is the largest branch from the coeliac trunk supplying the spleen, pancreas and the stomach. It is tortuous from its origin and lies in multiple loops or even coils which appear above the superior border of the pancreas and descend to lie behind the gland. It divides into two or three main branches before entering the hilum of the spleen. As these branches enter the hilum they further divide into four or five segmental arteries that each supply a segment of the splenic tissue. There is relatively little collateral circulation between the segments implying infarction of that part of the spleen whose segmental artery becomes occluded. In a female cadaver aged about 80 year, given to IMBBS students for discussion, we found the splenic artery giving of a superior polar branch and the main artery before reaching the hilum spleen is giving off segmental branches to the spleen and then is going to the pancreas. The spleen also has lobulations. Knowledge of variation in the branching pattern of the splenic artery is of importance during radiological and radiological procedures of the upper abdominal region to avoid any catastrophic complications. Conflicts of interest The authors have none to declare. http://dx.doi.org/10.1016/j.jasi.2016.08.385 79 Fetal autopsy: Case report Daisy Dwivedi SGRRIM&HS, Dehradun, Uttarakhand, India The ‘fetus’ or ‘foetus’ is defined as a developing human from two months after conception to birth. The loss of fetus at any stage is a fetal demise. The cause of fetal demise is unknown in 25–60% of all cases. In the cases where a cause is clearly identified, the cause of fetal death can be attributed to fetal, maternal, or placental pathology. We report here, a case of fetal autopsy conducted on a formalin preserved foetus with unknown maternal history to evaluate the cause of fetal death.
http://dx.doi.org/10.1016/j.jasi.2016.08.386 80. Bilateral multiple renal arteries with anomalous origin of ovarian arteries on both sides: A case report R. Roy ∗ , P. Som, A.K. Ghosal, R. Kundu Institute of Post Graduate Medical Education and Research, Kolkata, West Bengal, India Knowledge about the presence of supernumerary renal arteries with anomalous origin of gonadal arteries is important with the increasing number of laparoscopic renal surgeries and donor nephrectomy. Renal transplantation may be jeopardized with additional renal and gonadal arteries. Therefore this case report will help surgeons to anticipate possible complications during aforesaid surgeries. In the Department of Anatomy, I.P.G.M.E&R, Kolkata during routine dissection of abdomen of an embalmed female cadaver of about 70 years of age, the said abnormalities were noted. On the right side four renal arteries were noted. The ovarian artery originated from the third one from above. All the renal arteries originated from abdominal aorta separately, three arose above the superior mesenteric artery and one below. The upper three renal arteries entered through renal hilum, crossing the inferior vena cava (IVC) from behind but the fourth one entered through the lower pole after crossing the IVC anteriorly. On the contrary, on left side main renal artery divided much proximally into three branches with the upper one coursed through the upper pole of the respective kidney and the rest two passed through the hilum. An additional renal artery from the aorta, entering through the hilum, was also noted on left side which gave origin to the left ovarian artery. Though the variations of renal and gonadal vessels may be silent or undiagnosed throughout the life, their presence may result in vascular injury of any additional vessel during renal and retroperitoneal surgery. Conflicts of interest The authors have none to declare. http://dx.doi.org/10.1016/j.jasi.2016.08.387