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Multiple vessel variations in the retropubic region.

Levent Sarikcioglu¹, Muzaffer Sindel

¹Department of Anatomy, Akdeniz University Faculty of Medicine, Antalya-Turkey. levent@med.akdeniz.edu.tr

Folia Morphologica

|March 22, 2002

Summary

Multiple vessel variations were found in the retropubic region of a male cadaver. These included unusual origins for the obturator artery and inferior epigastric artery, plus a venous anastomosis.

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Area of Science:

Anatomy
Vascular Anatomy
Surgical Anatomy

Background:

Anatomical variations in the pelvic vasculature can impact surgical procedures.
Understanding common and uncommon vascular patterns is crucial for surgeons.

Observation:

Multiple arterial and venous variations were identified in the retropubic region of a 55-year-old male cadaver.
The obturator artery originated from the external iliac artery.
The inferior epigastric artery originated from the femoral artery.

Findings:

An unusual origin of the obturator artery from the external iliac artery was noted.
The inferior epigastric artery arose from the femoral artery, deviating from typical anatomy.
A significant anastomosis between the obturator and inferior epigastric veins, termed the 'venous Crown of death', was observed.

Implications:

These vascular anomalies highlight the importance of detailed pre-operative imaging.
Awareness of such variations is critical for preventing iatrogenic injuries during pelvic and abdominal surgeries.
The presence of the 'venous Crown of death' may have implications for venous drainage and surgical risk assessment in the retropubic space.

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