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Corona mortis: The leading pelvic vascular variant
R Alonso-González1, M A Udaondo Cascante1, J Velasco Gómez1
1Hospital Clínico Universitario de Valladolid, Valladolid, Spain.
Insights
The corona mortis, a common pelvic vascular variant, involves vessels crossing the pubic ramus, posing a significant bleeding risk during trauma or surgery. Awareness and reporting of this anatomy are crucial for patient safety.
Area of Science:
- Anatomy
- Vascular Anatomy
- Pelvic Anatomy
Background:
- The corona mortis is a frequent anatomical variation in the pelvis.
- It involves arterial or venous vessels crossing the superior pubic ramus.
- This course makes the vessels vulnerable to injury in pelvic trauma and surgery.
Purpose of the Study:
- To review the anatomy of the arterial corona mortis.
- To illustrate its clinical significance using imaging examples.
- To emphasize its importance as a leading pelvic vascular variant.
Main Methods:
- Computed tomography angiography (CTA).
- Digital subtraction angiography.
- Review of anatomical variations and clinical scenarios.
Main Results:
- The arterial corona mortis is a prevalent pelvic vascular variant.
- Its anatomical course presents a high risk of hemorrhage.
- Radiologists must recognize and report this variant when clinically relevant.
Conclusions:
- The arterial corona mortis is a clinically significant pelvic vascular variant.
- Familiarity with its anatomy and associated hemorrhagic risk is essential for radiologists.
- Explicitly reporting the corona mortis in radiological findings can improve patient care.
Abstract:
Corona mortis is a common vascular variant in the pelvis with significant clinical importance. While there is no standardised definition, the term generally refers to any anatomical situation where a vessel-either arterial or venous-crosses over the superior pubic ramus and is thus susceptible to injury. This anatomical course places it at high risk of injury in numerous clinical scenarios, including pelvic trauma and various surgical procedures. The aim of this article is to review the anatomy of arterial corona mortis using computed tomography angiography (CTA) and digital subtraction angiography and to use examples to illustrate the considerable clinical significance of this vascular variant. With its high prevalence and relevance, arterial corona stands out as the leading pelvic vascular variant. Radiologists should be familiar with its anatomy and high haemorrhagic risk, explicitly including it in radiological reports when the clinical situation means it could be of significance.
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