Quick Links
Archives
How
to
cite
this
Article:
Savita
Kumari,
MS
Trinesh
gowda
.
THE
BRANCHING
PATTERN
OF
THE
INTERNAL
ILIAC
ARTERY
IN
SOUTH
INDIAN
POPULATION
. Int J Anatomy Res 2016;4(4):2907-2913. DOI: 10.16965/ijar.2016.368.
Type of Article: Original Research
DOI: http://dx.doi.org/10.16965/ijar.2016.368
Page No.: 2907-2913
THE BRANCHING PATTERN OF THE INTERNAL ILIAC ARTERY IN SOUTH INDIAN POPULATION
Savita Kumari *
1
, MS Trinesh gowda
2
.
*1
PG student (2012-15), Department of Anatomy, Mandya Institute of Medical Sciences, Mandya, Karnataka, India.
2
Professor and Head, Department of Anatomy, Mandya Institute of Medical Sciences, Mandya, Karnataka, India.
Correspondence
Address:
Dr
savita
Kumari,
PG
student
(2012-15),
Department
of
Anatomy,
Mandya
Institute
of
Medical
Sciences,
Mandya,Karnataka,
India.
E-Mail:
savdev08@gmail.com
ABSTRACT
Background:
The
internal
iliac
artery
is
the
“artery
of
the
pelvis”.
It
begins
at
the
common
iliac
bifurcation
at
the
level
of
the
lumbosacral
intervertebal
disc
at
the
superior
margin
of
the
greater
sciatic
foramen
where
it
divides
into
an
anterior
trunk
and
posterior
trunk,
which
passes
back
to
the
greater
sciatic
foramen.
The
anterior
trunk,
branches
of
internal
iliac
artery
are
superior
vesical
artery,
inferior
vesical
artery,
middle
rectal
artery,
obturator
artery,
vaginal
artery,
uterine
artery,
internal
pudendal
and
inferior
gluteal
arteries.
The
branches
of
the
posterior
division
are
iliolumbar,
lateral
sacral
and
superior
gluteal
artery.
Knowledge
of
the
anatomical
variation
is
beneficial
for
the
vascular
surgeons
&
gynecologists
for
ligating
the
internal
iliac
artery
or
its
branches
during
the
pelvic
surgery
and
also
for
the
radiologists
to
perform
and
interpret
angiograms
of
the
pelvic
region.
Hence
the
present
study
was
undertaken
to
present the anatomical knowledge of branching pattern of internal iliac arteries.
Materials
and
Methods:
The
present
study
was
performed
on
50
bisected
pelvises
from
embalmed
human
cadavers
of
both
genders
from
Department
of
Anatomy,
Mandya
Institute
of
Medical
Sciences
Mandya.
The
internal
iliac
artery
was
identified,
finer
dissections
were
made,
and
branching
pattern
and
its
variation were recorded and photographed using a digital camera.
Results:
The
branching
pattern
of
internal
iliac
artery
was
classified
in
the
modified
Adachi
classification.
Out
of
50
adult
human
pelvis
specimens,
Type
1a
arrangement noted in 68% of specimens, Type II in 10%, Type III in 16% and Type IV in 6%. Type V was not found in any specimens..
Conclusion:
Most
common
patterns
of
internal
iliac
artery
were
Type
Ia.
Study
of
these
variations
helps
in
avoiding
the
surgical
and
accidental
iatrogenic
injuries of the blood vessels.
KEY WORDS:
Internal iliac artery, Internal iliac artery variations, obturator artery.
References
1
.
Sadler TW. Longman’s Medical Embryology. 12
th
Ed, Philadelphia: Lippincott Williams and Wilkins; 2012.p.188.
2
.
Sinnatamby CS. Last S Anatomy. 12
th
Ed, Philadelphia: Churchill Livingstone Elsevier; 2011.p.308-09.
3
.
Moore KL, Dalley AF, Agur MR. Clinically oriented anatomy. 7
th
Ed, Philadelphia: Lippincott Williams and Wilkins; 2009.p.350-55.
4
.
Snell RS. Clinical anatomy for students, 6
th
Ed, Philadelphia: Lippincott William & Wilkins; 2000.p. 292-93.
5
.
Zander
T
,
Baldi
S
,
Rabellino
M
,
Rostagno
R
,
Isaza
B
,
Llorens
R
,
et
al
.Bilateral
hypogastric
artery
occlusion
in
endovascular
repair
of
abdominal
aortic
aneurysms and its clinical significance.
J Vasc Interv Radiol
2007;18(12):1481-6.
6
.
Bangal V, Kwatra A, Raghav S. Role of internal iliac artery ligation in control of pelvic hemorrhage. Pravara Med Rev. 2009;1(2):23-24.
7
.
Hollinshead WH, Rosse C. The text book of anatomy. 4
th
Ed, U.S.A: Harper and row;1985.p.745-47
8
.
Romanes GJ. Cunningham’s manual of practical anatomy. 15
th
Ed. Vol 2, New York Oxoford University; 1986.p218-34.
9
.
Hashimoto
I,
Goishi
K,
Abe
Y,
Takaku
M,
Seike
T,Harada
H,Naknishi
H.The
internal
pudendal
artery
perforator
thigh
flap
:A
new
freestyle
pedicle
flap
for the Ischial Reagion.Plast Reconstr Surg Glob Open 2014.
1
0
.
Townsend
Courtney
M,
Beauchamp
RD,
Evers
B
Mark,
Mattox
Kenneth
L,
Sabiston
Textbook
of
surgery
the
biological
basis
of
modern
surgical
practice, 18
th
Ed, Vol 2, Philadelphia: Elservier;2008 .p.1933.
1
1
.
Vatsla
Dadhwal,
Bindiya
Gupta,
DN
Srivastava,
Deepika
Deka,
Suneeta
Mittal
Uterine
Artery
Pseudoaneurysm
with
AV
Malformation:
A:
A
Rare
Cause
of Secondary Post Partum Hemorrhage. J science 2007;9(3):142-6.
1
2
.
Hashimoto
I,
Goishi
K,
Abe
Y,
Takaku
M,
Seike
T,Harada
H,Naknishi
H.The
internal
pudendal
artery
perforator
thigh
flap
:A
new
freestyle
pedicle
flap
for the Ischial Reagion.Plast Reconstr Surg Glob Open 2014.
1
3
.
Lipschutz B. A composite study of the hypogastric artery and its branches. Ann surg 1918;67(5):584-608.
1
4
.
Braithwaite JL. Variations in origin of the parietal branches of the internal iliac artery. J Anat Soc of India 1952;86:423-30.
1
5
.
Yamaki K, Saga T, Doi Y, Aida K, Yoshizuka M. A statistical study of the branching of the human internal iliac artery. Kurume Med J 1998;45:333-40.
1
6
.
Naveen
NS,
Murlimanju
BV,
Kumar
V,
Jayanthi
KS,
Rao
K,
Pulakunta
T.
Morphological
analysis
of
the
human
internal
iliac
artery
in
south
Indian
population. Online J health allied scs 2011;10(1):11
1
7
.
Fatu C, Puisoru M, Fatu I.C. Morphometry of the internal iliac artery in different Ethnic group. Ann Anat 2006;188(6):541-46.
1
8
.
Ramakrishnan PK, Elezy MA. Variations in the branching pattern of internal iliac artery. Anatomica Karnataka. 2012;6(1):12
1
9
.
Shivakumar AH, Raju GM, Sathymurthy B, Vijayanath V. Internal iliac artery & its variation. Anatomica Karnataka 2010;4(1):10.
2
0
.
Thirupathi
Rao
Vishnumukkala,
Srinivasarao.Yalakurty,
Bharath.CH.N.V,
S.Swayam
Jothi
Dorai
Raj,
Bapuji.Puttagunata,
Kannan.M.
The
parietal
branching pattern of the internal iliac artery. Int J Biol Med Res.2013;4(1):2792-97.