Abstract
We encountered a rare case of the left common iliac artery in a 92-year-old Japanese female cadaver during dissection practice for medical students. The artery entered into the small pelvis without branching to the external iliac artery. There, it went down slightly medially and then turned laterally and passed behind the first sacral nerve. The artery ran anterolaterally further and returned to the greater pelvis and became the external iliac artery, which continued to the femoral artery as usual. During the course in the small pelvis, the artery branched to give rise to each branch of the internal iliac artery. We speculate that in the present case, a communication between the median sacral artery and the superior gluteal artery, passing behind the first sacral nerve, enlarged and compensated the usual common iliac artery.
References
Adachi B (1928) Das Arteriensystem der Japaner, Bd II. Maruzen, Kyoto.
Akita K (2000) Common iliac artery. In: Anatomic Variations in Japanese (Sato T, Akita K, eds). University of Tokyo Press, Tokyo, 255–6 (in Japanese).
Bergman RA, Thompson SA, Afifi AK, Saadeh FA (1988) Compendium of Human Anatomic Variation. Urban & Schwarzenberg, Baltimore.
Eckhard (1868) Mangel der A. hypogastrica. Z Rationelle Med 31, 408–9.
Greeb J (1977) Congenital anomalies of the iliofemoral artery. J Cardiovasc Surg 18, 317–23.
Koyama T, Kawada T, Kitanaka Y et al. (2003) Congenital anomaly of the external iliac artery: A case report. J Vasc Surg 37, 683–5.
Morita M (1948) A case of absence of the common iliac artery. Kaibogaku Zassi 23, 1 (in Japanese).
Senior HD (1919) The development of the arteries of the human lower extremity. Am J Anat 25, 55–95.
Senior HD (1925) An interpretation of the recorded arterial anomalies of the human pelvis and thigh. Am J Anat 36, 1–46.
Sottiurai VS, Omlie W (1994) Femoral artery hypoplasia and persistent sciatic artery with blue toe syndrome: A case report, histologic analysis and review of the literature. Int Angiol 13, 154–9.
Tamisier D, Melki JP, Cormier JM (1990) Congenital anomalies of the external iliac artery: Case report and review of the literature. Ann Vasc Surg 4, 510–14.
Vonwiller P (1917) Eine seltene Varietät der Arteria iliaca communis sinistra. Anat Anz 50, 155–8.
Williams LR, Flanigan DP, O’Connor RJA et al. (1983) Persistent sciatic artery: Clinical aspects and operative management. AmJ Surg 145, 687–93.
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Okamoto, K., Wakebe, T., Saiki, K. et al. Consideration of the potential courses of the common iliac artery. Anato Sci Int 80, 116–119 (2005). https://doi.org/10.1111/j.1447-073x.2005.00083.x
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DOI: https://doi.org/10.1111/j.1447-073x.2005.00083.x