Pub Date : 2022-07-01DOI: 10.4103/jasi.jasi_212_21
Garima Khatri, Mohan Singh, Sunita Bika, K. Joshi, N. Swami
Introduction: Stroke is the second leading cause of death globally, with more than 85% of deaths from stroke occurring in developing countries. It is also reported as the major sequel of head and neck irradiation and has not received the attention it deserves. The contribution of various risk factors to the burden of stroke worldwide is unknown, particularly in countries of low and middle income. We aimed to establish the association of known and emerging risk factors, the carotid intima–media thickness (IMT), with stroke in postradiotherapy patients with head and neck malignancies, also aimed to establish whether carotid IMT (cIMT) is an independent risk factor to predict future stroke. Material and Methods: The study recruited 501 subjects. 151 irradiated patients with head and neck malignancy, formed case group. Three hundred and fifty nonirradiated apparently healthy controls formed control group. Each group was subdivided into four subgroups on the basis of gender and presence or absence of classical atherogenic risk factors, i.e. totally 8 groups were structured. All subjects were measured for their cIMT by color Doppler, b-mode ultrasonography and were also made to complete a questionnaire to assess other cardiovascular risk factors. The Framingham score system was used to predict probability of stroke. Results: Study described higher values of cIMT and total points for risk factors in cases than in controls and the difference was again statistically significant (P = 0.0001). Discussion and Conclusion: CIMT clearly indicated to act as an independent risk factor to predict stroke and is suggested to be worked on to be incorporated in the Framingham score.
{"title":"Carotid intima–Media thickness: An independent risk factor for stroke prediction – A call for revised framingham score system","authors":"Garima Khatri, Mohan Singh, Sunita Bika, K. Joshi, N. Swami","doi":"10.4103/jasi.jasi_212_21","DOIUrl":"https://doi.org/10.4103/jasi.jasi_212_21","url":null,"abstract":"Introduction: Stroke is the second leading cause of death globally, with more than 85% of deaths from stroke occurring in developing countries. It is also reported as the major sequel of head and neck irradiation and has not received the attention it deserves. The contribution of various risk factors to the burden of stroke worldwide is unknown, particularly in countries of low and middle income. We aimed to establish the association of known and emerging risk factors, the carotid intima–media thickness (IMT), with stroke in postradiotherapy patients with head and neck malignancies, also aimed to establish whether carotid IMT (cIMT) is an independent risk factor to predict future stroke. Material and Methods: The study recruited 501 subjects. 151 irradiated patients with head and neck malignancy, formed case group. Three hundred and fifty nonirradiated apparently healthy controls formed control group. Each group was subdivided into four subgroups on the basis of gender and presence or absence of classical atherogenic risk factors, i.e. totally 8 groups were structured. All subjects were measured for their cIMT by color Doppler, b-mode ultrasonography and were also made to complete a questionnaire to assess other cardiovascular risk factors. The Framingham score system was used to predict probability of stroke. Results: Study described higher values of cIMT and total points for risk factors in cases than in controls and the difference was again statistically significant (P = 0.0001). Discussion and Conclusion: CIMT clearly indicated to act as an independent risk factor to predict stroke and is suggested to be worked on to be incorporated in the Framingham score.","PeriodicalId":50010,"journal":{"name":"Journal of the Anatomical Society of India","volume":"71 1","pages":"169 - 177"},"PeriodicalIF":0.4,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46831364","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Assigning possible and correct sex of individuals born with ambiguous genitalia, notably those with true hermaphroditism (TH) at their neonatal stage, is of paramount psychosocial advantage. A 5-year-old child with karyotype of 46, XX who was reared as male is herein presented. The right testicle was neither palpable in the scrotal sac nor in the inguinal canal. The left testicle was palpable in the scrotum and was of adequate size according to the child. A hormonal profile showed a testosterone level of 2.30 ng/dl (normal value: 30–50 ng/dl). Both testicular and ovarian tissues were found on one side (ovotestis), hence TH of ovotestis was confirmed. It is important to assign true sex for patients with an intersex disorder particularly those with TH so as to give positive psychosocial benefits for them as well as removing gonadal tissues which would lead to the development of gonadal malignancies.
{"title":"True hermaphrodite of ovotestis in a 5-year-old child","authors":"J. Yahaya","doi":"10.4103/jasi.jasi_90_20","DOIUrl":"https://doi.org/10.4103/jasi.jasi_90_20","url":null,"abstract":"Assigning possible and correct sex of individuals born with ambiguous genitalia, notably those with true hermaphroditism (TH) at their neonatal stage, is of paramount psychosocial advantage. A 5-year-old child with karyotype of 46, XX who was reared as male is herein presented. The right testicle was neither palpable in the scrotal sac nor in the inguinal canal. The left testicle was palpable in the scrotum and was of adequate size according to the child. A hormonal profile showed a testosterone level of 2.30 ng/dl (normal value: 30–50 ng/dl). Both testicular and ovarian tissues were found on one side (ovotestis), hence TH of ovotestis was confirmed. It is important to assign true sex for patients with an intersex disorder particularly those with TH so as to give positive psychosocial benefits for them as well as removing gonadal tissues which would lead to the development of gonadal malignancies.","PeriodicalId":50010,"journal":{"name":"Journal of the Anatomical Society of India","volume":"71 1","pages":"242 - 244"},"PeriodicalIF":0.4,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47634263","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-07-01DOI: 10.4103/jasi.jasi_135_19
Ayşegül Altunkaş, F. Aktaş, Z. Ozmen, E. Albayrak, O. Demir
Introduction: The anatomic location of the appendiceal tip is not certain and it may extend to the retrocecal, pelvic, subcecal, paracecal, postileal, or preileal positions. Its positional variations may alter the degree of inflammation and lead to further illness diagnoses such as colitis, ureteric colic, or pelvic inflammatory disease. Increase in appendiceal diameter is very important regarding the diagnosis of appendicitis. Therefore, the determination of cut-off values for normal appendiceal diameter in computed tomography (CT) would aid in ruling out appendicitis in suspected cases. We aimed in this study to evaluate the frequency of visualization and determine the location and diameter of the normal appendix on CT. Material and Methods: We scanned 1842 abdominal CT that were performed in our hospital for any reason, retrospectively. A total of 597 patients were excluded with various indications. Results: Lower-upper abdominal CT examinations of a total of 1245 patients were evaluated, and the appendix could be visualized in 984 patients (79%). The appendiceal diameter was ranged between 2.7 mm and 10 mm and it was >6 mm in 19% of the patients. The most common location of the appendiceal tip was pelvic in 318 (32%) appendices. The appendiceal tip was subcecal in 222 (23%), retrocecal in 180 (18%), postileal in 180 (18%), preileal in 54 (6%), and paracaecal in 30 (3%) appendices. Discussion and Conclusion: This study showed that the most frequent location of the normal appendix is pelvic type both in women and men.
{"title":"The normal vermiform appendixin adults: its anatomical location, visualization, and diameter at computed tomography","authors":"Ayşegül Altunkaş, F. Aktaş, Z. Ozmen, E. Albayrak, O. Demir","doi":"10.4103/jasi.jasi_135_19","DOIUrl":"https://doi.org/10.4103/jasi.jasi_135_19","url":null,"abstract":"Introduction: The anatomic location of the appendiceal tip is not certain and it may extend to the retrocecal, pelvic, subcecal, paracecal, postileal, or preileal positions. Its positional variations may alter the degree of inflammation and lead to further illness diagnoses such as colitis, ureteric colic, or pelvic inflammatory disease. Increase in appendiceal diameter is very important regarding the diagnosis of appendicitis. Therefore, the determination of cut-off values for normal appendiceal diameter in computed tomography (CT) would aid in ruling out appendicitis in suspected cases. We aimed in this study to evaluate the frequency of visualization and determine the location and diameter of the normal appendix on CT. Material and Methods: We scanned 1842 abdominal CT that were performed in our hospital for any reason, retrospectively. A total of 597 patients were excluded with various indications. Results: Lower-upper abdominal CT examinations of a total of 1245 patients were evaluated, and the appendix could be visualized in 984 patients (79%). The appendiceal diameter was ranged between 2.7 mm and 10 mm and it was >6 mm in 19% of the patients. The most common location of the appendiceal tip was pelvic in 318 (32%) appendices. The appendiceal tip was subcecal in 222 (23%), retrocecal in 180 (18%), postileal in 180 (18%), preileal in 54 (6%), and paracaecal in 30 (3%) appendices. Discussion and Conclusion: This study showed that the most frequent location of the normal appendix is pelvic type both in women and men.","PeriodicalId":50010,"journal":{"name":"Journal of the Anatomical Society of India","volume":"71 1","pages":"225 - 233"},"PeriodicalIF":0.4,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43619276","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Immunity toward COVID-19 (Novel Coronavirus Disease) in children, an anatomical perspective","authors":"Vishram Singh, B. Murlimanju, L. Prabhu","doi":"10.4103/jasi.jasi_86_22","DOIUrl":"https://doi.org/10.4103/jasi.jasi_86_22","url":null,"abstract":"","PeriodicalId":50010,"journal":{"name":"Journal of the Anatomical Society of India","volume":"71 1","pages":"87 - 87"},"PeriodicalIF":0.4,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43804737","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Introduction: To develop a medical professional multidimensionally, experiences must be built in the medical undergraduate curriculum using existing programs and resources. Utilizing the involvement of 1st-year medical students in an anatomy exhibition as “near-peer” teachers, we aimed to develop an interest in teaching among them and to sensitize them to the surrounding community and the need for the development of communication skills. Material and Methods: One hundred 1st-year medical students were involved in teaching anatomy to school students from the community during an anatomy exhibition. The students were divided into 10 groups and they demonstrated the displayed specimens for 4 days on a rotation basis. Feedback was collected to evaluate students' responses to the program. Results: The feedback from the students (n = 88) revealed that students enjoyed the experience (97.7%) and found the experience useful for their appreciation of anatomy (87.4%). About 53.4% of students were able to communicate effectively, although 61.4% had language difficulties. Students appreciated the opportunity to interact with school students (90.9%), the need for educational outreach (94.3%) and also recommended their future involvement in teaching programs (94.3%). In making the learning experience enjoyable to the students, the factors that played a key role were their ability to communicate easily (P = 0.019) and their ability to appreciate the need for community outreach (P = 0.005). Discussion and Conclusion: Developing the interest of 1st-year medical students in teaching and sensitizing them to the need for improved communication skills and societal consciousness can be achieved by enabling them to act as “near-peer” teachers in school teaching programs.
{"title":"Participation of 1st-year medical undergraduate students in an anatomy exhibition as “Near-Peer” teachers – An innovative method to implement components of the competency-based curriculum in India","authors":"P. Daniel, J. Stephen, P. Stephen, S. Rabi","doi":"10.4103/jasi.jasi_81_21","DOIUrl":"https://doi.org/10.4103/jasi.jasi_81_21","url":null,"abstract":"Introduction: To develop a medical professional multidimensionally, experiences must be built in the medical undergraduate curriculum using existing programs and resources. Utilizing the involvement of 1st-year medical students in an anatomy exhibition as “near-peer” teachers, we aimed to develop an interest in teaching among them and to sensitize them to the surrounding community and the need for the development of communication skills. Material and Methods: One hundred 1st-year medical students were involved in teaching anatomy to school students from the community during an anatomy exhibition. The students were divided into 10 groups and they demonstrated the displayed specimens for 4 days on a rotation basis. Feedback was collected to evaluate students' responses to the program. Results: The feedback from the students (n = 88) revealed that students enjoyed the experience (97.7%) and found the experience useful for their appreciation of anatomy (87.4%). About 53.4% of students were able to communicate effectively, although 61.4% had language difficulties. Students appreciated the opportunity to interact with school students (90.9%), the need for educational outreach (94.3%) and also recommended their future involvement in teaching programs (94.3%). In making the learning experience enjoyable to the students, the factors that played a key role were their ability to communicate easily (P = 0.019) and their ability to appreciate the need for community outreach (P = 0.005). Discussion and Conclusion: Developing the interest of 1st-year medical students in teaching and sensitizing them to the need for improved communication skills and societal consciousness can be achieved by enabling them to act as “near-peer” teachers in school teaching programs.","PeriodicalId":50010,"journal":{"name":"Journal of the Anatomical Society of India","volume":"71 1","pages":"102 - 108"},"PeriodicalIF":0.4,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47068517","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Emrah Özcan, Ömür Karaca, M. Taskin, R. Çetin, Aycan Büyükmert, A. Vatansever, İ. Kuş
Introduction: The aim of this study was to calculate volume of the sacrum, sacral canal, caudal part of the epidural space, and dural sac volumes using stereological methods on magnetic resonance images (MRIs). Material and Methods: We used MRI series of 50 healthy women (the mean age; 44.0) in the study, retrospectively. Point counting and planimetry methods were used to calculate the volumetric parameters on MRIs. Volume calculation was performed by placing the dotted field ruler on MRI sections for point counting method, whereas ImageJ software was used for planimetry method. Results: Sacrum volume was measured as 135.38 ± 24.12 cm3 using point counting method, whereas it was 136.87 ± 24.76 cm3 in planimetry method. The mean volume of sacral canal was determined as 10.11 ± 2.64 cm3 and 10.30 ± 2.73 cm3 using point counting and planimetry methods, respectively. The mean volume of the caudal portion of the epidural space was 6.54 ± 2.04 cm3 in point counting method, whereas it was 6.53 ± 1.89 cm3 in planimetry method. Discussion and Conclusion: Knowing the volume of sacrum would contribute to minimization of complications during surgical approaches and anesthesia procedures in that region. Our results showed that sacrum volume can be calculated accurately using stereological methods such as point counting and planimetry.
{"title":"Morphometric evaluation of sacrum volume in healthy women","authors":"Emrah Özcan, Ömür Karaca, M. Taskin, R. Çetin, Aycan Büyükmert, A. Vatansever, İ. Kuş","doi":"10.4103/jasi.jasi_33_21","DOIUrl":"https://doi.org/10.4103/jasi.jasi_33_21","url":null,"abstract":"Introduction: The aim of this study was to calculate volume of the sacrum, sacral canal, caudal part of the epidural space, and dural sac volumes using stereological methods on magnetic resonance images (MRIs). Material and Methods: We used MRI series of 50 healthy women (the mean age; 44.0) in the study, retrospectively. Point counting and planimetry methods were used to calculate the volumetric parameters on MRIs. Volume calculation was performed by placing the dotted field ruler on MRI sections for point counting method, whereas ImageJ software was used for planimetry method. Results: Sacrum volume was measured as 135.38 ± 24.12 cm3 using point counting method, whereas it was 136.87 ± 24.76 cm3 in planimetry method. The mean volume of sacral canal was determined as 10.11 ± 2.64 cm3 and 10.30 ± 2.73 cm3 using point counting and planimetry methods, respectively. The mean volume of the caudal portion of the epidural space was 6.54 ± 2.04 cm3 in point counting method, whereas it was 6.53 ± 1.89 cm3 in planimetry method. Discussion and Conclusion: Knowing the volume of sacrum would contribute to minimization of complications during surgical approaches and anesthesia procedures in that region. Our results showed that sacrum volume can be calculated accurately using stereological methods such as point counting and planimetry.","PeriodicalId":50010,"journal":{"name":"Journal of the Anatomical Society of India","volume":"71 1","pages":"119 - 122"},"PeriodicalIF":0.4,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44302411","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-04-01DOI: 10.4103/jasi.jasi_183_21
D. Pillay, R. Ndou
Introduction: The consequence of gestational alcohol exposure ranges from stillbirth to miscarriage and fetal alcohol syndrome (FAS). FAS is one of the deleterious causes of congenital disabilities, mental and growth retardation. Several studies suggest that low birth weight and impaired bone growth, as well as a decrease in mineralization in utero, may reduce peak bone mass and increase the risk of fractures and osteoporosis later in life. Therefore, the aim of this study was to determine the effects of intrauterine alcohol exposure on the internal architecture of the femur. Material and Methods: Time-mated (n = 13) pregnant Sprague − Dawley dams were assigned to either the ethanol (n = 5), saline control (n = 5) or untreated control (n = 3) group. The former two groups were treated with 0.015 ml/g of 25.2% ethanol and 0.9% saline for the first 19 days of gestation, respectively. The untreated group received no treatment. Once born, the pups were weaned at 21 days. These rats were then terminated. From each dam, two pups were collected resulting in ethanol (n = 10), saline controls (n = 10), and untreated controls (n = 6). The femora of the pups were dissected and scanned using a 3D-μCT scanner (Nikon XTH 225 L) at 15 μm resolution. Trabecular and cortical parameters were analyzed using Volume Graphics Studio® software following reconstruction. Results: We found altered trabecular parameters in the alcohol exposed group. The diaphyseal cortical and medullary cavity proportions were also affected, particularly in the midshaft. Discussion and Conclusion: These results indicate that gestational alcohol exposure may lower bone structural quality by disturbing the internal morphology of the osseous tissue.
{"title":"Intrauterine alcohol exposure delays growth and disturbs trabecular morphology in 3-week-old Sprague − Dawley rat femur","authors":"D. Pillay, R. Ndou","doi":"10.4103/jasi.jasi_183_21","DOIUrl":"https://doi.org/10.4103/jasi.jasi_183_21","url":null,"abstract":"Introduction: The consequence of gestational alcohol exposure ranges from stillbirth to miscarriage and fetal alcohol syndrome (FAS). FAS is one of the deleterious causes of congenital disabilities, mental and growth retardation. Several studies suggest that low birth weight and impaired bone growth, as well as a decrease in mineralization in utero, may reduce peak bone mass and increase the risk of fractures and osteoporosis later in life. Therefore, the aim of this study was to determine the effects of intrauterine alcohol exposure on the internal architecture of the femur. Material and Methods: Time-mated (n = 13) pregnant Sprague − Dawley dams were assigned to either the ethanol (n = 5), saline control (n = 5) or untreated control (n = 3) group. The former two groups were treated with 0.015 ml/g of 25.2% ethanol and 0.9% saline for the first 19 days of gestation, respectively. The untreated group received no treatment. Once born, the pups were weaned at 21 days. These rats were then terminated. From each dam, two pups were collected resulting in ethanol (n = 10), saline controls (n = 10), and untreated controls (n = 6). The femora of the pups were dissected and scanned using a 3D-μCT scanner (Nikon XTH 225 L) at 15 μm resolution. Trabecular and cortical parameters were analyzed using Volume Graphics Studio® software following reconstruction. Results: We found altered trabecular parameters in the alcohol exposed group. The diaphyseal cortical and medullary cavity proportions were also affected, particularly in the midshaft. Discussion and Conclusion: These results indicate that gestational alcohol exposure may lower bone structural quality by disturbing the internal morphology of the osseous tissue.","PeriodicalId":50010,"journal":{"name":"Journal of the Anatomical Society of India","volume":"71 1","pages":"93 - 101"},"PeriodicalIF":0.4,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44617991","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-04-01DOI: 10.4103/jasi.jasi_143_21
D. Dağdelen, E. Benlier
{"title":"An optimal palpation method to locate the pubic tubercle","authors":"D. Dağdelen, E. Benlier","doi":"10.4103/jasi.jasi_143_21","DOIUrl":"https://doi.org/10.4103/jasi.jasi_143_21","url":null,"abstract":"","PeriodicalId":50010,"journal":{"name":"Journal of the Anatomical Society of India","volume":"71 1","pages":"154 - 155"},"PeriodicalIF":0.4,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42564489","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-04-01DOI: 10.4103/jasi.jasi_269_20
A. Firat, H. Balaban
{"title":"Why should anatomists underline the geometry of some special structures?","authors":"A. Firat, H. Balaban","doi":"10.4103/jasi.jasi_269_20","DOIUrl":"https://doi.org/10.4103/jasi.jasi_269_20","url":null,"abstract":"","PeriodicalId":50010,"journal":{"name":"Journal of the Anatomical Society of India","volume":"71 1","pages":"158 - 159"},"PeriodicalIF":0.4,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43224505","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-04-01DOI: 10.4103/jasi.jasi_137_21
Navneet Dabria, A. Galhotra, R. Galhotra, A. Galhotra, Isha Sharma, C. Kakkar, Kamini Gupta, K. Saggar
Introduction: Embryological development of the aorta being a complex process can lead to a variety of congenital variants. It may result in complications during abdominal laparoscopic and radiological interventions. Prior knowledge can identify the anatomy, which may require special attention at the time of surgery/interventions. Diagnostic imaging with multidetector computed tomography (MDCT) allows accurate and noninvasive preoperative evaluation. To identify and to evaluate the anatomical variation of major arteries branching from the abdominal aorta using MDCT. Material and Methods: Five hundred patients of different age groups referred to the Department of Radiodiagnosis, Dayanand Medical College and Hospital, Ludhiana, for MDCT abdomen were included in the study. It was performed on 128-slice MDCT Siemens Somatom Definition AS scan machine. Results: The results showed that anatomical variation occurs in a high percentage of patients. In the celiac axis, it occurred in 34.6% of cases, out of which the most common variant was a replaced right hepatic artery (3.7%). Celiacomesenteric trunk was observed in 0.2% of patient. Single renal artery was observed (43.2%) while accessory renal artery in 41.6% and early branching in 15.2%. Discussion and Conclusion: Prior knowledge of variations of these vessels can prevent iatrogenic injuries.
{"title":"Analysis of anatomical variations of the main arteries branching from the abdominal aorta by multidetector computed tomography: A prospective study of 500 patients in a tertiary center","authors":"Navneet Dabria, A. Galhotra, R. Galhotra, A. Galhotra, Isha Sharma, C. Kakkar, Kamini Gupta, K. Saggar","doi":"10.4103/jasi.jasi_137_21","DOIUrl":"https://doi.org/10.4103/jasi.jasi_137_21","url":null,"abstract":"Introduction: Embryological development of the aorta being a complex process can lead to a variety of congenital variants. It may result in complications during abdominal laparoscopic and radiological interventions. Prior knowledge can identify the anatomy, which may require special attention at the time of surgery/interventions. Diagnostic imaging with multidetector computed tomography (MDCT) allows accurate and noninvasive preoperative evaluation. To identify and to evaluate the anatomical variation of major arteries branching from the abdominal aorta using MDCT. Material and Methods: Five hundred patients of different age groups referred to the Department of Radiodiagnosis, Dayanand Medical College and Hospital, Ludhiana, for MDCT abdomen were included in the study. It was performed on 128-slice MDCT Siemens Somatom Definition AS scan machine. Results: The results showed that anatomical variation occurs in a high percentage of patients. In the celiac axis, it occurred in 34.6% of cases, out of which the most common variant was a replaced right hepatic artery (3.7%). Celiacomesenteric trunk was observed in 0.2% of patient. Single renal artery was observed (43.2%) while accessory renal artery in 41.6% and early branching in 15.2%. Discussion and Conclusion: Prior knowledge of variations of these vessels can prevent iatrogenic injuries.","PeriodicalId":50010,"journal":{"name":"Journal of the Anatomical Society of India","volume":"71 1","pages":"128 - 134"},"PeriodicalIF":0.4,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43185370","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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