The Majority of Corona Mortis Are Small Calibre Venous Blood Vessels: A Cadaveric Study of North Indians.
Acetabulum
Anastomosis
Arterial
Hemorrhage
Venous
Journal
Hip & pelvis
ISSN: 2287-3260
Titre abrégé: Hip Pelvis
Pays: Korea (South)
ID NLM: 101599815
Informations de publication
Date de publication:
Mar 2019
Mar 2019
Historique:
received:
11
10
2018
revised:
12
11
2018
accepted:
06
12
2018
entrez:
23
3
2019
pubmed:
23
3
2019
medline:
23
3
2019
Statut:
ppublish
Résumé
Corona mortis is an abnormal arterial or venous anastomosis between the external iliac and the obturator system of vessels and may cause significant hemorrhage during pelvi-acetabular fracture surgeries, hernia repair and laparoscopic gynecological procedures. Previous studies have estimated a prevalence of corona mortis between 34% and 70%. This cadaveric study was conducted to estimate the prevalence of corona mortis in the North Indian population. Twelve cadavers (24 hemipelvises; 11 males and 1 female) with a mean age of 68 (range, 54-82) years were included in this study. Corona mortis was observed in 14 hemipelvises (58.3%). A total of 19 (79.2%) vascular anastomoses of diameter greater than 1 mm were observed; 5 hemipelvises (20.8%) had corona mortis on the right side, 9 hemipelvises (37.5%) on the left side and bilateral in 5 (41.7%) cases. Two hemipelvises (8.3%) had an arterial connection. An aberrant obturator artery was observed in 1 (4.2%) hemipelvis. A venous connection was found in 14 specimens (58.3% of hemipelvises). The average distance of the connecting vein from the symphysis pubis was 41 (35-70) mm. A vessel diameter of greater than 4 mm was observed in 4/24 (16.7%) of hemipelvises. The frequency of venous corona mortis was higher than arterial corona mortis and the majority (83.3%) were small calibre (<4 mm). The presentation pattern and the number of arterial or venous anastomoses were different in the majority of hemipelvises and dissimilar in both hemipelvises of the same cadaver in the majority of cases.
Identifiants
pubmed: 30899714
doi: 10.5371/hp.2019.31.1.40
pmc: PMC6414411
doi:
Types de publication
Journal Article
Langues
eng
Pagination
40-47Déclaration de conflit d'intérêts
CONFLICT OF INTEREST: The authors declare that there is no potential conflict of interest relevant to this article.
Références
Surg Clin North Am. 2000 Feb;80(1):71-84
pubmed: 10685145
Surg Endosc. 2001 Jan;15(1):72-5
pubmed: 11210207
Surg Endosc. 2003 Sep;17(9):1376-9
pubmed: 12802654
Folia Morphol (Warsz). 2003;62(3):179-82
pubmed: 14507043
Acta Orthop Scand. 2004 Feb;75(1):53-5
pubmed: 15022807
Chin J Traumatol. 2004 Jun;7(3):165-9
pubmed: 15294115
J Med Assoc Thai. 2005 Sep;88 Suppl 4:S51-3
pubmed: 16623002
Clin Anat. 2007 May;20(4):433-9
pubmed: 16944498
Surg Radiol Anat. 2010 Jan;32(1):17-24
pubmed: 19636491
J Trauma. 2011 Nov;71(5):1340-4
pubmed: 21768909
Aust N Z J Obstet Gynaecol. 2013 Jun;53(3):283-6
pubmed: 23551084
Updates Surg. 2014 Mar;66(1):65-8
pubmed: 24390752
Hernia. 2016 Oct;20(5):659-65
pubmed: 26621137
Injury. 2016 Jul;47(7):1452-5
pubmed: 27156835
Chin J Traumatol. 2016 Oct 1;19(5):251-254
pubmed: 27780502
Rofo. 1984 Dec;141(6):708-10
pubmed: 6440242
Clin Orthop Relat Res. 1993 Jul;(292):62-76
pubmed: 8519138
J Orthop Trauma. 1996;10(3):156-9
pubmed: 8667106
Clin Orthop Relat Res. 1996 Aug;(329):97-101
pubmed: 8769440
Acta Anat (Basel). 1996;155(3):212-4
pubmed: 8870790
Folia Morphol (Warsz). 1996;55(2):121-6
pubmed: 8908792