A rare anastomotic artery between right and left common iliac arteries: iliac anastomotic artery

Year 2018, Volume: 12 Issue: 1, 52 - 55, 04.06.2018

Mehmet Ali Ikidağ Mehmet Ali Cüce Şinasi Özkılıç Erdal Uysal Salih Murat Akkın

Abstract

Congenital abdominal aortoiliac arterial abnormalities are not as common as aortic arch anomalies. Incidentally observed

abdominal arterial and venous variations and anomalies are increasingly encountered due to widespread use of multislice CT

for abdominal and vascular diseases. Knowledge of these variations or pathologies is crucial, especially before surgery to

repair occlusive diseases, aneurysms and transplant surgeries, in order to reduce complications such as vascular injury and

bleeding. Here we present an aortoiliac variation observed during abdominal CT examination of a 27-year-old female. This

variation appeared as an anomalous arterial structure coursing obliquely and transversely between the right and left proximal

common iliac arteries and binding them just below the bifurcation. Physicians should also be familiar with such a case,

which appears as a triangular aortoiliac arterial window and which has only been reported in the old anatomical literature.

Keywords

anomaly; common iliac artery; variation

References

• 1. Ergun E, fiimflek B, Koflar PN, Y›lmaz BK, Turgut AT. Anatomical variations in a branching pattern of arcus aortae: 64-slice CTA appearance. Surg Radiol Anat 2013;35:503–9.
• 2. Greebe J. Congenital anomalies of the iliofemoral artery. J Cardiovasc Surg (Torino) 1977;18:317–23.
• 3. El Mamoun BA, Demmel U. The lateral branches of common iliac artery. Surg Radiol Anat 1988;10:161–4.
• 4. Cope L. Common iliac artery arising from the renal artery. Clin Radiol 1995;50:200.
• 5. Kau T, Sinzig M, Gasser J, Lesnik G, Rabitsch E, Celedin S, Eicher W, Illiasch H, Hausegger KA. Aortic development and anomalies. Semin Intervent Radiol 2007;24:141–52.
• 6. Standring S (editor). Gray’s anatomy. The anatomical basis of clinical practice. 40th ed. Edinburgh: Churchill Livingstone Elsevier; 2008. p. 1086.
• 7. Özgüner G, Sulak O. Development of the abdominal aorta and iliac arteries during the fetal period: a morphometric study. Surg Radiol Anat 2011;33:35–43.
• 8. Tekgündüz Kfi, Ceviz N, Kantarc› M, Demirelli Y, Olgun H, Caner ‹, fiahin ‹O, Yolcu C. Rare cause of absence of femoral arterial pulse: bilateral common iliac artery hypoplasia. Pediatr Int 2014;56:909– 10.
• 9. Kaufman JA. Abdominal aorta and pelvic arteries. In: Kaufman JA, editor. Vascular and interventional radiology: the requisites. 2nd ed. Philadelphia, PA: Elsevier Saunders; 2014. Chapter 10, p. 199–228.
• 10. Adachi B. Das Arteriensystem der Japaner. Bd. II. Kyoto: Verlag der Kaiserlichen Japanischen Universität; 1928. p. 89.
• 11. Bergman RA, Afifi AK, Miyauchi R. Common iliac artery. Illustrated encyclopedia of human anatomic variation: Opus II: Cardiovascular system: Arteries: Pelvis. Available at: http://www.anatomyatlases.org/ AnatomicVariants/Cardiovascular/Text/Arteries/CommonIliac.sht ml (retrieved: 10 November 2015).
• 12. Lippert H, Pabst R. Arterial variations in man. Classification and frequency. Munich: JF Bergman Verlag; 1985. p. 3, 23, 60.
• 13. Shetty S, Kantha L, Sheshgiri C. Bilateral absence of common iliac artery – a cadaveric observation. International Journal of Anatomical Variations 2013;6:7–8.
• 14. Llauger J, Sabate JM, Guardia E, Escudero J. Congenital absence of the right common iliac artery: CT and angiographic demonstration. Eur J Radiol 1995;21:128–30.
• 15. Tay CM, Siew EP, Ng TK, Vathsala A, Tiong HY. Kidney transplantation in a patient with absent right common iliac artery and congenital renal abnormalities. Int J Surg Case Rep 2015;10:138–41.
• 16. Sabanciogullari V, Salk I, Yanastas M, Cetin A. Persistent sciatic artery originating from left common iliac artery. Pak J Med Sci 2011; 27:220–2.
• 17. Moore KL, Persaud TVN. The developing human. Clinically oriented embryology. 8th ed. Philadelphia: Elsevier Saunders; 2008. p. 249–51.