Evaluation of Uterine Artery Origins on Contrast-Enhanced Magnetic Resonance Images
Abstract
Background/Aims: The origin of the uterine artery varies widely. The branching patterns of the internal iliac artery are also quite variable. Branching of the internal iliac artery in different ways is important in pelvic surgery. In our study, fertile and infertile groups were created, and the arteries that gave rise to the uterine artery were examined.
Methods: A total of 152 uterine arteries (n = 152) were evaluated retrospectively on 3D contrast-enhanced magnetic resonance images. Based on the study of Gomez-Jorge, the types of origin of the uterine artery were obtained. With regards to the incidence of types, differences between the fertile and infertile groups were examined.
Results: There was no statistically significant difference between the groups in terms of the incidence of origin types (p = 0.214). Based on the study of Gomez-Jorge, five different types of origins were obtained. The most common was type I (the uterine artery being the first branch of the inferior gluteal artery) origination.
Conclusions: There are studies investigating the origin of the uterine artery in literature. We believe that our findings will also contribute to the body of knowledge available.
Keywords
Supporting Institution
yok
References
- Standring S. Gray’s Anatomy. The Anatomical Basis of Clinical Practice. 41st ed. New York: Elsevier; 2016.
- Arulkumaran, S., Karoshi, M., Keith, L. G., Lalonde, A. B., & Christopher B (Eds. )., editor. A comprehensive textbook of postpartum hemorrhage: an essential clinical reference for effective management. [Internet]. Global Library of Women’s Medicine by Sapiens Publishing. 2012. Available from: (www. glowm. com)
- Chantalat, E., Merigot, O., Chaynes, P., Lauwers, F.Delchier, M. C., & Rimailho J. Radiological anatomical study of the origin of the uterine artery. Surg Radiol Anat. 2014;36:1093–9.
- Arfi A, Arfi-Rouche J, Barrau V, Nyangoh Timoh K, Touboul C. Three-dimensional computed tomography angiography reconstruction of the origin of the uterine artery and its clinical significance. Surg Radiol Anat [Internet]. 2018 Jan 9;40(1):85–90. Available from: http://link.springer.com/10.1007/s00276-017-1941-9
- Peters A, Stuparich MA, Mansuria SM, Lee TTM. Anatomic vascular considerations in uterine artery ligation at its origin during laparoscopic hysterectomies. Am J Obstet Gynecol [Internet]. 2016 Sep;215(3):393.e1-393.e3. Available from: http://linkinghub.elsevier.com/retrieve/pii/S0002937816303131
- Liapis K, Tasis N, Tsouknidas I, Tsakotos G, Skandalakis P, Vlasis K, et al. Anatomic variations of the Uterine Artery. Review of the literature and their clinical significance. J Turkish Soc Obstet Gynecol [Internet]. 2020 Apr 6;17(1):58–62. Available from: http://cms.galenos.com.tr/Uploads/Article_37245/TJOG-17-58-En.pdf
- Dossou M, Debost-Legrand A, Déchelotte P, Lémery D, Vendittelli F. Severe Secondary Postpartum Hemorrhage: A Historical Cohort. Birth [Internet]. 2015 Jun;42(2):149–55. Available from: https://onlinelibrary.wiley.com/doi/10.1111/birt.12164
- Obimbo MM, Ogeng’o JA, Saidi H. Variant anatomy of the uterine artery in a Kenyan population. Int J Gynecol Obstet [Internet]. 2010 Oct;111(1):49–52. Available from: http://doi.wiley.com/10.1016/j.ijgo.2010.04.033
- Ambekar A, Vogelzang R. Aberrant uterine artery as a cause of uterine artery embolization treatment failure. Int J Gynecol Obstet [Internet]. 2001 Jul;74(1):59–60. Available from: http://doi.wiley.com/10.1016/S0020-7292%2800%2900376-3
- Gomez-Jorge J, Keyoung A, Levy EB, Spies JB. Uterine Artery Anatomy Relevant to Uterine Leiomyomata Embolization. Cardiovasc Intervent Radiol [Internet]. 2003 Nov 21;26(6). Available from: http://link.springer.com/10.1007/s00270-003-2652-7