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1

Co-existence of the double inferior vena cava with complex interiliac venous communication and aberrant common hepatic artery arising from superior mesenteric artery: a case report

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Chentanez V., Nateniyom N., Huanmanop T., Agthong S.
Folia Morphologica
|
2018
|
tom 77
|
nr 1
Variations of the arterial and venous system of the abdomen and pelvis have important clinical significance in hepatobiliary surgery, abdominal laparoscopy, and radiological intervention. A case of double inferior vena cava (IVC) with complex interiliac communication and variation of the common hepatic artery (CHA) arising from superior mesenteric artery (SMA) in a 79-year-old male cadaver is presented. Both IVCs ascended on either side of the abdominal aorta. The left-sided IVC crossed anterior to the aorta at the level of the left renal vein. The union of both IVCs was at the level just above the right renal vein. The diameter of right-sided IVC, left-sided IVC and the common IVC were 16.73 mm, 21.57 mm and 28.75 mm, respectively. In the pelvic cavity, the right common iliac vein was formed by a union of right external and internal iliac veins while the formation of left common iliac vein was from the external iliac vein and two internal iliac veins. An interiliac vein ran from right internal iliac vein to left common iliac vein with an additional communicating vein running from the middle of this interiliac vein to the right common iliac vein. Another co-existence variation in this case was the origin of the CHA arising from the SMA with a suprapancreatic retroportal course. Clinical importance of double IVC are observed in retroperitoneal surgery, whole organ transplantation or radical nephrectomy, surgical ligation of the IVC or the placement of an IVC filter for thromboembolic disease. The variation of CHA has an important clinical significance in liver transplantation, abdominal laparoscopy and radiological abdominal intervention. (Folia Morphol 2018; 77, 1: 151–155)
2

Evaluation of the sciatic nerve location regarding its relationship to the piriformis muscle

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Wan-ae-loh P., Huanmanop T., Agthong S., Chentanez V.
Folia Morphologica
|
2020
|
tom 79
|
nr 4
3

Morphometric study of inferior peroneal retinaculum and contents of inferior peroneal tunnel

88%
Dangintawat P., Apinun J., Huanmanop T., Agthong S., Chentanez V.
Folia Morphologica
|
2019
|
tom 78
|
nr 3
Background: The aims of this study are to investigate the inferior peroneal retinaculum (IPR) regarding morphometric parameters, and contents in the inferior peroneal tunnel (IPT). Materials and methods: One hundred and nine embalmed cadaveric legs were dissected in prone position. Results: The extension band of the IPR was found in 31.19% of cases. The mean of length, width at the origin, width at the middle part, width at the insertion, and thickness of the IPR [mm] were 23.42 ± 3.54 (17.05–33.68), 13.29 ± 2.56 (5.83–20.92), 14.50 ± 2.37 (6.68–21.34), 10.10 ± 2.63 (4.59–19.17) and 0.48 ± 0.16 (0.20–0.87), respectively. The angle of the IPR to the horizontal axis was 38.51 ± 7.07 (11.67–54.00) degrees. The IPT was divided into the upper and lower tunnels. The normal contents were the tendons of peroneus brevis and peroneus longus in the upper and lower tunnels, respectively. However, additional contents were found in the upper tunnel in 2 cases. One was the tendon of peroneus digiti quinti, and peroneus quartus in the other one. Moreover, an unusual accessory peroneal muscle coursed into the lower tunnel and inserted on the peroneal tubercle. Tears of the peroneus brevis tendon were observed in 2 cases. Conclusions: These morphometric data might be beneficial in surgical repair for IPR injury. (Folia Morphol 2019; 78, 3: 582–587)
4

Multiple variations in the course and motor branching pattern of the musculocutaneous nerve with unusual communication with the median nerve

88%
Chentanez V., Jaruprat P., Udomchaisaku P., Agthong S., Huanmanop T.
Folia Morphologica
|
2016
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tom 75
|
nr 4
Anatomic variations in course and motor branching pattern of the musculocutaneous nerve (MCN) with unusual communication with the median nerve were determined on the left arm of a 62-year-old formalin fixed male cadaver. The MCN did not pierce the coracobrachialis muscle. It provided 4 primary motor branches. The first branch emerged 1.5 cm inferior to the coracoid process to innervate the coracobrachialis muscle. The second branch emerged 8 cm inferior to the coracoid process to innervate the biceps brachii muscle. The third branch to brachialis muscle emerged 13.9 cm inferior to the coracoid process. The last branch to the common belly of biceps brachii muscle emerged 19.6 cm inferior to the coracoid process. Two communications with the median nerve were observed. The proximal thick communicating branch had the direction from the MCN to the median nerve while the distal one was a small nerve bundle with a direction from the median nerve to the MCN. The present report provided evidence of multiple variations in one MCN which had not been reported previously. Anatomic variation in this case has clinical implications, considering that injury of the MCN in the upper part of arm would cause unexpected paralysis of flexor muscles of forearm and thenar muscle due to communications between this and median nerve. (Folia Morphol 2016; 75, 4: 555–559)
5

New aspect of morphometric study of the superior peroneal retinaculum: pertinent data for surgical repair and reconstruction

88%
Dangintawat P., Apinun J., Huanmanop T., Agthong S., Chentanez V.
Folia Morphologica
|
2020
|
tom 79
|
nr 3
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