Arteriography of the Pelvis: Diagnostic and Therapeutic by Professor Agr. Jean-Jacques Merland, Dr. Jacques Chiras

By Professor Agr. Jean-Jacques Merland, Dr. Jacques Chiras (auth.)

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41 Fig. 34 a, b. Variations in the origin of the obturator artery. a From the iliolumbar artery (1), posterior trunk (2), obturator artery (3) b From the posterior trunk: 1 obturator artery 2 superior gluteal artery 3 inferior gluteal artery Fig. 35. Obturator artery (1) arising from the epigastric artery (2). It divides into two branches, external (3) and internal (4) above the obturator foramen 42 Fig. 36 a-c. Characteristic downward medial course of the internal pudendal artery ending on the midline, and giving a dense opacification of the bulb of penis 1 inferior rectal artery opacifying the arteries of the anal canal (2) 3 perineal artery 4 artery of the bulb giving the dorsal artery of the penis b ~ 6 blood supply of the glans ", .

A :...... 2 .. .... :~ .... -,- ,: f .... .... , .... :\ ... '. ' " .... :'. .... ' ~ '. , ....... ' . . ,: . . ..... ...... .. '""". c d . -" .. :-, _! ' -. I,:: :. '" .. ,:'" ::/ , ...... : .. '. ,' '. " e '0 ...... :~ •• -. ' . ' '" 21 Fig. 6. Posterior trunk 1 superior gluteal artery 2 iliolumbar artery 3 lateral sacral artery 22 Fig. 7. Inferior gluteal artery (1), obturator artery (2) and inferior sacral lateral artery (3) arising from the anterior trunk of the internal iliac artery Fig.

A Anatomic specimen , posterior view : ischial branch (arrow) b 1 2 3 4 Parietal branches artery of the acetabulum and gemellus muscle retropubic branch ischial branch anastomoses with inferior gluteal artery 44 The radiologic characteristics of the internal pudenal artery are: a) A downward medial intrapelvic course. b) It becomes horizontal just below the symphysis and it terminates on the midline. c) Dense opacification at the base of the corpus bulbocavernosum. Fig. 38. Arterial anastomoses with other branches of the hypogastric artery 1 internal pudendal artery 2 obturator artery 3 middle rectal artery 4 external pudendal artery Fig.

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