473:, whether the hernia is reducible, incarcerated or strangulated. When the obturator artery travels along the lacunar ligament, it nearly encircles the femoral ring and can be lacerated during a femoral hernia repair. Most femoral hernias are repaired through a small (1/2 to 3/4 inch) incision in the groin area, rather than through the abdomen, so if a laceration were to occur, bleeding may not be immediately recognized and result in significant blood loss into the peritoneal cavity. Because of this danger, the anatomic variant in Figure B is sometimes referred to as the "crown of death" (corona mortis).
451:. In studies, it has been found that corona mortis is in half of all hemipelvis with a prevalence of 46%. In other studies, it is found to be 33.33% in both hemipelves of the individuals. The variation has also been found to be more common in patients from Europe than in Asia where studies have been conducted. In comparative studies, it was found that European patients had a 10% higher chance of having the arterial variation when compared to Asian population. The artery in this course usually lies in contact with the
1727:
61:
485:
497:
514:
37:
401:
The blood supply to the femoral head and neck is enhanced by the artery of the ligamentum teres derived from the obturator artery. In adults, this is small and doesn't have much importance, but in children whose epiphyseal line is still made of cartilage (which doesn't allow blood supply through it),
1747:
414:
405:
The articular branch is usually patent until roughly 15 years of age. In adults it does not provide enough blood supply to prevent avascular necrosis in upper femur fractures.
826:
Rusu, Mugurel
Constantin; Cergan, Romica; Motoc, Andrei Gheorghe Marius; Folescu, Roxana; Pop, Elena (28 July 2009). "Anatomical considerations on the corona mortis".
932:
179:
1003:
1429:
96:
1417:
92:
1544:
1464:
743:
Noussios, George; Galanis, Nikiforos; Chatzis, Iosif; Konstantinidis, Sergios; Filo, Eva; Karavasilis, George; Katsourakis, Anastasios (2020).
629:
Noussios, George; Galanis, Nikiforos; Chatzis, Iosif; Konstantinidis, Sergios; Filo, Eva; Karavasilis, George; Katsourakis, Anastasios (2020).
1073:
155:
688:"The Corona mortis is similar in size to the regular obturator artery, but is highly variable at the level of origin: an anatomical study"
1117:
1048:
1493:
1353:
1203:
745:"The Anatomical Characteristics of Corona Mortis: A Systematic Review of the Literature and Its Clinical Importance in Hernia Repair"
631:"The Anatomical Characteristics of Corona Mortis: A Systematic Review of the Literature and Its Clinical Importance in Hernia Repair"
1358:
1234:
925:
281:
The pubic branch ascends upon the back of the pubis, communicating with the corresponding vessel of the opposite side, and with the
1752:
1675:
1498:
1169:
1154:
348:
894:
1468:
1503:
1422:
1399:
368:
174:
1717:
1663:
1298:
1191:
918:
296:, into an anterior branch and a posterior branch of the obturator artery which encircle the foramen under cover of the
1593:
1043:
905:
900:
336:
122:
1651:
1620:
1608:
1577:
1285:
1229:
1211:
1109:
1095:
976:
282:
420:, a normal variant. (A) shows a course abutting the external iliac vein, clear of the femoral ring. (B) shows the
1625:
1582:
1488:
1434:
1392:
1078:
968:
890:
391:
118:
1603:
1559:
1083:
484:
1615:
1589:
1536:
1525:
1379:
1142:
433:
379:
344:
1726:
1567:
1310:
1164:
1090:
186:
162:
150:
496:
1643:
1329:
1159:
1038:
1021:
1013:
523:
429:
255:
208:
82:
65:
17:
590:
Biswas, Sharmishta; Bandopadhyay, Manimay; Adhikari, Anjan; Kundu, Panchanan; Roy, Rita (2010-12-01).
1692:
1549:
1456:
1439:
1053:
1033:
686:
Heichinger, RenΓ©; Pretterklieber, Michael L.; Hammer, Niels; Pretterklieber, Bettina (January 2023).
591:
549:
1656:
1446:
1320:
1186:
1174:
1122:
995:
872:
452:
444:
424:
variant, where artery courses within the lacunar ligament before diving through fascia inferiorly.
1181:
851:
375:
328:
317:
297:
267:
46:
1345:
1293:
1252:
843:
782:
764:
725:
707:
668:
650:
611:
569:
528:
448:
321:
293:
216:
875:
at the SUNY Downstate
Medical Center - "The Female Pelvis: Branches of Internal Iliac Artery"
1700:
1387:
1305:
1149:
1137:
1127:
835:
772:
756:
715:
699:
658:
642:
603:
561:
463:
383:
232:
1748:
Knowledge (XXG) articles incorporating text from the 20th edition of Gray's
Anatomy (1918)
1598:
1572:
1275:
1267:
957:
340:
289:
271:
248:
240:
220:
108:
744:
630:
428:
The obturator artery usually arises from the main stem or from the anterior trunk of the
550:"A study of variations of origin of obturator artery: Review in south Indian population"
60:
1731:
1668:
1521:
1479:
1257:
1244:
1132:
1065:
777:
720:
687:
663:
470:
437:
607:
1741:
1508:
1026:
986:
910:
883:
519:
275:
855:
1221:
456:
292:
and outside of the pelvis, the obturator artery divides at the upper margin of the
274:; and a pubic branch, which is given off from the vessel just before it leaves the
42:
211:
that passes antero-inferiorly (forwards and downwards) on the lateral wall of the
592:"Variation of Origin of Obturator Artery in Eastern Indian Population - A Study"
259:
703:
565:
469:
In either case it would be at risk of injury during the operation to repair a
839:
395:
387:
382:. It also supplies an articular branch which enters the hip-joint through the
244:
768:
711:
654:
615:
573:
167:
800:
332:
847:
786:
729:
672:
367:
and follows the posterior margin of the foramen and turns forward on the
258:. Inside the pelvis the obturator artery gives off iliac branches to the
945:
760:
646:
263:
50:
878:
192:
949:
941:
313:
236:
231:
In the pelvic cavity this vessel is in relation, laterally, with the
212:
462:
It can also pass medial to the femoral ring along the margin of the
413:
36:
364:
138:
126:
881:
at The
Anatomy Lesson by Wesley Norman (Georgetown University) (
103:
914:
402:
it helps to supply the head and neck of the femur on its own.
223:, it divides into an anterior branch and a posterior branch.
320:
and then curves downward along the anterior margin of the
316:
in the thigh and runs forward on the outer surface of the
443:
In about two out of every seven cases it arises from the
447:
and descends almost vertically to the upper part of the
270:; a vesical branch, which runs backward to supply the
53:. Right side. (Obturator artery is visible at bottom.)
1715:
895:
Grossanatomy/dissector/practical/pelvis/pelvis15.html
1691:
1642:
1558:
1535:
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1455:
1408:
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1371:
1344:
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1319:
1284:
1266:
1243:
1220:
1202:
1108:
1064:
1012:
994:
985:
967:
956:
807:. Clinical Anatomy Associates, Inc. 4 December 2012
548:Kumari, Savita; Trinesh Gowda, M. S. (2016-08-01).
219:, and, escaping from the pelvic cavity through the
173:
161:
149:
137:
132:
114:
102:
88:
78:
73:
29:
418:Inferior epigastric origin of the obturator artery
371:, where it anastomoses with the anterior branch.
374:It gives twigs to the muscles attached to the
926:
254:The obturator artery usually arises from the
8:
386:, ramifies in the fat at the bottom of the
1375:
1341:
1334:
1325:
991:
964:
933:
919:
911:
554:Journal of the Anatomical Society of India
59:
35:
776:
719:
662:
412:
361:posterior branch of the obturator artery
18:Posterior branch of the obturator artery
1722:
537:
480:
347:with the posterior branch and with the
310:anterior branch of the obturator artery
596:Journal of Anatomical Society of India
518:This article incorporates text in the
436:, and occasionally it arises from the
190:
26:
749:Journal of Clinical Medicine Research
635:Journal of Clinical Medicine Research
7:
585:
583:
543:
541:
25:
490:Right hip bone. Internal surface.
455:, and on the lateral side of the
247:; while a little below it is the
1725:
906:Variations at anatomyatlases.org
901:Variations at anatomyatlases.org
692:Anatomical Science International
512:
495:
483:
349:medial femoral circumflex artery
262:, which supply the bone and the
828:Surgical and Radiologic Anatomy
327:It distributes branches to the
1:
1545:Accompanying of sciatic nerve
608:10.1016/S0003-2778(10)80019-X
502:Left levator ani from within.
369:inferior ramus of the ischium
1118:Inferior pancreaticoduodenal
1049:superior pancreaticoduodenal
526:of the 20th edition of
390:and sends a twig along the
215:, to the upper part of the
123:medial compartment of thigh
1769:
704:10.1007/s12565-022-00671-w
566:10.1016/j.jasi.2016.05.001
394:(ligamentum teres) to the
288:After passing through the
283:inferior epigastric artery
266:, and anastomose with the
1517:
1393:Medial umbilical ligament
840:10.1007/s00276-009-0534-7
805:Medical Terminology Daily
392:ligament of head of femur
378:and anastomoses with the
363:is a small artery in the
185:
119:Obturator externus muscle
58:
34:
1604:Deep artery of the penis
873:Anatomy photo:43:13-0201
432:. It may arise from the
47:abdominal inguinal rings
1753:Arteries of the abdomen
1676:arteries of lower limbs
1616:Deep artery of clitoris
1380:Superior vesical artery
434:superior gluteal artery
380:inferior gluteal artery
49:, seen from within the
1626:Dorsal of the clitoris
460:(Figure A on diagram).
425:
187:Anatomical terminology
1664:Deep circumflex iliac
430:internal iliac artery
416:
256:internal iliac artery
235:; medially, with the
209:internal iliac artery
83:Internal iliac artery
66:Internal iliac artery
41:The relations of the
1550:Cruciate anastomosis
1440:Cruciate anastomosis
1044:right gastroepiploic
1652:Inferior epigastric
1621:Dorsal of the penis
1286:Inferior mesenteric
1230:Inferior suprarenal
1110:Superior mesenteric
1096:Left gastroepiploic
1074:Pancreatic branches
1004:Esophageal branches
977:Superior suprarenal
453:external iliac vein
445:inferior epigastric
207:is a branch of the
144:arteria obturatoria
1400:to ductus deferens
761:10.14740/jocmr4062
647:10.14740/jocmr4062
426:
376:ischial tuberosity
329:obturator externus
318:obturator membrane
298:obturator externus
268:ilio-lumbar artery
68:and some branches.
1713:
1712:
1709:
1708:
1687:
1686:
1638:
1637:
1634:
1633:
1578:posterior scrotal
1560:Internal pudendal
1435:Acetabular branch
1367:
1366:
1338:Posterior surface
1253:Testicular artery
1212:Middle suprarenal
1104:
1103:
477:Additional images
449:obturator foramen
396:head of the femur
322:obturator foramen
294:obturator foramen
217:obturator foramen
201:
200:
196:
16:(Redirected from
1760:
1730:
1729:
1721:
1701:Coccygeal glomus
1583:posterior labial
1537:Inferior gluteal
1526:Inferior vesical
1499:Ovarian branches
1494:Vaginal branches
1469:Prostatic branch
1430:Posterior branch
1388:Umbilical artery
1376:
1372:Anterior surface
1342:
1335:
1326:
992:
969:Inferior phrenic
965:
935:
928:
921:
912:
860:
859:
823:
817:
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812:
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791:
790:
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740:
734:
733:
723:
683:
677:
676:
666:
626:
620:
619:
587:
578:
577:
545:
516:
515:
499:
487:
464:lacunar ligament
384:acetabular notch
355:Posterior branch
233:obturator fascia
205:obturator artery
193:edit on Wikidata
97:posterior branch
63:
39:
30:Obturator artery
27:
21:
1768:
1767:
1763:
1762:
1761:
1759:
1758:
1757:
1738:
1737:
1736:
1724:
1716:
1714:
1705:
1683:
1630:
1568:Inferior rectal
1554:
1531:
1513:
1474:
1451:
1418:Anterior branch
1404:
1363:
1315:
1311:Superior rectal
1280:
1276:Lumbar arteries
1262:
1239:
1216:
1198:
1165:posterior cecal
1100:
1060:
1008:
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959:
952:
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891:MedEd at Loyola
869:
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825:
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801:"Corona Mortis"
799:
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588:
581:
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513:
510:
503:
500:
491:
488:
479:
411:
357:
341:gracilis muscle
306:
304:Anterior branch
290:obturator canal
249:obturator nerve
241:ductus deferens
229:
221:obturator canal
197:
109:Obturator veins
93:Anterior branch
69:
54:
23:
22:
15:
12:
11:
5:
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1644:External iliac
1640:
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1511:
1506:
1504:Tubal branches
1501:
1496:
1491:
1485:
1483:
1476:
1475:
1473:
1472:
1465:Vaginal branch
1461:
1459:
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1361:
1356:
1350:
1348:
1339:
1332:
1330:Internal iliac
1323:
1317:
1316:
1314:
1313:
1308:
1303:
1302:
1301:
1290:
1288:
1282:
1281:
1279:
1278:
1272:
1270:
1264:
1263:
1261:
1260:
1258:Ovarian artery
1255:
1249:
1247:
1241:
1240:
1238:
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1232:
1226:
1224:
1218:
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1214:
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1197:
1196:
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1194:
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1179:
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1177:
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1167:
1162:
1160:anterior cecal
1157:
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1135:
1130:
1120:
1114:
1112:
1106:
1105:
1102:
1101:
1099:
1098:
1093:
1091:Short gastrics
1088:
1087:
1086:
1081:
1070:
1068:
1062:
1061:
1059:
1058:
1057:
1056:
1051:
1046:
1039:Gastroduodenal
1036:
1031:
1030:
1029:
1022:Proper hepatic
1018:
1016:
1014:Common hepatic
1010:
1009:
1007:
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1000:
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989:
983:
982:
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979:
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953:
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938:
937:
930:
923:
915:
909:
908:
903:
898:
888:
884:pelvicarteries
876:
868:
867:External links
865:
862:
861:
818:
792:
755:(2): 108β114.
735:
678:
641:(2): 108β114.
621:
602:(2): 168β172.
579:
536:
535:
529:Gray's Anatomy
509:
506:
505:
504:
501:
494:
492:
489:
482:
478:
475:
471:femoral hernia
438:external iliac
410:
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1693:Median sacral
1690:
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1658:
1657:Corona mortis
1655:
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1597:
1595:
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1590:Bulb of penis
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1457:Middle rectal
1454:
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1447:Corona mortis
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1354:Lumbar branch
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1107:
1097:
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1085:
1082:
1080:
1077:
1076:
1075:
1072:
1071:
1069:
1067:
1063:
1055:
1054:supraduodenal
1052:
1050:
1047:
1045:
1042:
1041:
1040:
1037:
1035:
1034:Right gastric
1032:
1028:
1025:
1024:
1023:
1020:
1019:
1017:
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1011:
1005:
1002:
1001:
999:
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984:
978:
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974:
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961:
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1423:Pubic branch
1409:
1359:Iliac branch
1321:Common iliac
1187:Middle colic
1175:appendicular
1170:ileal branch
996:Left gastric
893:
882:
834:(1): 17β24.
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809:. Retrieved
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156:A12.2.15.008
143:
1182:Right colic
467:(Figure B).
345:anastomoses
312:is a small
260:iliac fossa
133:Identifiers
1742:Categories
1346:Iliolumbar
1294:Left colic
1204:Suprarenal
1143:vasa recta
1123:Intestinal
508:References
388:acetabulum
245:peritoneum
1594:vestibule
1410:Obturator
1150:Ileocolic
958:Abdominal
811:6 October
769:1918-3003
712:1447-6959
655:1918-3003
616:0003-2778
574:0003-2778
560:: S1βS4.
409:Variation
337:adductors
333:pectineus
227:Structure
1609:helicine
1599:Urethral
1573:Perineal
1299:Marginal
1235:Ureteral
1192:Marginal
942:Arteries
856:25637954
848:19636491
787:32095180
730:35653059
673:32095180
524:page 616
115:Supplies
89:Branches
1732:Anatomy
1669:Femoral
1522:Vaginal
1489:Arcuate
1480:Uterine
1306:Sigmoid
1245:Gonadal
1138:arcades
1128:jejunal
1079:greater
1066:Splenic
946:abdomen
944:of the
778:7011932
721:9845159
664:7011932
272:bladder
264:Iliacus
74:Details
51:abdomen
43:femoral
1718:Portal
1509:Spiral
1268:Lumbar
1084:dorsal
1027:cystic
987:Celiac
950:pelvis
879:pelvis
854:
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728:
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614:
572:
532:(1918)
343:, and
339:, and
314:artery
243:, and
237:ureter
213:pelvis
79:Source
1222:Renal
1155:colic
1133:ileal
960:aorta
852:S2CID
522:from
365:thigh
191:[
180:18865
139:Latin
127:femur
1674:see
1524:β /
1467:β /
948:and
844:PMID
813:2013
783:PMID
765:ISSN
726:PMID
708:ISSN
669:PMID
651:ISSN
612:ISSN
570:ISSN
359:The
308:The
203:The
168:4323
151:TA98
104:Vein
95:and
45:and
836:doi
773:PMC
757:doi
716:PMC
700:doi
659:PMC
643:doi
604:doi
562:doi
175:FMA
163:TA2
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1528:β
1482:β
1471:β
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927:t
920:v
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564::
195:]
20:)
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