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Lead is found at low levels in Earth's crust, mainly as lead sulfide. Lead is toxic for virtually all organs of the body and has significant debilitating effects on the nervous, renal, hepatic and hematopoietic systems. The liver is considered as one of the target organs affected by lead toxicity owing to its site of storage after exposure. Also, the liver is being one of the major organs involved in the biotransformation and detoxification of toxic substances. Absorbed lead is stored in soft tissues mainly in the liver via the portal vein, so that it is the first organ for which the histological analysis can be used to examine the morphological changes that reflect possible lead effects on somatic cells. The present study aimed to determine the structural damage in the liver by histological study and biochemical assay of liver enzyme levels. 45 rats were divided into 3 groups. Group I (control group) included 15 rats that were given distilled water by orogastric tube. Group II (experimental group) included 15 rats that were given lead acetate in a dose of 4mg/kg body weight by orogastric tube for two weeks. Group III (experimental group) included 15 rats given lead acetate by the same route and dose for four weeks. Significant increase of liver enzymes SGPT and SGOT was observed in experimental groups (group II and III). Administration of lead acetate for 2 weeks (group II) induced alteration in the hepatic architecture as evident by some of the hepatocytes appeared with acidophilic slightly vacuolated granular cytoplasm while others showed markedly vacuolated hypereosinophilic cytoplasm, Mononuclear cellular infiltration was seen in the portal tract. While in Group III, diffuse affection of the hepatic lobule was evident by extensive vacuolation of the hepatocyte cytoplasm, dark and eccentric nuclei. Others showed kayolytic nucleus, congested central vein, narrow or even obliterated blood sinusoids. The portal area revealed proliferation of bile ducts and congestion of its vessels. The hepatic architecture was disorganized with marked affection of the hepatocytes. In conclusion it was found that lead acetate is toxic to liver and this toxicity is paralleled with increased duration of exposure.

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Sciatic nerve is the nerve of the posterior compartment of thigh; it is formed in the pelvis from the ventral rami of L4 to S3 spinal nerves. It leaves the pelvis via the greater sciatic foramen below piriformis and divides into common peroneal nerve and tibial nerve at the level of the upper angle of the popliteal fossa. The vasculature of peripheral nerves is adapted specifically to their structure and function. Arterial vessels that reach main nerve trunks originate from the adjacent main arteries or their muscular or cutaneous branches. Although variability in arterial supply of sciatic nerve was discussed by some authors it is still deficient. To minimize sciatic nerve ischemia and its concomitant problems, an understanding of the origin and course of the arteries supplying it in the gluteal region and the posterior compartment of thigh is important. The present study aimed to detect the different arteries supplying the sciatic nerve in the gluteal and posterior thigh regions and to study the importance of this in clinical practice. Three cases subjected to vascular surgery and twenty lower limbs of ten formalin preserved male cadavers were used. Higher division of sciatic nerve was observed in all specimens. In 6 specimens (30%), arterial supply of sciatic nerve originated from the inferior gluteal artery, 6 specimens (30%)from first, second and third perforating arteries, 5 specimens (25%)from the lateral circumflex femoral artery and 3 specimens (15%)from internal pudendal artery. Anastomosis between internal iliac artery through its internal pudendal branch and external iliac artery through perforating arteries was observed. It was concluded that there is a good anastomosis between internal iliac and profunda femoris artery on the same side but cross pelvic anastomosis is absent or deficient and in case of profunda femoris occlusion we should preserve internal pudendal artery and the reverse.

Abstract:The suprascapular nerve arises from the upper trunk (Erb's point) of the brachial plexus in the posterior triangle of the neck.This research was conducted to study the anatomy of the suprascapular nerve in the scapular region and its relation to both suprascapular and spinoglenoid notches. This data is very important in suprascapular nerve block and suprascapular nerve surgical decompression. Dissection of 20 scapular regions of 10 formalin preserved male cadavers was done. Also thirty three adult patients; 26 males and 7 females suffering from vague shoulder pain subjected to suprascapular nerve surgical decompression. In all cadaveric specimens, careful dissection and anatomical study of suprascapular nerve regarding its course, distribution and relations was carried out. Origin of the nerve was demonstrated from upper trunk of the brachial plexus. Passage of the nerve through a narrow medial compartment of supraglenoid canal in all cases has been identified. Measurements of two important diameters relevant to suprascapular notch were also reported. The transverse scapular ligament was identified to be of uniform thickness. In the clinical study of all cases with suprascapular nerve entrapment regardless its etiology whether idiopathic or not, conservative therapy by means of the exercise was of limited value especially for the motor affection. All of the cases were subjected to surgical maneuverer to decompress the nerve. It is concluded that the anatomical findings allow better choice of the surgical procedure, more precise surgical dissection, better results and fewer complications.