Corona mortis injury causing delayed presentation of pelvic pseudoaneurysm

Pisano, Umberto; Soon, V-Liem; Douglas, Peter

doi:10.1016/j.radcr.2021.02.017

Cited by 5 publications

(5 citation statements)

References 6 publications

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“…Post-surgical pseudoaneurysm is a rare complication of pelvic surgery. It has been reported as a potential source of bleeding in trauma surgery as well as urological and gynecological procedures [ 1 , 2 , [18] , [19] , [20] ] and may require hemostatic treatment, including arterial embolization.…”

Section: Discussionmentioning

confidence: 99%

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Post-surgical pseudoaneurysm of the corona mortis artery treated by arterial embolization from two arteries: A case report

Suzuki

Kato

Nakamura

et al. 2022

Radiology Case Reports

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Section: Discussionmentioning

confidence: 99%

“…Corona mortis is a vascular variant presenting with communication between the external and internal iliac systems [18] . The prevalence of arterial corona mortis, as reported in the literature, ranges from 17%-45% [4] , [5] , [6] , [7] , [8] , [9] .…”

Section: Discussionmentioning

confidence: 99%

Post-surgical pseudoaneurysm of the corona mortis artery treated by arterial embolization from two arteries: A case report

Suzuki

Kato

Nakamura

et al. 2022

Radiology Case Reports

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“…Previous reports have established that the incidence of these variations in their origin ranges between 6.6–63.63% [ 14 ]. Moreover, the anastomosis between the OA and the EIA or the IEA, known as the “corona mortis”, has mainly been reported due to the potential complications during general, orthopedic, or gynecologic surgeries [ 25 , 26 , 27 ]. The incidence of the “corona mortis” ranges from 10–43% [ 27 ].…”

Section: Discussionmentioning

confidence: 99%

A Bipartite Obturator Artery with Multiple Pelvic Branching—A Gynecologic Approach

et al. 2022

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Background: The obturator artery (OA) often presents multiple anatomical variations. These can be an atypical origin, variable anastomosis, or abnormal course within the pelvis. Methods: This study aimed to report a rare arterial variation in a Puerto Rican female cadaver that showed two abnormal obturator arteries with multiple pelvic branches. The OA emerged from the anterior branch of the internal iliac artery, which typically runs anteroinferior along the lateral wall of the pelvis to the upper part of the obturator foramen. Results: The atypical OA described in this report provided two variant branches. Abnormal obturator artery I (AOAI) emerged first and gave rise to three additional branches, while abnormal obturator artery II (AOAII) emerged second and gave rise to two other branches. Conclusions: Identifying these accessory arteries is essential for surgical interventions, particularly within the field of gynecology and urogynecology. Knowledge regarding anatomical variations within this region must be assessed preoperatively to decrease the risk of iatrogenic injury.

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“…16 U PRBCs, Yasuda, 2018 [72] Intraoperative Han, 2020 [74] CT with contrast/ Angiography 2021 [75] CT with contrast performed, revealing a slight blush of contrast from an aberrant right obturator artery. is artery originated from the mid-right external iliac artery and shared a common trunk with the inferior epigastric artery [Figure 4c].…”

Section: Lateralitymentioning

confidence: 99%

Corona mortis in the setting of pelvic trauma: Case series and review of the literature

Sealy

Schammel

Varma³

et al. 2023

AJIR

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Corona mortis is a variant vessel located posteriorly against the superior pubic ramus, “crowning” the pelvis; actual prevalence is unknown due to broad definitions: A connection between the obturator artery and an external iliac artery branch or the external iliac artery anastomosis, or any variant vessel behind the superior pubic ramus. Rapid identification and immediate treatment of injury to an arterial corona mortis resulting from pelvic trauma or pelvic surgeries are essential as hemorrhage or death may result. Interventional radiology can selectively target corona mortis and obstruct hemorrhage through catheter-guided embolization. We present four cases of corona mortis and pelvic trauma with successful embolization and include a comprehensive literature review to further educate regarding the morbidity and potential mortality associated with this important anatomic variant.

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Corona mortis injury causing delayed presentation of pelvic pseudoaneurysm

Cited by 5 publications

References 6 publications

Post-surgical pseudoaneurysm of the corona mortis artery treated by arterial embolization from two arteries: A case report

Post-surgical pseudoaneurysm of the corona mortis artery treated by arterial embolization from two arteries: A case report

A Bipartite Obturator Artery with Multiple Pelvic Branching—A Gynecologic Approach

Corona mortis in the setting of pelvic trauma: Case series and review of the literature

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