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Inferior epigastric artery

From Wikipedia, the free encyclopedia

Blood vessel

Blood vessel
Inferior epigastric artery
Rightinferior epigastric artery - view from inside of abdomen. (Inferior epigastric vessels labeled at upper left.)
The abdominal inguinal ring. (Inf. epigastric artery labeled at center left.)
Details
SourceExternal iliac artery
BranchesCremasteric artery, pubic branch of inferior epigastric artery,artery of round ligament of uterus
VeinInferior epigastric vein
Identifiers
Latinarteria epigastrica inferior
TA98A12.2.16.003
TA24358
FMA20686
Anatomical terminology

Inhuman anatomy, theinferior epigastric artery is anartery that arises from theexternal iliac artery.[1]: 225  It is accompanied by theinferior epigastric vein; inferiorly, these two inferior epigastric vessels together travel within thelateral umbilical fold (which represents the lateral border ofHesselbach's triangle, the area through whichdirect inguinal hernias protrude.[2]) The inferior epigastric artery then traverses thearcuate line of rectus sheath to enter therectus sheath,[1]: 234  thenanastomoses with thesuperior epigastric artery within therectus sheath.[1]: 225 

Structure

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Origin

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The inferior epigastric artery arises from theexternal iliac artery, immediately superior to theinguinal ligament.[3]

Course and relations

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It curves forward in the subperitoneal tissue, and then ascends obliquely along the medial margin of the abdominal inguinal ring; continuing its course upward, it pierces thetransversalis fascia, and, passing in front of thelinea semicircularis, ascends between therectus abdominis muscle and the posterior lamella of its sheath.

It finally divides into numerous branches, which anastomose, above theumbilicus, with the superior epigastric branch of theinternal thoracic artery and with thelower intercostal arteries.

As the inferior epigastric artery passes obliquely upward from its origin it lies along the lower and medial margins of the abdominal inguinal ring, and behind the commencement of thespermatic cord.

Thevas deferens, as it leaves thespermatic cord in the male, and the round ligament of theuterus in the female, winds around the lateral and posterior aspects of the artery.

Anastomoses

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Itanastomoses with thesuperior epigastric artery.[3]

Clinical significance

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Hernia

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The inferior epigastric artery may lie close to aninguinal hernia, so acts as a usefullandmark.[4]

Surgery

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The inferior epigastric artery may be damaged duringlaparoscopic surgery.[4] It may also be damaged when manually finding theperitoneum beneath therectus abdominis muscle.[4]

Additional images

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  • The interfoveolar ligament, seen from in front.
    The interfoveolar ligament, seen from in front.
  • The internal mammary artery and its branches.
    Theinternal mammary artery and its branches.
  • The arteries of the pelvis.
    The arteries of the pelvis.
  • The iliac veins.
    The iliac veins.
  • Dissection of side wall of pelvis showing sacral and pudendal plexuses.
    Dissection of side wall of pelvis showing sacral and pudendal plexuses.
  • Posterior view of the anterior abdominal wall in its lower half. The peritoneum is in place, and the various cords are shining through.
    Posterior view of the anterior abdominal wall in its lower half. The peritoneum is in place, and the various cords are shining through.
  • Front of abdomen, showing surface markings for arteries and inguinal canal.
    Front of abdomen, showing surface markings for arteries and inguinal canal.
  • Schema of the arteries arising from the external iliac and femoral arteries.
    Schema of the arteries arising from the external iliac and femoral arteries.

See also

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References

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Public domainThis article incorporates text in thepublic domain frompage 623 of the 20th edition ofGray's Anatomy(1918)

  1. ^abcSinnatamby C (2011).Last's Anatomy (12th ed.).ISBN 978-0-7295-3752-0.
  2. ^Wu WT, Chang KV, Lin CP, Yeh CC, Özçakar L (July 2022)."Ultrasound imaging for inguinal hernia: a pictorial review".Ultrasonography.41 (3):610–623.doi:10.14366/usg.21192.PMC 9262670.PMID 35569836.
  3. ^abCastro Ferreira M, Henrique Ishida L, Munhoz A (January 2009). "CHAPTER 19 - Rectus flap". In Wei FC, Mardini S (eds.).Flaps and Reconstructive Surgery. Edinburgh: W.B. Saunders. pp. 207–223.doi:10.1016/B978-0-7216-0519-7.00019-8.ISBN 978-0-7216-0519-7.
  4. ^abcPaterson-Brown S (January 2010). "Chapter Five - Applied anatomy". In Bennett P, Williamson C (eds.).Basic Science in Obstetrics and Gynaecology (Fourth ed.). Churchill Livingstone. pp. 57–95.doi:10.1016/b978-0-443-10281-3.00009-9.ISBN 978-0-443-10281-3.

External links

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Abdominal
aorta
Inferior phrenic
Celiac
Left gastric
Common hepatic
Splenic
Superior mesenteric
Suprarenal
Renal
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Inferior mesenteric
Common iliac
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Superior vesical artery
Obturator
Middle rectal
Uterine
Inferior gluteal
Internal pudendal
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Median sacral
Inferior epigastric
Deep circumflex iliac
  • no major branches
Femoral
Infemoral canal
Descending genicular
  • saphenous branch
  • articular branches
Deep femoral artery
Popliteal
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Anterior tibial
Tibial-fibular (Tibial-peroneal) trunk
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