Arterial branching pattern of the cranial mesenteric artery in the degu (Octodon degus).

BACKGROUND: The cranial mesenteric artery exhibits a species-specific ramification pattern that adapts to the morphology of the intestinal tract. The degu is a strictly herbivorous rodent with a well-developed large intestine with a spiral loop in the ascending colon; therefore, the cranial mesenteric artery likely demonstrates a degu-specific ramification pattern. Thus, we traced the cranial mesenteric artery to establish the detailed ramification pattern of the branches. METHODS: Eighteen male degus were injected with 0.3-0.8 ml of a latex mixture and water at a 1:1 ratio in conjunction with red acrylic paint coloring using a catheter inserted into the thoracic aorta. The cranial mesenteric artery was traced using a surgical microscope and photographed using a digital camera. RESULTS: The arteries emerging from the cranial mesenteric artery exhibited frequent variations in number, distribution area, anastomosis pattern, and branching order. In the most frequent cases (22%), the cranial mesenteric artery sequentially gave rise to caudal pancreaticoduodenal, middle colic, right colic, jejunal, and ileocolic arteries. The right and middle colic arteries exhibited four different ramification patterns. In the most common cases (67%), the middle and right colic arteries emerged independently from the cranial mesenteric artery. The former was distributed to the transverse and descending colon, whereas the latter sent branches to the spiral loop of the ascending colon. CONCLUSIONS: The complex ramification pattern of the right colic artery in the degu may be an adaptation to the characteristic running pattern of the ascending colon. Thus, we present the first comprehensive report of the arterial branching pattern of the cranial mesenteric artery in the degu.

Morphological significance of the medial brachial cutaneous nerve: An anatomical study of the brachial plexus in primates.

The medial brachial cutaneous nerve (MBC) originates from the medial cord of the brachial plexus and innervates the skin sensory in the medial posterior surface of the upper arm. Considering previous reports of the primate brachial plexus, the MBC appeared to be the sole branch in the brachial plexus that only some primates possess. However, the detailed descriptions and records regarding the morphology of the MBC and related nerves, their origins and distributions (dermatomes) in particular, were frequently lacked in the previous reports, and it remains unclear why the difference in the MBC appearance exists among primates. In this study, the brachial plexus and its branches were first re-evaluated and certainly identified in several primates, humans, chimpanzee, macaque monkey, lutung, tamarin, squirrel monkey, and spider monkey. The MBC was identified in humans, chimpanzee, spider monkey, and squirrel monkey. In the other species, the intercostobrachial nerve (ICB) originating from some of 1st to 3rd intercostal nerves developed and distributed instead of the MBC. According to the kinesiological and behavioral studies, the former species possessing MBC show high shoulder joint mobility associated with their locomotive patterns. We speculate that the MBC corresponds to transformed ICB; specifically, where it originates presumably transfers from the 1st and/or 2nd intercostal nerves to the brachial plexus, which allows it to reach the upper arm by coursing the shortest distance even if the forelimb is raised high. Therefore, MBC may embody phylogenetic morphogenesis of the nerve associated with the locomotive evolution and adaptation in primate forelimb.

Anatomical study of the cardiac conduction system in swine hearts.

The cardiac conduction system (CCS) is crucial for regulating heartbeats; therefore, clinicians and comedicals involved in cardiovascular medicine treatment must have a thorough understanding of the CCS structure and function. However, anatomical education of the CCS based on actual dissection and observation is uncommon, although such educational methodology promotes three-dimensional structural understanding of the observed object. Based on previous studies, we examined the CCS structure in the heart of a swine (pig, Sus scrofa domestica) which has been used in the biological, medical and anatomical curricula as science teaching materials, by using macroscopic dissection procedures. Most CCS structures in a young pig heart were successfully identified and illustrated on a macroscopic scale. The atrioventricular bundle (His bundle) was located on the lower edge of the membranous interventricular septum and was clearly distinguished from the general myocardial fibres by its colour and fibre arrangement direction. Following the atrioventricular bundle towards the atrium or ventricle with properly removing the endocardium and myocardium, the atrioventricular node or the right and left bundles appeared respectively. In contrast, the sinoatrial node was not identified. The anatomy of the CCS in young pig hearts was essentially similar to that previously reported in humans and several domestic animals. Our findings of the CCS in young pig hearts are expected to be useful for medical and anatomical education for medical and comedical students, young clinicians and comedical workers.

Anatomical and morphometric study of goat middle ear ossicles (Capra aegagrus hircus) / [Estudo anatômico e morfométrico dos ossículos da orelha média de caprinos (Capra aegagrus hircus)]

The social and economic roles of goat farming in Northeastern Brazil, allied to the fact that the use of goat middle ear ossicles for research and human ear surgery training has not yet been proposed, justify the study of their applicability as an experimental model. The middle ears of 19 goats (Capra aegagrus hircus) from the bone collection of the Laboratory and Didactic Anatomy Museum of Domestic and Wild Animals of the Federal University of Vale do São Francisco (UNIVASF) were dissected. The malleus, incus, and stapes were evaluated regarding their macroscopic morphology and biometry (length, width, and height). Ossicle morphology was similar to sheep, human, and bovine morphology. The malleus was 1.3 times heavier and 2.2 times longer than the incus, and 9.0 times heavier and 3.7 times longer than the stapes. The size relationship was positive between the stapes and the malleus and negative between the stapes and the incus. It is concluded that the middle ear size and the anatomical similarities with human ossicles make goats a useful model for experimental scientific studies, reconstructive surgery practice of the ossicular chain, and human ear surgery training.(AU)

Tanto o papel social quanto o econômico da caprinocultura na região Nordeste do Brasil, somados ao fato de que o uso de ossículos da orelha média de caprinos para estudos e treinamento cirúrgico otológico humano ainda não foi proposto, justificam o estudo de sua aplicabilidade como modelo experimental. Foram dissecadas as orelhas médias de 19 caprinos (Capra aegagrus hircus), provenientes do ossuário do Laboratório e Museu Didático de Anatomia dos Animais Domésticos e Silvestres - Universidade Federal do Vale do São Francisco. Martelos, bigornas e estribos tiveram a morfologia macroscópica e a biometria (comprimento, largura e altura) avaliadas. A morfologia dos ossículos assemelhou-se a de ovinos, humanos e bovinos. O martelo foi 1,3 vez mais pesado e 2,2 vezes mais comprido que a bigorna e 9,0 vezes mais pesado e 3,7 vezes mais comprido que o estribo. A relação de tamanho entre o estribo e o martelo foi positiva, e entre o estribo e a bigorna negativa. Conclui-se que o tamanho da orelha média e as semelhanças anatômicas com os ossículos humanos tornam os caprinos um modelo útil para estudos científicos experimentais, prática cirúrgica reconstrutiva da cadeia ossicular e treinamento cirúrgico otológico humano.(AU)

Branching patterns of the adrenal arteries in the degu (Octodon degus).

The degu has drawn increasing attention for use as an experimental animal in stress response studies due to its physiological features, such as diurnality and seasonal breeding, which differ from conventional laboratory rodents. Stress response is elicited by steroid hormones secreted by the adrenal gland, whose functions are controlled by pituitary hormones reaching through the adrenal arteries. However, knowledge of the arterial anatomy of the degu adrenal gland remains insufficient. To address this issue, we observed adrenal arteries in 20 male degus injected with red-colored latex. Adrenal arterial branching patterns were classified into Types 1-4, which respectively have 1 to 4 parent arteries that give rise to the adrenal arteries. Based on the combination of the parent arteries, Types 2 and 3 were categorized into subtypes a to c, while Type 4 was categorized into subtypes a and b. On the left side, Type 2 (45%) and Type 3 (45%) were predominant, whereas Type 1 (5%) and Type 4 (5%) were infrequent. On the right side, Type 2 (50%) and Type 3 (45%) were predominant, whereas Type 4 (5%) was infrequent. Type 1 was not present. There were 0 to 4 cranial, 1 to 4 middle and 1 to 4 caudal adrenal arteries, with the total number varying from 2 to 9. The present observation provides knowledge of comparative anatomical features of the degu adrenal arteries, which can serve as an anatomical basis for comparative endocrinological studies.

Arterial blood supply patterning of the mammary sentinel lymph nodes with special reference to the relation of the formation mechanism of the superficial subscapular artery.

This study aimed to conduct a detailed anatomical examination of the arterial supply to level Ib lymph nodes corresponding to mammary sentinel lymph nodes. This was achieved by focusing on the relationship with course changes of the axillary artery trunk using 41 cadavers (49 axillae). The course patterns of the axillary artery were classified as: "Standard type," which penetrate the brachial plexus (occurrence rate, 51%); "Superficial brachial artery type," which ran along the superficial layer of the brachial plexus (2%); "Superficial subscapular artery (SSbsA) type," which entered the deep layer without penetrating the brachial plexus (42.9%); and others (4.1%). The lateral thoracic artery, thoracodorsal artery, inferior pectoral artery, and superficial thoracic artery were distributed in a regular pair relationship according to each running type of the axillary artery for the Ib lymph nodes. Comparing blood supply ratio to the Ib lymph nodes, using SSbsA occurrence as a reference, showed that significant differences were observed with the inferior pectoral artery control for the standard subscapular artery group and the lateral thoracic artery control for the SSbsA group (p < 0.0001). It was suggested that in selective modeling of vascular networks during upper limb developments, two formation tendencies occur. The standard axillary and SSbsA axillary artery trunks are induced when the inferior pectoral artery-derived feeding arteries in the superficial brachial artery system are selected for Ib lymph nodes, or lateral thoracic artery-derived feeding arteries, which are closely related to the SSbsA pathway, are acquired.

Arterial branching pattern of the rabbit femoral artery.

Rabbits have highly developed hindlimb muscles, whereas their bones are fragile, thus resulting in frequent hindlimb fractures. To repair these fractures, it is important to understand the arterial branching pattern of the femoral artery, as it provides the main blood supply to the hindlimb. Since the descriptions from prior studies are insufficient, the aim of the present study was to determine the detailed arterial branching pattern of the rabbit femoral artery. Therefore, to address this issue, we examined 30 male and 20 female New Zealand White rabbits after colored latex injections into the femoral artery. Results showed that the femoral artery gave rise to the pudendoepigastric trunk, along with the deep femoral, lateral circumflex femoral, superficial caudal epigastric, saphenous, descending genicular, and proximal and middle caudal femoral arteries, in conjunction with frequent individual variations. In all the observed halves, the last branch from the femoral artery was the distal caudal femoral artery. Individual variations in the branching pattern of these arteries occurred independently in the proximal and the distal portions of the femoral artery, and they were, respectively, categorized into four and three major types based on the number of the branching levels along the proximodistal axis of the femoral artery. The individual variations in the arterial branching pattern of the rabbit femoral artery that were demonstrated in the present study may provide an important anatomical basis for refining the orthopedic surgical procedure in the rabbit.

Morphology of the genital organs of the female red-rumped agouti (Dasyprocta leporina, Linnaeus, 1758) during estrous cycle phases and in advanced pregnancy.

The study investigated the gross and microscopic anatomy of the genital organs of 20 agoutis at different stages of the estrous cycle and four in the final trimester of pregnancy. Specimens were euthanized and their reproductive organs were fixed in a 4% paraformaldehyde or 2.5% glutaraldehyde solution and submitted to routine histological techniques for light and scanning electron microscopy. In the ovary, during the proestrus phase, we observed developing follicles and corpus luteum (CL) in regression; during estrus, there were Graafian follicles; during metestrus, there was a hemorrhagic corpus, whereas in diestrus, there was a mature CL. The uterus was partially double because the cervix was cranially septate but caudally, the septum disappeared, forming a single ostium that opened into the vagina. Changes occurred along the estrous cycle in the uterine and vaginal epithelia, that is, an increase in the uterine epithelium height accompanied by an increase of thickness of the vaginal epithelium during the follicular phase and a decrease of thickness of both epithelia during the luteal phase. The endometrial lining was composed of a simple cuboidal epithelium to simple columnar epithelium with basal nuclei. The vaginal mucosa consisted of epithelium that varied from nonkeratinized stratified squamous (luteal phase) to keratinized stratified squamous (follicular phase). The clitoris was external to the vagina. It presented two protruding lateral keratinized spicules and a centralized urethra, with no common parts between the urinary and genital tracts. Anatomical and histological changes were observed mainly in the cervix, vagina and spicules of the clitoris during the EC.

Revisiting the infracardiac bursa using multimodal methods: topographic anatomy for surgery of the esophagogastric junction.

In embryology, the infracardiac bursa (ICB) is a well-known derivative separated from the omental bursa. During surgeries around the esophagogastric junction (EGJ), surgeons often encounter a closed space considered to be equivalent to the ICB, but the macroscopic anatomy in adults is hardly known. This study aimed to revisit the ICB using multimodal methods to show its development from the embryonic to adult stage and clarify its persistence and topographic anatomy. Histological sections of 79 embryos from Carnegie stage (CS) 16 to 23 and magnetic resonance (MR) images of 39 fetuses were examined to study the embryological development of the ICB. Horizontal sections around the EGJ obtained from three adult cadavers were examined to determine the topographic anatomy and histology of the ICB. Further, 32 laparoscopic surgical videos before (n = 16) and after (n = 16) the start of this study were reviewed to confirm its remaining rate and topographic anatomy in surgery. The ICB was formed in 1 out of 10 CS17 samples, and in 8 out of 10 CS18 samples. Further, it was observed in all CS19-23 except one CS23 sample and in 25 (64%) out of 39 fetus samples. Three-dimensional reconstructed MR images of fetuses revealed that the ICB was located at the right alongside the esophagus and the cranial side of the diaphragmatic crus. In one adult cadaver, the caudal end of the ICB arose from the level of the esophageal hiatus and the cranial end reached up to the level of the pericardium. The inner surface cells of the space consisted of the mesothelium. In laparoscopic surgery, the ICB was identified in only 11 (69%) out of 16 surgeries before. However, subsequently we were able to identify the ICB reproducibly in 15 (94%) out of 16 surgeries. Thus, the ICB is the structure commonly remaining in almost all adults as a closed space located at the right alongside the esophagus and the cranial side of the diaphragmatic crus. It may be available as a useful landmark in surgery of the EGJ.

Anatomical variations of the arterial branches from the rat iliac arteries.

Animal disease models contribute to a better understanding of the pathogenic mechanisms of human and animal diseases and help develop treatments for them. Ligation of the rat iliac arteries is performed to reproduce erectile dysfunction and peripheral arterial disease. Although knowledge of the ramification of branches from the rat iliac artery is important to perform such surgery, descriptions in previous studies are insufficient. Therefore, 17 male and 18 female Wistar rats were observed to elucidate the detailed ramification patterns of branches from the iliac arteries with the latex injection method. The iliac arteries branched off the umbilical, cranial gluteal, lateral and medial circumflex femoral, external pudendal, and caudal epigastric arteries, and the common trunk of the caudal gluteal and internal pudendal arteries. The branching pattern of the umbilical, cranial and caudal gluteal, and internal pudendal arteries varied greatly and was categorized as Types 1 to 3 based on the number of branching levels along the proximodistal axis of the iliac arteries. Based on the same criteria, the ramification patterns of the lateral and medial circumflex femoral arteries were also divided into Groups 1 and 2. The external pudendal and caudal epigastric arteries originated from the external iliac artery mainly as a common trunk or less frequently as independent arteries in this order. The detailed branching patterns of the rat iliac arteries elucidated in the present study are beneficial for the refinement of surgical procedures.

Arterial supply to the rabbit adrenal gland.

The adrenal gland regulates stress responses by releasing steroid hormones, whose synthesis and secretion are influenced by adrenal blood flow. Adrenalectomy is commonly performed in rabbits to study the function of the adrenal gland. Although knowledge of the arterial supply to the adrenal gland forms the anatomical basis of the surgery, its description in prior studies is incomplete for the rabbit. Therefore, we observed the adrenal arteries in 27 male and 11 female New Zealand White rabbits using the colored latex injection method. The branching pattern of the adrenal arteries was divided into three major types based on the number of parent arteries that gave rise to the adrenal arteries. Thirty-four percent of right halves exhibited one parent artery and were categorized as type 1. Fifty-five percent of right halves and 76% of left halves had two parent arteries and were categorized as type 2. Eleven percent of right halves and 24% of left halves had three parent arteries and were categorized as type 3. The number of adrenal arteries varied from 3 to 16 on the right, 3 to 18 on the left, and 9 to 30 in total in each individual. These findings demonstrate the remarkable individual variation in arterial supply to the rabbit adrenal gland, suggesting that such variations should always be considered during experimental treatments in the rabbit.

Constant existence of the sensory branch of the nerve to the pyramidalis distributing to the upper margin of the pubic ramus.

Twenty-one sides of 11 adult Japanese cadavers were investigated, and 2 of 21 sides exhibited absence of the pyramidalis. We observed that all of the nerves to the pyramidalis included the sensory nerve branch, which distributed to the aponeurotic tissue in the upper area of the pubic ramus. To investigate the clinical relevance and developmental process of the pyramidalis, detailed innervation patterns of the pyramidalis and the lumber plexus were examined and compared with the case of absent pyramidalis. The nerves to the pyramidalis could be classified into five types by the derivative nerves and two subtypes by their courses associated with the funiculus spermaticus. In the cases of absent pyramidalis, similar sensory branches distributed close to the upper area of the pubic ramus. We deduced that the sensory branch extended along with the muscular branch to the pyramidalis after development of the pyramidalis and that only the sensory branch remained in cases in which the pyramidalis disappeared. The two subtypes might associate with descensus testis. Surgeons performing inguinal hernia repair using a mesh and tension-free surgical technique should preserve the nerves around the funiculus spermaticus to avoid diminished proprioception in the lower abdominal wall.

Macroscopic anatomical study of the distribution of the cranial mesenteric artery to the intestine in the rabbit.

Intestinal surgery is commonly performed to cure bowel obstruction in rabbits, but detailed descriptions of the arterial supply to the intestine are incomplete. We investigated anatomical variations of the distribution of the cranial mesenteric artery to the intestine in 33 New Zealand White rabbits by injecting colored latex into the arteries. The cranial mesenteric artery arose independently from the abdominal aorta at about 2.0 cm caudal to the celiac artery and branched off the pancreaticoduodenal, middle colic, ileocecocolic, jejunal and ileal arteries. One or occasionally two caudal pancreaticoduodenal arteries supplied the distal duodenum, and one to three middle colic arteries supplied the transverse colon and the initial portion of the descending colon. The ileocecocolic artery arose distal to the middle colic arteries and provided the right colic, ileocecal and appendicular arteries, and branches to the proximal colon, with various branching patterns, which were grouped into four major types. These arteries and branches supplied the ileum, cecum, appendix and proximal colon. The cranial mesenteric artery also provided the jejunal arteries (predominantly 17; range 11-21) and one ileal artery supplying the jejunum and proximal ileum, respectively. The results show that the distribution patterns of the cranial mesenteric artery to the intestine in the rabbit are highly specialized to this species. Such specialization should always be considered when performing intestinal surgery in rabbits.

Development of a didactical training concept for peer tutors in gross anatomy.

Even though peer tutors are often used in gross anatomy courses, research in the field is rather a subject of the last two decades. This is especially true about the didactical challenges these types of peer tutors experience during their tutorials and about how they are prepared for the task. The aim of the presented study was to learn about the training needs of the tutors, and to subsequently design, implement, and evaluate a didactical training concept. A qualitative design was chosen to examine how tutors can best be prepared for tutorials of gross anatomy. To do so, focus group interviews were conducted. The data were analyzed and grouped into various concepts, using semi-structured interview questions as guidance. It was found that peer tutors are in need of training in the following aspects: Dealing with students who are experiencing difficulties during or as a result of dissection, dealing with group dynamics, that is, at the dissection table, keeping students motivated, time management, and staying confident as a tutor. In order to be regarded as useful and relevant in the eyes of tutors, a preparatory training course should include all these aspects in addition to general didactical training elements. Training needs of peer tutors of gross anatomy go beyond the content of standardized didactical curricula; therefore, tutors should be prepared with a curriculum that is specifically geared toward the many challenges associated with teaching gross anatomy to first year medical students which are already so well documented in the research literature. Anat Sci Educ 10: 495-502. © 2017 American Association of Anatomists.

Anatomia e histologia do trato urinário do macaco-prego (Sapajus apella) / Anatomy and histology of the urinary tract in the capuchin monkey (Sapajus apella

Sapajus apella é um primata do Novo Mundo de porte médio e com distribuição geográfica desde a América do Sul até a Argentina. São bons modelos para estudo e nos últimos anos vêm sendo amplamente utilizados para este fim. A destruição progressiva do habitat natural desses animais os tem levado a migrarem para outras regiões, tornando-os, assim, mais susceptíveis à caça predatória. A necessidade de preservação das espécies silvestres desperta interesse por um maior conhecimento anatômico e clínico para estes animais. O presente estudo teve como objetivo examinar e descrever os aspectos morfológicos, quanto a anatomia macroscópica e microscópica dos órgãos do sistema urinário de fêmeas da espécie Sapajus apella visando estender o conhecimento anatômico para esta espécie. Foram utilizadas quatro fêmeas, oriundas do Centro Nacional de Primatas de Ananindeua/PA. istema urinário de S. apella apresenta características similares a outros primatas tanto humanos quanto não humanos e aos animais domésticos. Os rins apresentaram aspectos macroscópicos semelhantes aos rins de humanos, mas com a mesma classificação de outros primatas não humanos e alguns animais domésticos. A bexiga assemelhou-se aos animais domésticos e aos primatas de maneira geral, humano e não humano. O mesmo ocorreu quando analisamos estes órgãos histologicamente.

Sapajus apella is a primate of the New World of midsize and with geographical distribution from South America to Argentina. Good models for the study and in recent years have been widely used for this purpose. The progressive destruction of the natural habitat of these animals has led to migrate to other regions, thus making them more susceptible to hunting predator. The need for the preservation of wild species arouses interest by a greater anatomic and clinical knowledge of these animals. The present study was aimed to examine and describe the morphological aspects, as far as the macroscopic and microscopic anatomy of the organs of the urinary system of female Sapajus apella aiming to extend the anatomical knowledge for this species. Four females were used, from the National Center of Primates in Ananindeua - PA. The urinary system of S. apella has similar characteristics to other primates both human and non-human and domestic animals. The kidneys showed macroscopic aspects similar to the kidneys of humans, but with the same classification of other non-human primates and some domestic animals. The bladder was similar to domestic animals and primates in general, human and non-human. The same occurred when we analyze these components histologically.

Investigation and macroscopic anatomical study of referred pain in patients with hip disease.

[Purpose] The aim of this study was to examine the incidence and patterns of referred pain in patients with hip disease, as well as the nerve distribution in the hip and knee joints of 2 cadavers. [Subjects and Methods] A total of 113 patients with hip joint disease were included in the investigation. The incidence of regional pain and referred pain patterns were evaluated before and after arthroplasty. Two cadavers were macroscopically observed to verify the nerve innervation of the hip and knee joints. [Results] Anterior knee pain was observed preoperatively in 13.3% (in resting) and 33.6% (in motion) of the patients, which was comparable with the incidence of greater trochanter pain. In addition, the preoperative incidence rates of knee pain in resting and motion markedly decreased postoperatively. Of note is the remarkable incidence of pain radiating to the ventral lower limb. An anteromedial innervation was determined in the cadavers by the articular branches of the obturator and femoral nerve, which supply small branches to the knee joints. [Conclusion] Our results suggest that the distribution of the incidence of pain among the patients with hip disease is diverse owing to the sensory distribution of the femoral and obturator nerves.

Bilateral Duplication of Gonadal Veins: a Case Report / Duplicación Bilateral de las Venas Gonadales: Reporte de Caso

The duplication of gonadal vessels is mainly found on the left side, with less numbers of bilateral cases. The objective of this work is describing a case of bilateral duplication of gonadal veins, where two veins were draining to inferior vena cava, being that the closest vein of kidney medial margin had a thickness of 2.68mm and was distant 64.41 mm of the organ. The second vessel had a thickness of 1.43mm and was distant 73.76mm. Two veins follow to left renal vein, being that the first vessel had a thickness of 2.7mm and was distant 21.8mm of the kidney medial margin; the other had a thickness of 1.64mm and was distant 35.13mm of the organ. The presence of variations on the local of drainage of gonadal vessels has clinical importance for comprehension of origin of varicocele cases, as well as the recurrence of them after surgical procedures.

La duplicación de las venas gonadales es más común en el lado izquierdo, con pocos casos bilaterales. El propósito de este reporte fue describir el caso de una duplicación bilateral de las venas gonadales, dos de las cuales desembocaban en la vena cava inferior. El vaso próximo del margen medial del riñon tenía un diámetro de 2,68mm y una longitud de 64,41 mm. La segunda vena tenía un diámetro de 1,43 mm y una longitud de 73,76 mm. Los dos vasos desembocaban en la vena renal izquierda. La primera vena tenía un diámetro de 2,7 mm y estaba a 21,8 mm del margen medial del riñon. La otra tenía un diámetro de 1,64 mm y se se localizaba a 35,13 mm del margen medial del riñon. La presencia de variaciones donde se produce el drenaje de los vasos gonadales tiene importancia clínica para la comprensión del origen del varicocele y la recurrencia del mismo, después de procedimientos quirúrgicos.

An unusual anatomical variation of the levator scapulae muscle / Una variación anatómica inusual del músculo elevador de la escápula

Clinical and surgical importance of the levator scapulae muscle (LSM) requires a better knowledge of its anatomic variation mainly because of the possibility of new findings related to the embryologic development. This article reports a case of a left-sided LSM with atypical attachments in a 58-year-old preserved Caucasian female body. The muscle presented a bifurcation at its midpoint downward path. Its medial band attached to the anterior aspect of the left rhomboideus major muscle while its left band was fixed in the superior angle of the scapula after releasing a muscle expansion to the serratus anterior muscle. The morphometric analysis revealed LSM maximal width of 3.6 cm, bifurcation point located 6.6 cm apart from the C1 vertebral attachment; medial band legth of 5.7 cm and lateral band width of 2.1cm. Regarding anatomic variations of the LSM, they may remain unnoticed or perhaps contribute for pathologic conditions of the neck and the back...

Debido a la importancia clínica y quirúrgica del músculo elevador de la escápula, se hace necesario conocer mejor sus variaciones, principalmente la posibilidad de encontrar hallazgos relacionados con su desarrollo embriológico. Se presenta el caso de un músculo elevador de la escápula del lado izquierdo encontrado en un cadáver de sexo femenino de 58 años. El músculo elevador de la escáula presentaba una bifurcación en el punto medio en su trayectoria más baja. La banda medial se fijaba en la parte anterior del músculo romboides mayor izquierdo; mientras que su banda lateral se fijaba en el ángulo superior de la escápula después de enviar una expansión hasta el músculo serrato anterior. El análisis morfométrico reveló un ancho máximo de 3,6 cm, punto de bifurcación situado 6,6 cm bajo la inserción vertebral C1; longitudes de la banda medial 5,7 cm y lateral de 2,1cm. Las variaciones anatómicas del músculo elevador de la escápula pueden pasar inadvertidas, pero también pueden contribuir con algunas condiciones patológicas del cuello y espalda...

Anatomy of the mouth of the giraffe (giraffa camelopardalis rothschildi) / Anatomía de la boca de la jirafa (giraffa camelopardalis rothschildi)

The giraffe (Giraffa camelopardalis) is both the largest extant ruminant and a strict browser. We dissect and describe the macroscopic anatomy of the mouth of the giraffe. The heads of two adult giraffes and one fetus were used in this study. The lips were well developed, the upper one was predominant and dorsally flattened near the nostrils. The tongue had a lift or lingual torus and rostrally to it a groove-shaped depression or fossa linguae. There was no adipose body of cheek (Corpus adiposum buccae). The hard palate in the giraffe had 18 Rugae palatinae. The final roughness reaches the caudal border of the premolar 3. Caudal ridges had no papillae. The parotid gland was small and consisted of two lobes, one rostral and one caudal to be separated dorsally to accommodate the parotid lymph node. The parotid duct followed the same way as in the cow, ended in front of the upper premolar tooth 2 in the parotid papilla, (not evident at mucosal surface). Mandibular gland was divided into two lobes, the rostral one placed in the intermandibular space and the caudal hidden by the parotid gland. Giraffes have the monostomatic and polistomatic sublingual glands. The monostomatic sublingual gland was located rostrally and joined to the monostomatic of the other side in the very narrow rostral intermandibular space. The polistomatic sublingual gland was caudally located and reached the level of the third molar and at a deeper level than the monostomatic. The studied giraffes had dorsal, ventral and intermediate bucal salivary glands. Leaving aside the differences caused by different dimensions, the mouth of the giraffe had in general a similar anatomical arrangement to the cow.

La jirafa (Giraffa camelopardalis) es a la vez el rumiante más grande que existe y un ramoneador estricto. Nosotros disecamos y describimos la anatomía macroscópica de la boca de la jirafa. En este estudio se utilizaron las cabezas de dos jirafas adultas y de un feto. Los labios estaban bien desarrollados, el superior era el predominante y estaba aplastado dorsalmente cerca de las narinas. La lengua tenía una protuberancia o Torus lingual y rostralmente a él una depresión en forma de surco o Fossa linguae. No había cuerpo adiposo de la mejilla (Corpus adiposum buccae). El paladar duro en la jirafa tenía 18 rugae palatinae. Las rugosidades finales alcanzaban el borde caudal del premolar 3. Las crestas caudales no tenían papilas. La glándula parótida era pequeña y consistía de dos lóbulos, uno rostral y otro caudal que se separaban dorsalmente para acomodar al nódulo linfático parotídeo. El conducto parotídeo seguía el mismo trayecto que en la vaca, terminando frente al segundo diente premolar superior en la papila parotídea (no evidente en la superficie de la mucosa). La glándula mandibular estaba dividida en dos lóbulos, el rostral se colocaba en el espacio intermandibular y el caudal estaba oculto por la glándula parótida. Las jirafas tenían glándulas sublinguales monostomática y polistomática. La glándula sublingual monostomática estaba localizada rostralmente y se unía a la monostomática del otro lado en el muy estrecho espacio intermandibular. La glándula sublingual polistomática estaba localizada caudalmente y alcanzaba el nivel del tercer molar en un plano más profundo que la monostomática. Las jirafas estudiadas tenían glándulas salivares bucales dorsales, ventrales e intermedias. Dejando de lado las diferencias causadas por las diferentes dimensiones, la boca de la jirafa tenía en general una disposición anatómica similar a la de la vaca.

Anatomía del peritoneo digestivo del ñandú (Rhea americana) / Digestive peritoneum anatomy of the Rhea (Rhea americana)

El ñandú (Rhea americana) es un ave corredora autóctona de Sudamérica la cual hace ya algunos años ha despertado cierto interés productivo. Sin embargo, la morfología detallada a nivel de las aves domésticas aún se desconoce en muchos aspectos; entre ellos el peritoneo. El objetivo de este trabajo es describir el peritoneo parietal, visceral y de conexión del ñandú acorde con los principios de la Nómina Anatómica Aviar. Se utilizaron 7 animales adultos; 5 machos y 2 hembras de entre 8 y 25 kg. de peso procedentes de un criadero comercial. Fueron eutanasiados por sobredosis de tiopental sódico. La cavidad peritoneal estaba dividida en una parte craneal (equivalente a 1/3) y una parte caudal al estómago (equivalente a 2/3 del total del abdomen). En la parte caudal se encontraba la totalidad del intestino y el páncreas, mientras que en la parte craneal se observó el hígado y la vesícula biliar. Un omento menor fijaba el estómago al hígado cranealmente hacia la derecha y un omento mayor pequeño con una bolsa omental cerrada lo fijaba caudalmente hacia la izquierda. La raíz del mesenterio fijaba al yeyuno, al íleon y a ambos ciegos entre sus hojas a través de amplios pliegues ileocecales. Desde la raíz del mesenterio un corto mesoduodeno sujetaba al duodeno descendente y ascendente hacia la derecha. El colon estaba sostenido por un amplio mesocolon desde distal a la desembocadura de los ciegos hasta su terminación en la cloaca. Se concluye que esta especie corredora presenta similitudes con las aves domésticas. Sin embargo, lo relativamente grueso y fuerte del peritoneo de conexión sumado a lo compartimentado de la cavidad peritoneal hacen suponer que se trata de una adaptación para la carrera al permitir una gran sujeción de las vísceras abdominales.

The rhea (Rhea americana) is a native ratite from South America which has woken up since a few years ago a big productive interest. However the detailed morphology of the rhea at the level at the domestic birds is still unknown in many aspects, on of them is the peritoneum. The aim of this work is to describe the parietal, visceral and connection peritoneum of the rhea according to the anatomical avian nomenclature. Seven specimens of adult rhea were used, five males and two females about 8 and 25 kg of weight. All of them proceeding from a commercial farm. The animals were slaughtered before their study. The peritoneum that cover the abdominal wall and the visceral and connection peritoneum that support the abdominal viscera were observed and described. The peritoneal cavity were divided into two parts, one was craneal to the ventriculum (1/3 parts from the total of the abdomen) and the other was caudal (2/3). Into the cranial part we founded the liver and the gallbladder while into the caudal part we founded the intestine and the pancreas. The stomach was fixed to the liver cranially to the right by a minor omentus and caudally to the left was fixed by a small major omentus with a close omental bag. The root of the mesentery was fixing the yeyuno, ileum and both caecums between its sheets towards wide ileocecalis creases. From the mesentery root a short mesoduodenum was holding the descending and ascending duodenum towards the right. The colon was supported by a wide mesocolon. We concluded that this ratite has similarities with the domestic birds. Nevertheless, the thickness and strong connection peritoneum and the compartmentalization of the peritoneal cavity make us suppose that it is an adaption to the race since it is a big subjection to the abdominal viscera.