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CASE REPORT   

Chirurgia 2018 February;31(1):37-8

DOI: 10.23736/S0394-9508.17.04709-X

Copyright © 2017 EDIZIONI MINERVA MEDICA

language: English

Warning for laparoscopic procedures: a new type anomaly of inferior epigastric artery

Mesut YUR , Erdem KARADENİZ

Department of General Surgery, Faculty of Medicine, Atatürk University, Erzurum, Turkey


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Inferior epigastric artery (IEA) originates from the external iliac artery. It has rare anomalies. Most of these anomalies are origin anomalies and they are important for laparoscopic procedures and deep inferior epigastric perforator flaps. In our case, IEA originates from external iliac artery. But its route is abnormal. It is under the external oblique fascia and passing the internal ring with spermatic cord. It punctures the lateral site of rectus sheath to enter. Lichtenstein procedure applied to the patient successfully and discharged with good recovery. This type of IEA anomaly is a very rare condition. We have to remember this anomaly of IEA to avoid patient from bleeding and in vain surgery.


KEY WORDS: Hernia, inguinal - Epigastric arteries - Laparoscop

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