Research Article
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Evaluation of Uterine Artery Origins on Contrast-Enhanced Magnetic Resonance Images

Year 2023, Volume: 33 Issue: 5, 497 - 502, 25.10.2023

Betül Sevindik Nadire Ünver Doğan Özlem Seçilmiş Emine Uysal Zeliha Fazlıoğulları Ahmet Kağan Karabulut

https://doi.org/10.54005/geneltip.1283637

Abstract

Background/Aims: The origin of the uterine artery varies widely. The branching patterns of the internal iliac artery are also quite variable. Branching of the internal iliac artery in different ways is important in pelvic surgery. In our study, fertile and infertile groups were created, and the arteries that gave rise to the uterine artery were examined.
Methods: A total of 152 uterine arteries (n = 152) were evaluated retrospectively on 3D contrast-enhanced magnetic resonance images. Based on the study of Gomez-Jorge, the types of origin of the uterine artery were obtained. With regards to the incidence of types, differences between the fertile and infertile groups were examined.
Results: There was no statistically significant difference between the groups in terms of the incidence of origin types (p = 0.214). Based on the study of Gomez-Jorge, five different types of origins were obtained. The most common was type I (the uterine artery being the first branch of the inferior gluteal artery) origination.
Conclusions: There are studies investigating the origin of the uterine artery in literature. We believe that our findings will also contribute to the body of knowledge available.

Keywords

Magnetic resonance uterine artery variation

References

  • Standring S. Gray’s Anatomy. The Anatomical Basis of Clinical Practice. 41st ed. New York: Elsevier; 2016.
  • Arulkumaran, S., Karoshi, M., Keith, L. G., Lalonde, A. B., & Christopher B (Eds. )., editor. A comprehensive textbook of postpartum hemorrhage: an essential clinical reference for effective management. [Internet]. Global Library of Women’s Medicine by Sapiens Publishing. 2012. Available from: (www. glowm. com)
  • Chantalat, E., Merigot, O., Chaynes, P., Lauwers, F.Delchier, M. C., & Rimailho J. Radiological anatomical study of the origin of the uterine artery. Surg Radiol Anat. 2014;36:1093–9.
  • Arfi A, Arfi-Rouche J, Barrau V, Nyangoh Timoh K, Touboul C. Three-dimensional computed tomography angiography reconstruction of the origin of the uterine artery and its clinical significance. Surg Radiol Anat [Internet]. 2018 Jan 9;40(1):85–90. Available from: http://link.springer.com/10.1007/s00276-017-1941-9
  • Peters A, Stuparich MA, Mansuria SM, Lee TTM. Anatomic vascular considerations in uterine artery ligation at its origin during laparoscopic hysterectomies. Am J Obstet Gynecol [Internet]. 2016 Sep;215(3):393.e1-393.e3. Available from: http://linkinghub.elsevier.com/retrieve/pii/S0002937816303131
  • Liapis K, Tasis N, Tsouknidas I, Tsakotos G, Skandalakis P, Vlasis K, et al. Anatomic variations of the Uterine Artery. Review of the literature and their clinical significance. J Turkish Soc Obstet Gynecol [Internet]. 2020 Apr 6;17(1):58–62. Available from: http://cms.galenos.com.tr/Uploads/Article_37245/TJOG-17-58-En.pdf
  • Dossou M, Debost-Legrand A, Déchelotte P, Lémery D, Vendittelli F. Severe Secondary Postpartum Hemorrhage: A Historical Cohort. Birth [Internet]. 2015 Jun;42(2):149–55. Available from: https://onlinelibrary.wiley.com/doi/10.1111/birt.12164
  • Obimbo MM, Ogeng’o JA, Saidi H. Variant anatomy of the uterine artery in a Kenyan population. Int J Gynecol Obstet [Internet]. 2010 Oct;111(1):49–52. Available from: http://doi.wiley.com/10.1016/j.ijgo.2010.04.033
  • Ambekar A, Vogelzang R. Aberrant uterine artery as a cause of uterine artery embolization treatment failure. Int J Gynecol Obstet [Internet]. 2001 Jul;74(1):59–60. Available from: http://doi.wiley.com/10.1016/S0020-7292%2800%2900376-3
  • Gomez-Jorge J, Keyoung A, Levy EB, Spies JB. Uterine Artery Anatomy Relevant to Uterine Leiomyomata Embolization. Cardiovasc Intervent Radiol [Internet]. 2003 Nov 21;26(6). Available from: http://link.springer.com/10.1007/s00270-003-2652-7
  • Goodwin SC, Bonilla SC, Sacks D, Reed RA, Spies JB, Landow WJ, et al. Reporting Standards for Uterine Artery Embolization for the Treatment of Uterine Leiomyomata. J Vasc Interv Radiol [Internet]. 2003 Sep;14(9):S467–76. Available from: https://linkinghub.elsevier.com/retrieve/pii/S1051044307612640
  • Hao YX, Wang KF, Wang GR, Fang Y, Wang ZW, Xue HD, et al. [Value of the CT Angiography in Displaying the Anatomical Variations of the Origin of Uterus Artery]. Zhongguo Yi Xue Ke Xue Yuan Xue Bao [Internet]. 2019 Apr 28;41(2):216–9. Available from: http://www.ncbi.nlm.nih.gov/pubmed/31060677
  • Jastschinski S. Die typischen Verzweigungsformen Der Arteria hypogastrica.,. Int Mschr Anat Physiol. 1891;8:111–27.
  • Tubbs, R. S.; Shoja, M. M. & Loukas M. Bergman’s comprehensive encyclopedia of human anatomic variation. New Jersey: John Wiley & Sons,; 2016.
  • Naguib NNN, Nour-Eldin N-EA, Hammerstingl RM, Lehnert T, Floeter J, Zangos S, et al. Three-dimensional Reconstructed Contrast–enhanced MR Angiography for Internal Iliac Artery Branch Visualization before Uterine Artery Embolization. J Vasc Interv Radiol [Internet]. 2008 Nov;19(11):1569–75. Available from: https://linkinghub.elsevier.com/retrieve/pii/S1051044308007288
  • Roberts WH, Krishingner GL. Comparative study of human internal iliac artery based on adachi classification. Anat Rec [Internet]. 1967 Jun;158(2):191–6. Available from: https://onlinelibrary.wiley.com/doi/10.1002/ar.1091580208
  • Holub Z, Lukac J, Kliment L, Urbanek S. Variability of the origin of the uterine artery: Laparoscopic surgical observation. J Obstet Gynaecol Res [Internet]. 2005 Apr;31(2):158–63. Available from: https://onlinelibrary.wiley.com/doi/10.1111/j.1341-8076.2005.00264.x
  • Chantalat E, Merigot O, Chaynes P, Lauwers F, Delchier MC, Rimailho J. Radiological anatomical study of the origin of the uterine artery. Surg Radiol Anat [Internet]. 2014 Dec 20;36(10):1093–9. Available from: http://link.springer.com/10.1007/s00276-013-1207-0
  • Lipshutz B. A composite study of the hypogastric artery and its branches. Ann Surg,. 1918;67(5):584.
  • Orhan A, Ozerkan K, Kasapoglu I, Taskiran C, Vatansever D, Sendemir E, et al. From Where Does the Uterine Artery Originate? A Prospective, Observational Laparoscopic Anatomic Study. J Minim Invasive Gynecol [Internet]. 2020 Jul;27(5):1081–6. Available from: https://linkinghub.elsevier.com/retrieve/pii/S1553465020301631
  • Saraiya P V., Chang TC, Pelage J-P, Spies JB. Uterine Artery Replacement by the Round Ligament Artery: An Anatomic Variant Discovered during Uterine Artery Embolization for Leiomyomata. J Vasc Interv Radiol [Internet]. 2002 Sep;13(9):939–41. Available from: https://linkinghub.elsevier.com/retrieve/pii/S1051044307617795
  • Uflacker A, Sopata CE, Haskal ZJ. Inferior Epigastric Uterine Artery. J Vasc Interv Radiol [Internet]. 2017 Jan;28(1):23. Available from: https://linkinghub.elsevier.com/retrieve/pii/S1051044316301294

Kontrastlı Manyetik Rezonans Görüntülerinde Arteria Uterina’nın Orijinlerinin Değerlendirilmesi

Year 2023, Volume: 33 Issue: 5, 497 - 502, 25.10.2023

Betül Sevindik Nadire Ünver Doğan Özlem Seçilmiş Emine Uysal Zeliha Fazlıoğulları Ahmet Kağan Karabulut

https://doi.org/10.54005/geneltip.1283637

Abstract

Amaç: Arteria uterina’nın kökeni büyük ölçüde değişiklik gösterir. A. iliaca interna’nın dallanma paternleri de oldukça değişkendir. A. iliaca interna’nın farklı şekillerde dallanması pelvik cerrahide önemlidir. Çalışmamızda fertil ve infertil gruplar oluşturuldu ve a. uterina’nın köken adığı arterler incelendi.
Metod: Toplam 152 arteria uterina (n = 152), 3D kontrastlı manyetik rezonans görüntüleme yöntemi ile retrospektif olarak değerlendirildi. Gomez-Jorge’un çalışmasına dayanarak, arteria uterina’nın orijin tipleri elde edildi. Tip insidansı ile ilgili olarak, fertil ve infertil gruplar arasındaki farklılıklar incelendi.
Bulgular: Gruplar arasında orijin tipleri insidansı açısından istatistiksel olarak anlamlı bir fark yoktu (p= 0.214). Gomez-Jorge’un çalışmasına dayanarak 5 farklı orijin tipi elde edildi; buna göre en yaygın olanı Tip I (a. uterina, a. glutea inferior’un ilk dalıdır) orijiniydi.
Sonuç: Literatürde a. uterina’nın kökenini araştıran çalışmalar mevcuttur. Bulgularımızın da mevcut bilgi birikimine katkıda bulunacağına inanıyoruz.

Keywords

Manyetik rezonans arteria uterina varyasyon

References

  • Standring S. Gray’s Anatomy. The Anatomical Basis of Clinical Practice. 41st ed. New York: Elsevier; 2016.
  • Arulkumaran, S., Karoshi, M., Keith, L. G., Lalonde, A. B., & Christopher B (Eds. )., editor. A comprehensive textbook of postpartum hemorrhage: an essential clinical reference for effective management. [Internet]. Global Library of Women’s Medicine by Sapiens Publishing. 2012. Available from: (www. glowm. com)
  • Chantalat, E., Merigot, O., Chaynes, P., Lauwers, F.Delchier, M. C., & Rimailho J. Radiological anatomical study of the origin of the uterine artery. Surg Radiol Anat. 2014;36:1093–9.
  • Arfi A, Arfi-Rouche J, Barrau V, Nyangoh Timoh K, Touboul C. Three-dimensional computed tomography angiography reconstruction of the origin of the uterine artery and its clinical significance. Surg Radiol Anat [Internet]. 2018 Jan 9;40(1):85–90. Available from: http://link.springer.com/10.1007/s00276-017-1941-9
  • Peters A, Stuparich MA, Mansuria SM, Lee TTM. Anatomic vascular considerations in uterine artery ligation at its origin during laparoscopic hysterectomies. Am J Obstet Gynecol [Internet]. 2016 Sep;215(3):393.e1-393.e3. Available from: http://linkinghub.elsevier.com/retrieve/pii/S0002937816303131
  • Liapis K, Tasis N, Tsouknidas I, Tsakotos G, Skandalakis P, Vlasis K, et al. Anatomic variations of the Uterine Artery. Review of the literature and their clinical significance. J Turkish Soc Obstet Gynecol [Internet]. 2020 Apr 6;17(1):58–62. Available from: http://cms.galenos.com.tr/Uploads/Article_37245/TJOG-17-58-En.pdf
  • Dossou M, Debost-Legrand A, Déchelotte P, Lémery D, Vendittelli F. Severe Secondary Postpartum Hemorrhage: A Historical Cohort. Birth [Internet]. 2015 Jun;42(2):149–55. Available from: https://onlinelibrary.wiley.com/doi/10.1111/birt.12164
  • Obimbo MM, Ogeng’o JA, Saidi H. Variant anatomy of the uterine artery in a Kenyan population. Int J Gynecol Obstet [Internet]. 2010 Oct;111(1):49–52. Available from: http://doi.wiley.com/10.1016/j.ijgo.2010.04.033
  • Ambekar A, Vogelzang R. Aberrant uterine artery as a cause of uterine artery embolization treatment failure. Int J Gynecol Obstet [Internet]. 2001 Jul;74(1):59–60. Available from: http://doi.wiley.com/10.1016/S0020-7292%2800%2900376-3
  • Gomez-Jorge J, Keyoung A, Levy EB, Spies JB. Uterine Artery Anatomy Relevant to Uterine Leiomyomata Embolization. Cardiovasc Intervent Radiol [Internet]. 2003 Nov 21;26(6). Available from: http://link.springer.com/10.1007/s00270-003-2652-7
  • Goodwin SC, Bonilla SC, Sacks D, Reed RA, Spies JB, Landow WJ, et al. Reporting Standards for Uterine Artery Embolization for the Treatment of Uterine Leiomyomata. J Vasc Interv Radiol [Internet]. 2003 Sep;14(9):S467–76. Available from: https://linkinghub.elsevier.com/retrieve/pii/S1051044307612640
  • Hao YX, Wang KF, Wang GR, Fang Y, Wang ZW, Xue HD, et al. [Value of the CT Angiography in Displaying the Anatomical Variations of the Origin of Uterus Artery]. Zhongguo Yi Xue Ke Xue Yuan Xue Bao [Internet]. 2019 Apr 28;41(2):216–9. Available from: http://www.ncbi.nlm.nih.gov/pubmed/31060677
  • Jastschinski S. Die typischen Verzweigungsformen Der Arteria hypogastrica.,. Int Mschr Anat Physiol. 1891;8:111–27.
  • Tubbs, R. S.; Shoja, M. M. & Loukas M. Bergman’s comprehensive encyclopedia of human anatomic variation. New Jersey: John Wiley & Sons,; 2016.
  • Naguib NNN, Nour-Eldin N-EA, Hammerstingl RM, Lehnert T, Floeter J, Zangos S, et al. Three-dimensional Reconstructed Contrast–enhanced MR Angiography for Internal Iliac Artery Branch Visualization before Uterine Artery Embolization. J Vasc Interv Radiol [Internet]. 2008 Nov;19(11):1569–75. Available from: https://linkinghub.elsevier.com/retrieve/pii/S1051044308007288
  • Roberts WH, Krishingner GL. Comparative study of human internal iliac artery based on adachi classification. Anat Rec [Internet]. 1967 Jun;158(2):191–6. Available from: https://onlinelibrary.wiley.com/doi/10.1002/ar.1091580208
  • Holub Z, Lukac J, Kliment L, Urbanek S. Variability of the origin of the uterine artery: Laparoscopic surgical observation. J Obstet Gynaecol Res [Internet]. 2005 Apr;31(2):158–63. Available from: https://onlinelibrary.wiley.com/doi/10.1111/j.1341-8076.2005.00264.x
  • Chantalat E, Merigot O, Chaynes P, Lauwers F, Delchier MC, Rimailho J. Radiological anatomical study of the origin of the uterine artery. Surg Radiol Anat [Internet]. 2014 Dec 20;36(10):1093–9. Available from: http://link.springer.com/10.1007/s00276-013-1207-0
  • Lipshutz B. A composite study of the hypogastric artery and its branches. Ann Surg,. 1918;67(5):584.
  • Orhan A, Ozerkan K, Kasapoglu I, Taskiran C, Vatansever D, Sendemir E, et al. From Where Does the Uterine Artery Originate? A Prospective, Observational Laparoscopic Anatomic Study. J Minim Invasive Gynecol [Internet]. 2020 Jul;27(5):1081–6. Available from: https://linkinghub.elsevier.com/retrieve/pii/S1553465020301631
  • Saraiya P V., Chang TC, Pelage J-P, Spies JB. Uterine Artery Replacement by the Round Ligament Artery: An Anatomic Variant Discovered during Uterine Artery Embolization for Leiomyomata. J Vasc Interv Radiol [Internet]. 2002 Sep;13(9):939–41. Available from: https://linkinghub.elsevier.com/retrieve/pii/S1051044307617795
  • Uflacker A, Sopata CE, Haskal ZJ. Inferior Epigastric Uterine Artery. J Vasc Interv Radiol [Internet]. 2017 Jan;28(1):23. Available from: https://linkinghub.elsevier.com/retrieve/pii/S1051044316301294
There are 22 citations in total.

Details

Primary Language English
Subjects Clinical Sciences
Journal Section Original Article
Authors

Betül Sevindik 0000-0003-1287-5544

Nadire Ünver Doğan 0000-0001-5696-5547

Özlem Seçilmiş 0000-0003-2208-8712

Emine Uysal 0000-0001-8533-4939

Zeliha Fazlıoğulları 0000-0002-5103-090X

Ahmet Kağan Karabulut 0000-0002-9635-8829

Early Pub Date October 23, 2023
Publication Date October 25, 2023
Submission Date April 15, 2023
Published in Issue Year 2023 Volume: 33 Issue: 5

Cite

Vancouver Sevindik B, Ünver Doğan N, Seçilmiş Ö, Uysal E, Fazlıoğulları Z, Karabulut AK. Evaluation of Uterine Artery Origins on Contrast-Enhanced Magnetic Resonance Images. Genel Tıp Derg. 2023;33(5):497-502.

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