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Download Anatomy - INERNAL ILIAC ARTERY
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INERNAL ILIAC ARTERY LEARNING OBJECTIVES By the end of the lecture, the student should be able to : • • Describe the course of the common iliac artery. Identify divisions of internal iliac by their relationships to pelvic organs or wall structures. COMMON ILIAC ARTERY • The left and right common iliac arteries arise from the aorta at the forth lumber vertebra. • The common iliac arteries bifurcate to form the external and internal iliac arteries EXTERNAL ILIAC ARTERY • • It arises just above the pelvic brim It exits the pelvic cavity below the inguinal ligament and becomes the femoral artery. • • INTERNAL ILIAC ARTERY It supplies both the visceral and somatic structures of the pelvis It supplies Pelvic walls Pelvic viscera And the perineum • BRANCHES It divides into anterior and posterior divisions. POSTERIOR DIVISION It provides only the somatic branches. ILIOLUMBER ARTERY • • It courses upward behind the external iliac arteries At the medial border of the psoas major it divides into the lumber and the iliac branches • • The lumber artery supplies the psoas and quaderatus lumbroum , lower vertebra of lumber region and dural sac LATERAL SACRAL ARTERY Supplies the region of sacrum. SUPERIOR GLUTEAL ARTERY • • Largest branch of the internal iliac artery It leaves the pelvic cavity through the greater scatic foramen above the piriformis • It supplies the portion of the gluteus maximus , medius and minimus and the hip joint. • ANTERIOR DIVISION Supplies both the somatic and visceral structures. • INFERIOR GLUTEAL ARTERY Supplies somatic structures of the buttock • Inside the pelvic cavity it supplies the portion of the coccygeous muscle, piriformis and levator ani • It leaves inferior to the piriformis and supply the hip joint and lateral rotator muscles. INTERNAL PUDENDAL ARTERY • • • It supplies the somatic structures in the perineum It exits the pelvis through the greater sciatic foramen It enters the ischiorectal fossa through the lesser sciatic foramen. OBTURATOR ARTERY • Supplies the somatic structures in the anterolateral thigh • OBTURATOR ARTERY It leaves the pelvis through the obturator canal in the obturator foramen to supply the proximal portion of the adductor muscles • It gives artery to the ligamentum teres to the femoral head. • • • • UMBLICAL ARTERY Retains a lumen for a short distance from the internal iliac artery It gives branches to the urinary bladder The superior vesical artery supplies the bladder Medial umbilical ligaments are the remnants of the medial umbilical artery. UTERINE ARTERY • • • • Homologous of deferential artery in the male It passes superior to the ureters in the transverse cervical ligament and ascends within the broad ligaments to reach the uterus Tubal to the oviduct Vaginal to the vagina DEFERENTIAL ARTERY • It supplies the vas deferens and epididymis • It passes superior to the ureters and in the inguinal canal to anastomosis with the spermatic artery • • • MIDDLE RECTAL ARTERY Supplies the rectum Anastomosis with the inferior mesenteric artery By way of the superior rectal artery and internal pudendal artery through the inferior rectal artery INFERIOR VESICAL ARTERY • • Supply the neck of the urinary bladder In the male portion of the prostate and seminal vesicle -------------------------THE END-----------------