Anatomy Atlases: Illustrated Encyclopedia of Human Anatomic Variation: Opus II: Cardiovascular System: Arteries: Pelvis: Uterine Artery

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Illustrated Encyclopedia of Human Anatomic Variation: Opus II: Cardiovascular System: Arteries: Pelvis

Uterine Artery

Ronald A. Bergman, PhD
Adel K. Afifi, MD, MS
Ryosuke Miyauchi, MD
Peer Review Status: Internally Peer Reviewed

The uterine artery usually arises from the internal iliac but may also arise in common with the vaginal artery or with the middle rectal.

The artery may be doubled or composed of multiple parts. It occasionally supplies branches that may be designated as superior vesical, inferior vesical, ureteral and vaginal arteries.

Parsons and Keith reporting for the Committe of Collective Investigation of the Anatomical Society of Great Britian and Ireland had 18 observations on the uterine artery. In nine cases (50%) the artery arose from the hypogastric trunk (internal iliac) as a single vessel; in three (16.9%) it was a separate branch of the anterior division; in two (16.9%) it arose with the inferior vesical from the hypogastric trunk (internal iliac); in 1 case it arose in common with the middle rectal (middle hæmorrhoidal) from the anterior division. In two cases there were two uterine arteries: in the first of these one arose from the hypogastric trunk (internal iliac), and the other arose from the anterior division; in the second, one arose with the inferior vesical, and the other with the middle rectal.

It has a sinuous course.

The Uterine Artery:

1. Arises independently from the internal iliac	64/100 (64%)
2. Arises from a common trunk with the internal pudendal	20/100 (20%)
3. Arises from the common trunk with the vaginal artery, the common trunk from internal iliac artery (11 times), or from the internal pudendal (5 times)	16/100 (16%)

Image 48, Image 243, Image 266, Image 475, Image 492,
Image 493, Image 523, Image 524, Image 525, Image 526

References

Anson, B.J., Ed. (1966) Morris' Human Anatomy, 12th ed. The Blakiston Division, McGraw Hill Book Company, New York.

Bergman, R.A., Thompson, S.A., Afifi, A.K. and F.A. Saadeh. (1988) Compendium of Human Anatomic Variation: Catalog, Atlas and World Literature. Urban & Schwarzenberg, Baltimore and Munich.

Borell, U. and I. Fernström. (1953) Uterine artery adnexal branches. Arteriography study in human subjects. Acta Radiol. 40:561-582.

Broeckaert, J. (1892) Contribution a ]'etude de l'artère utérine. Annales de la Société de Médecine de Gand 71:28-47.

Corfier, P., Devos, L. et A. Delcroix. (1939) L'anastomose arterielle uteroovarienne. Assoc. Anatomistes, Comptes Rendus. 1939:48-79.

Curtis, A.H., Anson, B.J., Ashley, F.L. and T.Jones. (1942) The blood vessels of the female pelvis in relation to gynecological surgery. Surg., Gynecol. Obstet. 75:421-423.

Davidsohn, S. (1893) Ueber die Arteria uterina, insbesondere über ihre Beziehungen zum unteren Uterinsegment. Morphologische Arbeiten (Jena) 2:663-671.

Destot, -. (1897) Circulation artérielle des organes génitaux de la femme. La Province Médicale (10 avril 1897) 11:173-175.

Dumas, -. (1869) Anomalies des artères utéro-ovariennes. Bulletins et Mem. de la Société Anatomique de Paris XLIV(6):310.

Fredet, P. (1899) Les Arteres de l' uterus de la femme. Journ. de l' Anat. et de la Physiol. 35:533-569.

Gladykowska-Rzeczycka, J. and M. Mieszkowska. (1977) Vascular variation in the genito-urinary system. Folia Morphol., Warsaw. 36:113-116.

Henle, J. (1868) Handbuch der Systematischen Anatomie. Von Freidrich Vieweg und Sohn, Braunschweig.

Lipshutz, B. (1918) A composite study of the hypogastric artery and its branches. Ann. Surg. 67:584-608.

Latarjet, A. (1948) Testut's Traite d'Anatomie Humaine, 9th Ed., G. Doin & Cie., Paris.

Parsons, F.G. and A. Keith. (1897) Sixth annual report of the Committee of Collective Investigation of the Anatomical Society of Great Britian and Ireland, 1895-96. J. Anat. Physiol. 31:31-44.

Poynter, C.W.M. (1922) Congenital Anomalies of the arteries and veins of the human body with bibliography. University Studies of the University of Nebraska. 22:1-106.

Ricard, -. (1887) De quelques rapports anatomiques de l'artère utérine et de l'uretère à propos de l'hystérectomie vaginale. La Semaine Medicale 7:39-40.

Schaefer, E.A., Symington, J. and T.H. Bryce, Eds. (1915) Quain's Anatomy, 11th ed., Longmans, Green and Co., London.

Souligoux, -. (1894) Artères utérines et utéro-ovariennes. Bull. et Mém. de la Soc. Anatomique de Paris 1894:470-471.

Winslow, R. (1883) A study of the malformations, variations, and anomalies of the circulatory apparatus in man. Annals of Anatomy and Surgery 7:148.

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