Terminal quadrifurcation of the aorta: A case report

Congenital anatomical variations of the terminal aorta are rare. Given the increasing number of endovascular and laparoscopic procedures, such variations are likely to assume greater clinical significance. A 15-year-old male sustained a pelvic vascular injury following a stab to the left gluteus. Co...

Full description

Bibliographic Details
Main Authors: Siviwe S. Mpateni, Jacques Bence, Richard D. Pitcher, Michelle Da Silva
Format: Article
Language:English
Published: AOSIS 2023-01-01
Series:South African Journal of Radiology
Subjects:
Online Access:https://sajr.org.za/index.php/sajr/article/view/2564
_version_ 1797937167677259776
author Siviwe S. Mpateni
Jacques Bence
Richard D. Pitcher
Michelle Da Silva
author_facet Siviwe S. Mpateni
Jacques Bence
Richard D. Pitcher
Michelle Da Silva
author_sort Siviwe S. Mpateni
collection DOAJ
description Congenital anatomical variations of the terminal aorta are rare. Given the increasing number of endovascular and laparoscopic procedures, such variations are likely to assume greater clinical significance. A 15-year-old male sustained a pelvic vascular injury following a stab to the left gluteus. Computed tomographic angiography and digital subtraction angiography demonstrated a left superior gluteal artery pseudoaneurysm and absence of the common iliac arteries consistent with congenital quadrifurcation of the terminal aorta. The patient was subsequently treated with endovascular coil embolisation with a good angiographic and clinical outcome. Contribution: Terminal aortic variants are rare and given the increasing number of interventional endovascular procedures performed in the aorta, an awareness of the potential anatomical configurations of the distal aortic branches is of increasing relevance. The authors describe the imaging findings of one such anatomical variant.
first_indexed 2024-04-10T18:40:25Z
format Article
id doaj.art-311b12b5c5824f83a3e34b96e93e8ac4
institution Directory Open Access Journal
issn 1027-202X
2078-6778
language English
last_indexed 2024-04-10T18:40:25Z
publishDate 2023-01-01
publisher AOSIS
record_format Article
series South African Journal of Radiology
spelling doaj.art-311b12b5c5824f83a3e34b96e93e8ac42023-02-01T13:13:10ZengAOSISSouth African Journal of Radiology1027-202X2078-67782023-01-01271e1e310.4102/sajr.v27i1.25641212Terminal quadrifurcation of the aorta: A case reportSiviwe S. Mpateni0Jacques Bence1Richard D. Pitcher2Michelle Da Silva3Department of Radiodiagnosis, Faculty of Health Sciences, Stellenbosch University, Cape TownDepartment of Radiodiagnosis, Faculty of Health Sciences, Stellenbosch University, Cape TownDepartment of Radiodiagnosis, Faculty of Health Sciences, Stellenbosch University, Cape TownDepartment of Radiodiagnosis, Faculty of Health Sciences, Stellenbosch University, Cape TownCongenital anatomical variations of the terminal aorta are rare. Given the increasing number of endovascular and laparoscopic procedures, such variations are likely to assume greater clinical significance. A 15-year-old male sustained a pelvic vascular injury following a stab to the left gluteus. Computed tomographic angiography and digital subtraction angiography demonstrated a left superior gluteal artery pseudoaneurysm and absence of the common iliac arteries consistent with congenital quadrifurcation of the terminal aorta. The patient was subsequently treated with endovascular coil embolisation with a good angiographic and clinical outcome. Contribution: Terminal aortic variants are rare and given the increasing number of interventional endovascular procedures performed in the aorta, an awareness of the potential anatomical configurations of the distal aortic branches is of increasing relevance. The authors describe the imaging findings of one such anatomical variant.https://sajr.org.za/index.php/sajr/article/view/2564interventional radiologyvascular anatomytraumaaortaangiography
spellingShingle Siviwe S. Mpateni
Jacques Bence
Richard D. Pitcher
Michelle Da Silva
Terminal quadrifurcation of the aorta: A case report
South African Journal of Radiology
interventional radiology
vascular anatomy
trauma
aorta
angiography
title Terminal quadrifurcation of the aorta: A case report
title_full Terminal quadrifurcation of the aorta: A case report
title_fullStr Terminal quadrifurcation of the aorta: A case report
title_full_unstemmed Terminal quadrifurcation of the aorta: A case report
title_short Terminal quadrifurcation of the aorta: A case report
title_sort terminal quadrifurcation of the aorta a case report
topic interventional radiology
vascular anatomy
trauma
aorta
angiography
url https://sajr.org.za/index.php/sajr/article/view/2564
work_keys_str_mv AT siviwesmpateni terminalquadrifurcationoftheaortaacasereport
AT jacquesbence terminalquadrifurcationoftheaortaacasereport
AT richarddpitcher terminalquadrifurcationoftheaortaacasereport
AT michelledasilva terminalquadrifurcationoftheaortaacasereport