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  #1  
Old 11-12-2012
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Anatomy Surgical control of uterine bleeding

A 30 year delivers a child at home now presents to the emergency room with the history of bleeding per vaginum. her bleeding is not controlled by drugs alone. she is sent to the OT. surgeon controls bleeding by ligating a structure medial to ureter. what is the structure ligated.
a) uterine a
b) ovarian a
c) int iliac a
d) ext iliac a
e) suspensory ligament of ovary
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  #2  
Old 11-12-2012
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A) uterine artery
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Old 11-12-2012
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A. Uterine artery ??
It's not b or e as suspensory ligament contain ovarian artery.


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Old 11-12-2012
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its A. uterine artery
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Old 11-12-2012
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i'll go with C. internal iliac A.

i think Q should specify whether ligated in upper pelvis or lower pelvis....

thanks
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Old 11-12-2012
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Quote:
Originally Posted by nooranimm View Post
A) uterine artery
sorry man, I was just revising my anat, checked it out. Turns out it is ovarian artery. :sorry:
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Old 11-12-2012
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Quote:
Originally Posted by koolkiller88 View Post
A. Uterine artery ??
It's not b or e as suspensory ligament contain ovarian artery.


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Sorry I haven't seen that artery should be medial to ureter. So I think venky is right.
It should be
Internal iliac artery.
Surgical control of uterine bleeding-imageuploadedbytapatalk-hd1352725747.414943.jpg


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Old 11-12-2012
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This is uworld question
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Old 11-12-2012
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Please can someone also tell the various relations ( I.e., other options explanations ? Their relation to the ureter ?? )
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Old 11-12-2012
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c)INTERNAL ILIAC ARTERY
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  #11  
Old 11-12-2012
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Quote:
Originally Posted by alice View Post
Please can someone also tell the various relations ( I.e., other options explanations ? Their relation to the ureter ?? )
check uworld Quest ID;1804
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  #12  
Old 11-12-2012
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i am confident that its Uterine artery
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Old 11-13-2012
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Correct Answer c

this is a uworld question witha little twist...
since the surgeon ligates the structure medial to the ureter its internal iliac artery...
@chux-its int. iliac a in u world
thanx...
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  #14  
Old 11-13-2012
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it cannot be uterine artery , uterine artery is ABOVE the ureters (water under the bridge ) , water ->ureter , bridge-> uterine artery

answer is internal illiac artery , ureter lies between external and internal illiac .

ovarian artery lies anterior to ureter , not medial . http://en.wikipedia.org/wiki/Ovarian_artery
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i think its mostly int illiac artery
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Old 11-13-2012
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@ chux : thanks I happened to go over it yest day itself ..
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Old 11-14-2012
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Quote:
Originally Posted by bharathpamulapat View Post
i am confident that its Uterine artery
correct if am wrong
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  #18  
Old 11-14-2012
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Quote:
Originally Posted by bharathpamulapat View Post
correct if am wrong
on first glance i thought the same but if you see above shown diagram and explanation. Its Internal illiac artery.
Ovarian and uterine arteries passes laterally.
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