Dextrocardia with Situs Inversus is a rare heart condition characterized by not only variant positioning of the heart, but also the mirror-image reversal of the organs in the chest and abdominal cavity. Dextrocardia with Situs inversus totalis was detected incidentally in a 30-35-year-old male cadaver in our daily routine dissection for undergraduate medical students. We found that the right lung was bi-lobed and had a cardiac notch while the left lung had three lobes. The liver and gallbladder were positioned on left and the spleen on the right. The arch of aorta passed posteriorly to the right and azygous vein arched on the left bronchus to enter the superior vena cava on the left side. Situs inversus, though rare condition, is dangerous if not diagnosed prior to surgery.
The superficial ulnar artery is a very rare variation of the upper limb arterial system that usually arises from the brachial artery and occasionally it may arise from axillary artery and runs superficial to the muscles of the forearm that arising from the medial epicondyle. In our daily routine dissections we observed a unilateral superficial ulnar artery on the right hand side of a male cadaver of 53 years of age. The artery emerged superficially immediate below the lower margin of the bicipital aponeurosis and coursed superficial to palmaris longus and flexor carpi ulnaris making it highly vulnerable to intra-arterial injection. Knowledge of this anatomical variation is of great importance for every medical personnel.
I am reporting a case of a male cadaver, of 40 years of age. In our routine dissection in our University laboratory at Hubert Kairuki Memorial University for the first year medical students, we observed an accessory left testicular vein draining into the left renal vein. Anatomic variations of the testicular vein are frequent, especially concerning the number of left side testicular veins and the angle of termination of these veins. Normally the left testicular vein ascends almost vertically terminating in the left renal vein in a right angle, and this has been suggested to results in a higher tendency for the left testicle to develop varicocele. This is due to the fact that gravity working on the column of blood in the left testicular vein that connects to the renal vein at a right angle. During preoperative planning of varicocele, the surgeons should not overlook the possibility of an abnormal drainage site or an accessory collateral drainage as it is in this case, because such a misdiagnosis may result in an increase of varicocele recurrence rate.
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