Anatomical variations of the biceps brachii and triceps brachii have been described by various authors, but the occurrence of four-headed biceps brachii and triceps brachii in an ipsilateral arm is rare and has not been reported before in the literature. During routine cadaveric dissection in the department of anatomy, Kasturba Medical College, Mangalore, India, various unusual variants were noted in the left arm of a cadaver of a 67-year-old man. The variants include a four-headed biceps, a four-headed triceps, communication between the musculocutaneous and median nerves, and a high origin of deep brachial artery from the axillary artery. The occurrence of these anomalies and the clinical and morphological significance are discussed.
An unusual presentation of the duplication of thoracic duct with a rare lymphatico-venous communication was found during the routine dissection for undergraduate students. The thoracic duct duplicated at the level of T12 vertebra. Normally thoracic duct opens into the junction of left internal jugular vein and subclavian vein. On the right side of the neck, the right lymphatic duct conveys the lymph from the head and neck, the upper extremity and the right side of the thorax to the right innominate vein. Here, the duplicated thoracic duct on the left side opened directly into the inferior vena cava. The above case is discussed with regard to its development, incidence, and clinical significance.
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