Orthopedic Implications of the Corona Mortis: A Case Report

Babinski, Márcio Antônio; Gonçalves, Cláudio; Ramallo, Daniel Alves; Pires, Lucas Alves Sarmento; Fernandes, Rodrigo Mota Pacheco

doi:10.4067/s0717-95022018000100031

Int. J. Morphol.

2018

DOI: 10.4067/s0717-95022018000100031

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Orthopedic Implications of the Corona Mortis: A Case Report

Márcio Antônio Babinski

Cláudio Gonçalves²,

Daniel Alves Ramallo

et al.

Abstract: SUMMARY:Corona mortis is classified as a connection between the inferior epigastric and obturator vessels over the superior pubic ramus. Its incidence varies among different studies. The corona mortis is an extremely important anatomical variation as it can be injured in a great number of procedures. Moreover, it can also be injured during pelvic or acetabular fractures. A male cadaver fixed in a 10 % formalin solution had its pelvic region dissected and an arterial corona mortis was observed on its right side… Show more

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Cited by 2 publications

References 17 publications

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Corona mortis in the setting of pelvic trauma: Case series and review of the literature

Sealy

Schammel

Varma³

et al. 2023

AJIR

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Corona mortis is a variant vessel located posteriorly against the superior pubic ramus, “crowning” the pelvis; actual prevalence is unknown due to broad definitions: A connection between the obturator artery and an external iliac artery branch or the external iliac artery anastomosis, or any variant vessel behind the superior pubic ramus. Rapid identification and immediate treatment of injury to an arterial corona mortis resulting from pelvic trauma or pelvic surgeries are essential as hemorrhage or death may result. Interventional radiology can selectively target corona mortis and obstruct hemorrhage through catheter-guided embolization. We present four cases of corona mortis and pelvic trauma with successful embolization and include a comprehensive literature review to further educate regarding the morbidity and potential mortality associated with this important anatomic variant.

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Corona mortis in the setting of pelvic trauma: Case series and review of the literature

Sealy

Schammel

Varma³

et al. 2023

AJIR

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Corona Mortis: A Systematic Review of Literature

Cardoso

Chinelatto²,

Hojaij

et al. 2021

Clinics

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Our systematic review evaluates surgically relevant information about corona mortis (CM), such as anatomical structure, size, laterality, incidence, and anthropometric correlations. This study aimed to provide data about anastomosis in an attempt to avoid iatrogenic damage during surgery. Articles were searched online using the descriptor “ Corona Mortis ” in PubMed, Biblioteca Virtual em Saúde (BVS) (Literatura Latino-Americana e do Caribe em Saúde [LILACS], MEDLINE, indice bibliografico espaãol en ciencias de la salud [IBECS]), and SciELO database. The time range was set between 1995 and 2020. The articles were selected according to their titles and later the abstracts' relation to our research purpose. All the selected articles were read entirely. A manual search based of the references cited in these articles was also conducted to identify other articles or books of interest. Forty references fulfilled the criteria for this review. The mean incidence of CM was 63% (the majority venous) among 3,107 hemipelvises. The incidence of bilateral CM was lower than that of unilateral variations based on the analysis of 831 pelvises. The mean caliber of the anastomosis was 2.8 mm among 1,608 hemipelvises. There is no consensus concerning the anthropometric influences in CM . Finally, we concluded that CM is not an unusual anatomical variation and that we must not underestimate the risk of encountering the anastomosis during surgery. Anatomical knowledge of CM is, therefore, essential in preventing accidents for surgeons who approach the inguinal and retropubic regions.

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Orthopedic Implications of the Corona Mortis: A Case Report

Cited by 2 publications

References 17 publications

Corona mortis in the setting of pelvic trauma: Case series and review of the literature

Corona mortis in the setting of pelvic trauma: Case series and review of the literature

Corona Mortis: A Systematic Review of Literature

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