Common iliac artery

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Common iliac artery
Iliac artery bifurcation and aorta.PNG
Front of abdomen, showing surface markings for arteries and inguinal canal.
Volume rendered CT scan of abdominal and pelvic blood vessels (smaller).gif
Volume rendered CT scan of abdominal and pelvic blood vessels.
Details
Source Abdominal aorta
Branches External iliac
internal iliac
Vein Common iliac veins
Identifiers
Latin arteria iliaca communis
TA98 A12.2.14.001
TA2 4301
FMA 14764
Anatomical terminology

The common iliac artery is a large artery of the abdomen paired on each side. It originates from the aortic bifurcation at the level of the 4th lumbar vertebra. It ends in front of the sacroiliac joint, one on either side, and each bifurcates into the external and internal iliac arteries.

Contents

Structure

The common iliac artery are about 4 cm long in adults and more than a centimeter in diameter. It begins as a branch of the aorta. [1] This is at the level of the fourth lumbar vertebra. [1] It runs inferolaterally, along the medial border of the psoas muscles. It bifurcates into the external iliac artery and the internal iliac artery at the pelvic brim, in front of the sacroiliac joints. [1]

The common iliac artery, and all of its branches, exist as paired structures (that is to say, there is one on the left side and one on the right).

The distribution of the common iliac artery is basically the pelvis and lower limb (as the femoral artery) on the corresponding side.

Relations

Both common iliac arteries are accompanied along their course by the two common iliac veins, which lie posteriorly and to the right. Their terminal bifurcation is crossed anteriorly by the ureters. [1] This is significant, as the bifurcation of the common iliac artery is the second point of ureteric constriction. [1]

Function

The common iliac artery supplies the leg and the pelvic region.[ citation needed ]

Clinical significance

Constriction

The common iliac artery may become narrowed. [2] This is most common at the aortic bifurcation. [2]

Dilatation

Dilatation of the common iliac artery can be graded into the following categories: [3]

NormalDiameter ≤ 12 mm
Ectasia Diameter 12 to 18 mm
Aneurysm Diameter ≥ 18 mm

Additional images

Related Research Articles

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The aorta is the main and largest artery in the human body, originating from the left ventricle of the heart, branching upwards immediately after, and extending down to the abdomen, where it splits at the aortic bifurcation into two smaller arteries. The aorta distributes oxygenated blood to all parts of the body through the systemic circulation.

<span class="mw-page-title-main">Inferior vena cava</span> One of two veinous trunks bringing deoxygenated blood back to the heart

The inferior vena cava is a large vein that carries the deoxygenated blood from the lower and middle body into the right atrium of the heart. It is formed by the joining of the right and the left common iliac veins, usually at the level of the fifth lumbar vertebra.

<span class="mw-page-title-main">Thoracic duct</span> Lymphatic vessel

In human anatomy, the thoracic duct is the larger of the two lymph ducts of the lymphatic system. The thoracic duct usually begins from the upper aspect of the cisterna chyli, passing out of the abdomen through the aortic hiatus into first the posterior mediastinum and then the superior mediastinum, extending as high up as the root of the neck before descending to drain into the systemic (blood) circulation at the venous angle.

<span class="mw-page-title-main">Celiac plexus</span> Complex network of nerves located in the upper abdomen

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<span class="mw-page-title-main">Abdominal aorta</span> Largest artery in the abdomen

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<span class="mw-page-title-main">Celiac artery</span> First major branch of the abdominal aorta

The celiacartery, also known as the celiac trunk or truncus coeliacus, is the first major branch of the abdominal aorta. It is about 1.25 cm in length. Branching from the aorta at thoracic vertebra 12 (T12) in humans, it is one of three anterior/ midline branches of the abdominal aorta.

<span class="mw-page-title-main">Inferior mesenteric artery</span>

In human anatomy, the inferior mesenteric artery (IMA) is the third main branch of the abdominal aorta and arises at the level of L3, supplying the large intestine from the distal transverse colon to the upper part of the anal canal. The regions supplied by the IMA are the descending colon, the sigmoid colon, and part of the rectum.

<span class="mw-page-title-main">External iliac artery</span> Arteries of the pelvis

The external iliac arteries are two major arteries which bifurcate off the common iliac arteries anterior to the sacroiliac joint of the pelvis.

<span class="mw-page-title-main">Abdominal external oblique muscle</span> Skeletal muscle in the abdomen

The abdominal external oblique muscle is the largest and outermost of the three flat abdominal muscles of the lateral anterior abdomen.

<span class="mw-page-title-main">Internal iliac artery</span> Main artery of the pelvis

The internal iliac artery is the main artery of the pelvis.

<span class="mw-page-title-main">Inferior epigastric artery</span> Blood vessel

In human anatomy, the inferior epigastric artery is an artery that arises from the external iliac artery. It is accompanied by the inferior epigastric vein; inferiorly, these two inferior epigastric vessels together travel within the lateral umbilical fold The inferior epigastric artery then traverses the arcuate line of rectus sheath to enter the rectus sheath, then anastomoses with the superior epigastric artery within the rectus sheath.

<span class="mw-page-title-main">Femoral nerve</span> Long nerve down the thigh and inner leg

The femoral nerve is a nerve in the thigh that supplies skin on the upper thigh and inner leg, and the muscles that extend the knee. It is the largest branch of the lumbar plexus.

<span class="mw-page-title-main">Median sacral artery</span>

The median sacral artery is a small artery that arises posterior to the abdominal aorta and superior to its bifurcation.

<span class="mw-page-title-main">Lumbar arteries</span> Arteries within the lower back

The lumbar arteries are arteries located in the lower back or lumbar region. The lumbar arteries are in parallel with the intercostals.

<span class="mw-page-title-main">Transversalis fascia</span> Aponeurosis between the transverse abdominal muscle and the extraperitoneal fat

The transversalis fascia is the fascial lining of the anterolateral abdominal wall situated between the inner surface of the transverse abdominal muscle, and the preperitoneal fascia. It is directly continuous with the iliac fascia, the internal spermatic fascia, and pelvic fascia.

<span class="mw-page-title-main">Superior hypogastric plexus</span>

The superior hypogastric plexus is a plexus of nerves situated on the vertebral bodies anterior to the bifurcation of the abdominal aorta. It bifurcates to form the left and the right hypogastric nerve. The SHP is the continuation of the abdominal aortic plexus.

<span class="mw-page-title-main">Superior rectal artery</span>

The superior rectal artery is an artery that descends into the pelvis to supply blood to the rectum.

<span class="mw-page-title-main">Hypogastric nerve</span> Human nerves

The hypogastric nerves are the continuation of the superior hypogastric plexus that descend into the pelvis anterior the sacrum and become the inferior hypogastric plexuses on either side of pelvic organs. The hypogastric nerves serve as a pathway for autonomic fibers to communicate between the lower abdomen and pelvis.

<span class="mw-page-title-main">Common iliac lymph nodes</span> Lymph nodes found in the pelvis

The common iliac lymph nodes, four to six in number, are grouped behind and on the sides of the common iliac artery, one or two being placed below the bifurcation of the aorta, in front of the fifth lumbar vertebra.

<span class="mw-page-title-main">Aortic bifurcation</span>

The aortic bifurcation is the point at which the abdominal aorta bifurcates (forks) into the left and right common iliac arteries. The aortic bifurcation is usually seen at the level of L4, just above the junction of the left and right common iliac veins.

References

  1. 1 2 3 4 5 Jacob, S. (2008). "4 - Abdomen". Human Anatomy. Churchill Livingstone. pp. 71–123. doi:10.1016/B978-0-443-10373-5.50007-5. ISBN   978-0-443-10373-5.
  2. 1 2 Buckley, Brendan; Holden, Andrew; Merrilees, Stephen; Fernando, Rukshan (2020). "13 - Revascularization: Aortoiliac". Image-Guided Interventions - Expert Radiology (3rd ed.). Saunders. pp. 99–110. doi:10.1016/B978-0-323-61204-3.00013-0. ISBN   978-0-323-61204-3. S2CID   241869039.
  3. Melissa L Kirkwood. "Iliac artery aneurysm" . Retrieved February 23, 2018. Last updated: Mar 27, 2017.