<b><span>Background:</span></b><span> Corona Mortis is an abnormal blood vessels connecti</span><span>ng</span><span> Between obturator and external iliac systems ...<b><span>Background:</span></b><span> Corona Mortis is an abnormal blood vessels connecti</span><span>ng</span><span> Between obturator and external iliac systems of vessels and inferior epigastric vessels. It is located behind the superior public ramus at a variable distance from the symphysis pubis. Orthopaedic surgeons and obestitrtion found these vessels in the field of surgery. So displaced fractures or iatrogenic injury, can cause life threatening bleeding and hence these vascular anomalies are referred to us crown of death. The bulk of the studies about the corona mortise were conducted in the cadavers or </span><b><span>3D</span></b><span> </span><b><span>CT</span></b><span> angiography and there</span><span> was</span><span> no studies were conducted about corona mortise in Sudan. The purpose of this study was to study the corona mortis anatomical and clinical implication in the anterior approaches to the pelvis and acetabulum in Sudanese patient. </span><b><span>Methodology:</span></b><span> Hospital based descriptive cross-sectional study was conducted among patients sustaining anterior pelvic anterior acetabulum fracture and underwent open reduct</span><span>i</span><span>on internal fixation by reconstruction plates. This study was conducted in Bahri Teaching Hospital from June 2017 to June 2018. Through the most common anterior approaches to the pelvis and acetabulum (Stoppa-modified stoppa-ilioinguinal), done by single surgeon and fulfil data sheet intra</span><span>-</span><span>operatively.</span><span> </span><b><span>Results:</span></b><span> In a total of 30 pelvic halves coro</span><span>na mortis was detected in 13 patients (43%).The Majority in the</span><span> Rt.hemipelvies 7</span><span> </span><span>(53.8%) specimens: arterial 4</span><span>/</span><span>13 (30.8%), venous 1</span><span>/</span><span>13 (7.7%) and both arterial and venous in 8</span><span>/</span><span>13 (61.5%) specimens respectively.</span><span> </span><span>Of these (53.9%) had a large Diameter ></span><span> </span><span>5</span><span> </span><span>mm and the largest one measure 80</span><span> </span><span>mm, with mean distance From the symphysis 5.8</span><span> </span><span>+</span><span> </span><span>1.6</span><span> </span><span>mm.</span><span> </span><b><span>Conclusion:</span></b><span> Only 13 patients have corona mortis, 12 of them were arterial with diameter more than 5</span><span> </span><span>mm</span><span> </span><span>(53%), and thus surgeon should exercise caution during Surgery and secure its site to help minimizing surgery time, Clear surgical field and prevent iatrgenic injury.</span>展开更多
文摘<b><span>Background:</span></b><span> Corona Mortis is an abnormal blood vessels connecti</span><span>ng</span><span> Between obturator and external iliac systems of vessels and inferior epigastric vessels. It is located behind the superior public ramus at a variable distance from the symphysis pubis. Orthopaedic surgeons and obestitrtion found these vessels in the field of surgery. So displaced fractures or iatrogenic injury, can cause life threatening bleeding and hence these vascular anomalies are referred to us crown of death. The bulk of the studies about the corona mortise were conducted in the cadavers or </span><b><span>3D</span></b><span> </span><b><span>CT</span></b><span> angiography and there</span><span> was</span><span> no studies were conducted about corona mortise in Sudan. The purpose of this study was to study the corona mortis anatomical and clinical implication in the anterior approaches to the pelvis and acetabulum in Sudanese patient. </span><b><span>Methodology:</span></b><span> Hospital based descriptive cross-sectional study was conducted among patients sustaining anterior pelvic anterior acetabulum fracture and underwent open reduct</span><span>i</span><span>on internal fixation by reconstruction plates. This study was conducted in Bahri Teaching Hospital from June 2017 to June 2018. Through the most common anterior approaches to the pelvis and acetabulum (Stoppa-modified stoppa-ilioinguinal), done by single surgeon and fulfil data sheet intra</span><span>-</span><span>operatively.</span><span> </span><b><span>Results:</span></b><span> In a total of 30 pelvic halves coro</span><span>na mortis was detected in 13 patients (43%).The Majority in the</span><span> Rt.hemipelvies 7</span><span> </span><span>(53.8%) specimens: arterial 4</span><span>/</span><span>13 (30.8%), venous 1</span><span>/</span><span>13 (7.7%) and both arterial and venous in 8</span><span>/</span><span>13 (61.5%) specimens respectively.</span><span> </span><span>Of these (53.9%) had a large Diameter ></span><span> </span><span>5</span><span> </span><span>mm and the largest one measure 80</span><span> </span><span>mm, with mean distance From the symphysis 5.8</span><span> </span><span>+</span><span> </span><span>1.6</span><span> </span><span>mm.</span><span> </span><b><span>Conclusion:</span></b><span> Only 13 patients have corona mortis, 12 of them were arterial with diameter more than 5</span><span> </span><span>mm</span><span> </span><span>(53%), and thus surgeon should exercise caution during Surgery and secure its site to help minimizing surgery time, Clear surgical field and prevent iatrgenic injury.</span>
