{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T10:35:26Z","timestamp":1780569326145,"version":"3.54.1"},"reference-count":14,"publisher":"Springer Science and Business Media LLC","issue":"5","license":[{"start":{"date-parts":[[2024,4,18]],"date-time":"2024-04-18T00:00:00Z","timestamp":1713398400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,4,18]],"date-time":"2024-04-18T00:00:00Z","timestamp":1713398400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Int Urogynecol J"],"published-print":{"date-parts":[[2024,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Introduction and Hypothesis<\/jats:title>\n                <jats:p>The obturator artery (ObA) is described as a branch of the anterior division of the internal iliac artery. It arises close to the origin of the umbilical artery, where it is crossed by the ureter. The main goal of the present study was to create an anatomical map of the ObA demonstrating the most frequent locations of the vessel\u2019s origin and course.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>In May 2022, an evaluation of the findings from 75 consecutive patients who underwent computed tomography angiography studies of the abdomen and pelvis was performed.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>The presented results are based on a total of 138 arteries. Mostly, ObA originated from the anterior trunk of the internal iliac artery (79 out of 138; 57.2%). The median ObA diameter at its origin was found to be 3.34\u00a0mm (lower quartile [LQ]\u2009=\u20093.00; upper quartile [UQ]\u2009=\u20093.87). The median cross-sectional area of the ObA at its origin was found to be 6.31 mm<jats:sup>2<\/jats:sup> (LQ\u2009=\u20095.43; UQ\u2009=\u20097.32).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>Our study developed a unique arterial anatomical map of the ObA, showcasing its origin and course. Moreover, we have provided more data for straightforward intraoperative identification of the corona mortis through simple anatomical landmarks, including the pubic symphysis. Interestingly, a statistically significant difference (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.05) between the morphometric properties of the aberrant ObAs and the \u201cnormal\u201d ObAs originating from the internal iliac artery was found. It is hoped that our study may aid in reducing the risk of serious hemorrhagic complications during various surgical procedures in the pelvic region.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00192-024-05774-8","type":"journal-article","created":{"date-parts":[[2024,4,18]],"date-time":"2024-04-18T12:01:55Z","timestamp":1713441715000},"page":"1051-1060","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Exploring the Topography of the Obturator Artery and Corona Mortis: a Detailed Analysis with Surgical Implications"],"prefix":"10.1007","volume":"35","author":[{"given":"Monika","family":"Konarska-W\u0142osi\u0144ska","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patryk","family":"Ostrowski","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alicia","family":"Del Carmen Yika","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martyna","family":"Dziedzic","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Micha\u0142","family":"Bonczar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wadim","family":"Wojciechowski","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jerzy","family":"Walocha","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mateusz","family":"Koziej","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,4,18]]},"reference":[{"key":"5774_CR1","volume-title":"Clinically oriented anatomy","author":"KL Moore","year":"2017","unstructured":"Moore KL, Dalley AF, Agur A. Clinically oriented anatomy (8th ed.). 2017. Philadelphia: Lippincott Williams and Wilkins.","edition":"8"},{"key":"5774_CR2","doi-asserted-by":"publisher","DOI":"10.1002\/9781118430309","volume-title":"Bergman\u2019s comprehensive encyclopedia of human anatomic variation","author":"RS Tubbs","year":"2016","unstructured":"Tubbs RS, Shoja MM, Loukas M. Bergman\u2019s comprehensive encyclopedia of human anatomic variation. New York: Wiley; 2016."},{"key":"5774_CR3","doi-asserted-by":"publisher","first-page":"584","DOI":"10.1097\/00000658-191805000-00012","volume":"67","author":"B Lipshutz","year":"1918","unstructured":"Lipshutz B. A composite study of the hypogastric artery and its branches. Ann Surg. 1918;67:584\u2013608. https:\/\/doi.org\/10.1097\/00000658-191805000-00012.","journal-title":"Ann Surg"},{"key":"5774_CR4","doi-asserted-by":"publisher","first-page":"776","DOI":"10.5603\/FM.a2020.0110","volume":"80","author":"S Kostov","year":"2021","unstructured":"Kostov S, Slavchev S, Dzhenkov D, et al. Corona mortis, aberrant obturator vessels, accessory obturator vessels: clinical applications in gynaecology. Folia Morphol (Warsz). 2021;80:776\u201385. https:\/\/doi.org\/10.5603\/FM.a2020.0110.","journal-title":"Folia Morphol (Warsz)"},{"key":"5774_CR5","doi-asserted-by":"publisher","first-page":"302","DOI":"10.1016\/j.injury.2017.12.007","volume":"49","author":"B Sanna","year":"2018","unstructured":"Sanna B, Henry BM, Vikse J, et al. The prevalence and morphology of the corona mortis (crown of death): a meta-analysis with implications in abdominal wall and pelvic surgery. Injury. 2018;49:302\u20138. https:\/\/doi.org\/10.1016\/j.injury.2017.12.007.","journal-title":"Injury"},{"key":"5774_CR6","doi-asserted-by":"publisher","first-page":"526","DOI":"10.1016\/j.ygyno.2010.08.033","volume":"119","author":"DM O\u2019Dey","year":"2010","unstructured":"O\u2019Dey DM, Bozkurt A, Pallua N. The anterior obturator artery perforator (aOAP) flap: surgical anatomy and application of a method for vulvar reconstruction. Gynecol Oncol. 2010;119:526\u201330. https:\/\/doi.org\/10.1016\/j.ygyno.2010.08.033.","journal-title":"Gynecol Oncol"},{"key":"5774_CR7","doi-asserted-by":"publisher","first-page":"4932","DOI":"10.3390\/jcm12154932","volume":"12","author":"G Brachini","year":"2023","unstructured":"Brachini G, Matteucci M, Sapienza P, et al. Systematic review and meta-analysis of the variants of the obturatory artery. J Clin Med. 2023;12:4932. https:\/\/doi.org\/10.3390\/jcm12154932.","journal-title":"J Clin Med"},{"key":"5774_CR8","doi-asserted-by":"publisher","first-page":"152167","DOI":"10.1016\/j.aanat.2023.152167","volume":"251","author":"Z Marvanova","year":"2024","unstructured":"Marvanova Z, Kachlik D. The anatomical variability of obturator vessels: systematic review of literature. Ann Anat. 2024;251:152167. https:\/\/doi.org\/10.1016\/j.aanat.2023.152167.","journal-title":"Ann Anat"},{"key":"5774_CR9","doi-asserted-by":"publisher","first-page":"1313","DOI":"10.1007\/s00192-011-1467-3","volume":"22","author":"JR Sa\u00f1udo","year":"2011","unstructured":"Sa\u00f1udo JR, Mirapeix R, Rodriguez-Niedenf\u00fchr M, et al. Obturator artery revisited. Int Urogynecol J. 2011;22:1313\u20138. https:\/\/doi.org\/10.1007\/s00192-011-1467-3.","journal-title":"Int Urogynecol J"},{"key":"5774_CR10","doi-asserted-by":"publisher","first-page":"546","DOI":"10.3390\/diagnostics10080546","volume":"10","author":"G Granite","year":"2020","unstructured":"Granite G, Meshida K, Wind G. Frequency and clinical review of the aberrant obturator artery: a cadaveric study. Diagnostics. 2020;10:546. https:\/\/doi.org\/10.3390\/diagnostics10080546.","journal-title":"Diagnostics"},{"key":"5774_CR11","doi-asserted-by":"publisher","first-page":"2165","DOI":"10.1016\/j.ajog.2005.07.033","volume":"193","author":"PG Drewes","year":"2005","unstructured":"Drewes PG, Marinis SI, Schaffer JI, et al. Vascular anatomy over the superior pubic rami in female cadavers. Am J Obstet Gynecol. 2005;193:2165\u20138. https:\/\/doi.org\/10.1016\/j.ajog.2005.07.033.","journal-title":"Am J Obstet Gynecol"},{"key":"5774_CR12","doi-asserted-by":"publisher","first-page":"e80","DOI":"10.3928\/01477447-20111122-25","volume":"35","author":"J Garrido-G\u00f3mez","year":"2012","unstructured":"Garrido-G\u00f3mez J, Pena-Rodr\u00edguez C, Mart\u00edn-Noguerol T, Hern\u00e1ndez-Cortes P. Corona mortis artery avulsion due to a stable pubic ramus fracture. Orthopedics. 2012;35:e80\u20132. https:\/\/doi.org\/10.3928\/01477447-20111122-25.","journal-title":"Orthopedics"},{"key":"5774_CR13","doi-asserted-by":"publisher","first-page":"957","DOI":"10.1111\/os.12679","volume":"12","author":"M Du","year":"2020","unstructured":"Du M, Wang A, Shi X, et al. Safety precautions for the corona mortis using minimally invasive ilioinguinal approach in treatment of anterior pelvic ring fracture. Orthop Surg. 2020;12:957\u201363. https:\/\/doi.org\/10.1111\/os.12679.","journal-title":"Orthop Surg"},{"key":"5774_CR14","doi-asserted-by":"publisher","first-page":"rju081","DOI":"10.1093\/jscr\/rju081","volume":"2014","author":"M Ramser","year":"2014","unstructured":"Ramser M, Messmer AS, Zbinden I, et al. Incarcerated obturator hernia\u2014laparoscopic repair with intraoperative view of the corona mortis. 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The research was conducted in accordance with the permitted criteria throughout the subsequent phases.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Bioethical Committee"}},{"value":"None.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflicts of Interest"}}]}}