{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T00:06:53Z","timestamp":1756339613253,"version":"3.44.0"},"reference-count":12,"publisher":"BMJ","issue":"4","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2024,3,29]]},"published-print":{"date-parts":[[2024,4]]},"abstract":"<jats:p>Corona mortis (CM) is an anastomotic vessel between the inferior epigastric or external iliac vessels and the obturator or internal iliac vessels. The Latin meaning of it is \u2018crown of death\u2019 which corresponds to massive haemorrhage caused by injury to this vessel during surgery. The incidence of this vessel is around 50% in the hemipelvis. We are presenting an intraoperative video of a right laparoscopic totally extraperitoneal mesh hernioplasty demonstrating a CM artery in the right hemipelvis. Care was taken to prevent injury to this vessel. CO<jats:sub>2<\/jats:sub> insufflation pressure was reduced to less than 10\u2009mm Hg to see any venous variant of this vessel. Carefully, polypropylene mesh was placed without a fixation device. Anatomical knowledge of the CM vessel is therefore essential in preventing injury for surgeons who approach the inguinal and retropubic regions.<\/jats:p>","DOI":"10.1136\/bcr-2024-259775","type":"journal-article","created":{"date-parts":[[2024,4,8]],"date-time":"2024-04-08T13:30:35Z","timestamp":1712583035000},"page":"e259775","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Encountering the corona mortis vessel during laparoscopic totally extraperitoneal mesh hernioplasty and its significance"],"prefix":"10.1136","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5061-0902","authenticated-orcid":false,"given":"Vikram","family":"Saini","sequence":"first","affiliation":[{"name":"Surgery, Maharaja Agrasen Medical College, Agroha, Haryana, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sonali","family":"Alla","sequence":"additional","affiliation":[{"name":"Surgery, Maharaja Agrasen Medical College, Agroha, Haryana, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Himanshi","family":"Verma","sequence":"additional","affiliation":[{"name":"Surgery, Maharaja Agrasen Medical College, Agroha, Haryana, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Umesh","family":"Chhabra","sequence":"additional","affiliation":[{"name":"Surgery, Maharaja Agrasen Medical College, Agroha, Haryana, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2024,4,8]]},"reference":[{"key":"2025082713022374000_17.4.e259775.1","doi-asserted-by":"crossref","first-page":"108","DOI":"10.14740\/jocmr4062","article-title":"The anatomical characteristics of Corona mortis: a systematic review of the literature and its clinical importance in hernia repair","volume":"12","author":"Noussios","year":"2020","journal-title":"J Clin Med Res"},{"key":"2025082713022374000_17.4.e259775.2","doi-asserted-by":"crossref","first-page":"527","DOI":"10.1016\/j.ajem.2017.12.021","article-title":"Life-threatening hemorrhage from the Corona mortis treated with balloon-assisted coiling technique","volume":"36","author":"Xu","year":"2018","journal-title":"Am J Emerg Med"},{"key":"2025082713022374000_17.4.e259775.3","doi-asserted-by":"crossref","first-page":"776","DOI":"10.5603\/FM.a2020.0110","article-title":"Corona mortis, aberrant Obturator vessels, accessory Obturator vessels: clinical applications in Gynaecology","volume":"80","author":"Kostov","year":"2021","journal-title":"Folia Morphol (Warsz)"},{"key":"2025082713022374000_17.4.e259775.4","doi-asserted-by":"crossref","first-page":"17","DOI":"10.1007\/s00276-009-0534-7","article-title":"Anatomical considerations on the Corona mortis","volume":"32","author":"Rusu","year":"2010","journal-title":"Surg Radiol Anat"},{"key":"2025082713022374000_17.4.e259775.5","doi-asserted-by":"crossref","first-page":"1313","DOI":"10.1007\/s00192-011-1467-3","article-title":"Obturator artery Revisited","volume":"22","author":"Sa\u00f1udo","year":"2011","journal-title":"Int Urogynecol J"},{"key":"2025082713022374000_17.4.e259775.6","doi-asserted-by":"crossref","first-page":"251","DOI":"10.1016\/j.cjtee.2016.06.004","article-title":"A new concept and classification of Corona mortis and its clinical significance","volume":"19","author":"Al Talalwah","year":"2016","journal-title":"Chinese Journal of Traumatology"},{"key":"2025082713022374000_17.4.e259775.7","doi-asserted-by":"crossref","first-page":"302","DOI":"10.1016\/j.injury.2017.12.007","article-title":"The prevalence and morphology of the Corona mortis (crown of death): A meta-analysis with implications in abdominal wall and pelvic surgery","volume":"49","author":"Sanna","year":"2018","journal-title":"Injury"},{"key":"2025082713022374000_17.4.e259775.8","doi-asserted-by":"crossref","first-page":"e519","DOI":"10.5114\/pjr.2018.81441","article-title":"Corona mortis variant of the Obturator artery: a systematic study of 300 Hemipelvises by means of computed tomography angiography","volume":"83","author":"Perandini","year":"2018","journal-title":"Pol J Radiol"},{"key":"2025082713022374000_17.4.e259775.9","doi-asserted-by":"crossref","first-page":"897","DOI":"10.1590\/S1807-59322009000900011","article-title":"Variability in the origin of the Obturator artery","volume":"64","author":"Pai","year":"2009","journal-title":"Clinics (Sao Paulo)"},{"key":"2025082713022374000_17.4.e259775.10","doi-asserted-by":"crossref","first-page":"169","DOI":"10.1111\/ases.12416","article-title":"Life\u2010Threatening hemorrhage from the Corona mortis after Laparoscopic Inguinal hernia repair: R Eport of a case","volume":"11","author":"Yasuda","year":"2018","journal-title":"Asian J Endosc Surg"},{"key":"2025082713022374000_17.4.e259775.11","article-title":"Major bleed post minimally invasive surgical repair of Inguinal hernia","volume":"12","author":"Gupta","year":"2020","journal-title":"Cureus"},{"key":"2025082713022374000_17.4.e259775.12","doi-asserted-by":"crossref","first-page":"100144","DOI":"10.1016\/j.avsurg.2022.100144","article-title":"Beware: the Corona Mortis,Crown of death","volume":"2","author":"Paz","year":"2022","journal-title":"Annals of Vascular Surgery - Brief Reports and Innovations"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2024-259775","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T20:02:28Z","timestamp":1756324948000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2024-259775"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,4]]},"references-count":12,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2024,4,8]]},"published-print":{"date-parts":[[2024,4]]}},"alternative-id":["10.1136\/bcr-2024-259775"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2024-259775","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2024,4]]}}}