High bifurcation of Brachial artery with brachio-radial anamoly

Right upper limb with high bifurcation of brachial artery with brachio-radial anamoly

Wandering/Floating Gall bladder

 2 Liver specimens showing the fundus of the Gall bladder lying within the inferior surface of the liver (not able to reach the inferior border)

Inferior surface of Liver

The images above show the Gall bladder lying out of the inferior surface of liver and extending much beyond the inferior border.
The gall bladder fossa is covered by peritoneum.

Last 4 images

Gall bladder is lifted up along its body, fundus and cystic duct in different directions showing that it is not lying in its fossa

CME on pancreas

Anatomy of pancreas presented by Dr.Sreekanth.T

For complete power point presentation kindly click the below link
http://www.slideshare.net/abdurrahmanhaq/cme-pancreas2

Thyroid gland ppt

Presentation on Anatomy of the Thyroid gland presented by Dr.sreekanth.T

 For complete PPT presentation follow the link below

http://www.slideshare.net/abdurrahmanhaq/anatomy-of-thyroid-gland-cme

wandering or floating(gall blader without galbladder fossa)

the floating galbladder being lifted to the extreme right surface of the liver.

the galbladder is lifted up to the extereme left side of the liver.the fundus ,body and cystic duct were all being lifted upfrom the inferior surface.s

            the galbladder is fully lifted up from the inferior surface,the peritoneum is seen covering the entire gal bladder fossa.

the fundus of the galbladder is not  reaching(falling short of) the inferior border of the liver

the small gal bladder in its fossa ,not able to reach the inferior border of the livSer

wandering or floatinggalbladder seen on inferior surface of the liver, there is  no gal bladder fossa

 

liver with diaphragmatic fissure

Accessory renal artery

Left kidney with twin accessory renal arteries

During the routine dissection hours a cadaver displayed a left kidney supplied by two accessory renal arteries which branched out from the aorta and had a sinuous course.  The main renal artery (MRA) was seen  entering into the hilum behind the main renal vein(MRV) .

The first accessory renal artery(ARA-1)  branched from the left lateral side of the aorta just above the level  of superior mesenteric artery.

It was running laterally showing a kink almost in the centre of its course. It entered into the  kidney through the anterior substance of the kidney just above the hilum.

A  segmental branch was seen entering the hilum lying anterior to the main renal vein.

The 2^nd accessory renal artery(ARA-2) was seen arising about 5.7 cms below the origin of superior mesenteric artery(SMA) .  It is longer than the 1^st accessory renal artery  extending laterally from the aorta it is seen entering into the left kidney just below the renal pelvis. A gonadal branch was seen branching out . The left gonadal vein( LGV) is seen draining into the left renal vein .

The hilum was extending over to the anterior surface of the kidney and crowding of the vascular structures was seen . However the pelvis remained most posterior .

Clinical significance

Presence of such twin renal arteries can complicate the interpretation of renal angiograms and challenge the urologists performing laparoscopic and renal transplantation procedures   

Acknowledgements:

Special thanks to  Manisha , swatika, Atif , kareem and Shahzeb zaman.( MBBS students of 2010-11 batch Shadan Medical College . Hyderabad . India)