open access

Ahead of Print
Case report
Published online: 2020-12-23
Submitted: 2020-09-24
Accepted: 2020-11-25
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Unusual variability of the superficial venous system of the upper limb and its consequences for deep one: case report

Z. M. Ziętek
DOI: 10.5603/FM.a2020.0147
·
Pubmed: 33438191

open access

Ahead of Print
CASE REPORTS
Published online: 2020-12-23
Submitted: 2020-09-24
Accepted: 2020-11-25

Abstract

In our report we would like to present a variation of the two main superficial veins of the upper limb. In all of 21 (88%) explored of upper limbs, the venous system shown a pattern similar to the anatomical textbook. But in four others (12%) venous patterns differed from those already described. Especially in one of them the variant of the veins of the upper limb distinctly contrasted with the others. In that case, the basilic and cephalic vein instead of the normal course to the arm, where they should bypass the elbow pit, unexpectedly merged in it and formed one of the two brachial veins. Towards the axillary cavity it ran laterally over the entire arm regardless of the second brachial vein. In the armpit cavity, instead of connecting with the second one, it gave rise to an independent the second vein - the accessory axillary vein.  This uniqueness was based on that an independently from deep venous system, the superficial one formed their own net. The accessory axillary vein and the second brachial vein were completely formed by two main superficial veins: the basilic and cephalic one. By describing this case we wanted to draw attention, that in any surgical procedure on the upper limbs, especially on the venous system there is a certain probability of encountering them. The another conclusion is that the catalog of patterns of them seems to be endless.

Abstract

In our report we would like to present a variation of the two main superficial veins of the upper limb. In all of 21 (88%) explored of upper limbs, the venous system shown a pattern similar to the anatomical textbook. But in four others (12%) venous patterns differed from those already described. Especially in one of them the variant of the veins of the upper limb distinctly contrasted with the others. In that case, the basilic and cephalic vein instead of the normal course to the arm, where they should bypass the elbow pit, unexpectedly merged in it and formed one of the two brachial veins. Towards the axillary cavity it ran laterally over the entire arm regardless of the second brachial vein. In the armpit cavity, instead of connecting with the second one, it gave rise to an independent the second vein - the accessory axillary vein.  This uniqueness was based on that an independently from deep venous system, the superficial one formed their own net. The accessory axillary vein and the second brachial vein were completely formed by two main superficial veins: the basilic and cephalic one. By describing this case we wanted to draw attention, that in any surgical procedure on the upper limbs, especially on the venous system there is a certain probability of encountering them. The another conclusion is that the catalog of patterns of them seems to be endless.

Get Citation

Keywords

venus system, upper limb, anatomical variation, surgery

About this article
Title

Unusual variability of the superficial venous system of the upper limb and its consequences for deep one: case report

Journal

Folia Morphologica

Issue

Ahead of Print

Article type

Case report

Published online

2020-12-23

DOI

10.5603/FM.a2020.0147

Pubmed

33438191

Keywords

venus system
upper limb
anatomical variation
surgery

Authors

Z. M. Ziętek

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