The deep circumflex iliac artery (or deep iliac circumflex artery) is an
artery
An artery (plural arteries) () is a blood vessel in humans and most animals that takes blood away from the heart to one or more parts of the body (tissues, lungs, brain etc.). Most arteries carry oxygenated blood; the two exceptions are the pu ...
in the
pelvis that travels along the
iliac crest
The crest of the ilium (or iliac crest) is the superior border of the wing of ilium and the superiolateral margin of the greater pelvis.
Structure
The iliac crest stretches posteriorly from the anterior superior iliac spine (ASIS) to the poste ...
of the
pelvic bone
The hip bone (os coxae, innominate bone, pelvic bone or coxal bone) is a large flat bone, constricted in the center and expanded above and below. In some vertebrates (including humans before puberty) it is composed of three parts: the ilium, ischiu ...
.
Course
The deep circumflex iliac artery arises from the lateral aspect of the
external iliac artery
The external iliac arteries are two major arteries which bifurcate off the common iliac arteries anterior to the sacroiliac joint of the pelvis.
Structure
The external iliac artery arises from the bifurcation of the common iliac artery. ...
nearly opposite the origin of the
inferior epigastric artery
In human anatomy, inferior epigastric artery refers to the artery that arises from the external iliac artery. It anastomoses with the superior epigastric artery. Along its course, it is accompanied by a similarly named vein, the inferior epigas ...
.
It ascends obliquely and laterally, posterior to the
inguinal ligament, contained in a fibrous sheath formed by the junction of the
transversalis fascia
The transversalis fascia (or transverse fascia) is a thin aponeurotic membrane of the abdomen. It lies between the inner surface of the transverse abdominal muscle and the parietal peritoneum.
It forms part of the general layer of fascia lining ...
and
iliac fascia
The iliac fascia, or Abernethy's fascia, is a fascia in the region of the ilium of the pelvis.
It has the following connections:
* ''laterally'', to the whole length of the inner lip of the iliac crest.
* ''medially'', to the linea terminalis of ...
. It travels to the
anterior superior iliac spine
The anterior superior iliac spine ( abbreviated: ASIS) is a bony projection of the iliac bone, and an important landmark of surface anatomy. It refers to the anterior extremity of the iliac crest of the pelvis. It provides attachment for the in ...
, where it anastomoses with the ascending branch of the
lateral femoral circumflex artery.
It then pierces the
transversalis fascia
The transversalis fascia (or transverse fascia) is a thin aponeurotic membrane of the abdomen. It lies between the inner surface of the transverse abdominal muscle and the parietal peritoneum.
It forms part of the general layer of fascia lining ...
and passes medially along the inner lip of the crest of the
ilium
Ilium or Ileum may refer to:
Places and jurisdictions
* Ilion (Asia Minor), former name of Troy
* Ilium (Epirus), an ancient city in Epirus, Greece
* Ilium, ancient name of Cestria (Epirus), an ancient city in Epirus, Greece
* Ilium Building, a ...
to a point where it perforates the
transversus abdominis muscle
The transverse abdominal muscle (TVA), also known as the transverse abdominis, transversalis muscle and transversus abdominis muscle, is a muscle layer of the anterior and lateral (front and side) abdominal wall which is deep to (layered below) th ...
. From there, it travels posteriorly between the transversus abdominis muscle and the
internal oblique muscle to anastomose with the
iliolumbar artery and the
superior gluteal artery
The superior gluteal artery is the largest and final branch of the internal iliac artery. It is the continuation of the posterior division of that vessel. It is a short artery which runs backward between the lumbosacral trunk and the first sacral ...
.
Opposite the
anterior superior iliac spine
The anterior superior iliac spine ( abbreviated: ASIS) is a bony projection of the iliac bone, and an important landmark of surface anatomy. It refers to the anterior extremity of the iliac crest of the pelvis. It provides attachment for the in ...
of the
ilium
Ilium or Ileum may refer to:
Places and jurisdictions
* Ilion (Asia Minor), former name of Troy
* Ilium (Epirus), an ancient city in Epirus, Greece
* Ilium, ancient name of Cestria (Epirus), an ancient city in Epirus, Greece
* Ilium Building, a ...
, it gives off a large ascending branch. This branch ascends between the internal oblique muscle and the transversus abdominis muscle, supplying them, and anastomosing with the
lumbar arteries
The lumbar arteries are arteries located in the lower back or lumbar region. The lumbar arteries are in parallel with the intercostals.
They are usually four in number on either side, and arise from the back of the aorta, opposite the bodies o ...
and
inferior epigastric artery
In human anatomy, inferior epigastric artery refers to the artery that arises from the external iliac artery. It anastomoses with the superior epigastric artery. Along its course, it is accompanied by a similarly named vein, the inferior epigas ...
.
The deep circumflex artery serves as the primary blood supply to the anterior iliac crest bone flap.
Additional images
File:Gray577.png, The venæ cavæ and azygos veins, with their tributaries.
File:Gray585.png, The veins of the right half of the male pelvis.
File:Thigh arteries schema.svg, Schema of the arteries arising from the external iliac and femoral arteries.
References
External links
Photo at lumen.lumc.edu*
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Arteries of the abdomen