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Internal iliac artery

Introduction

Course

Relations

Branches
Anterior division

Posterior division
Anterior division
1. Obliterated umbilical
2. Superior vesical artery
3. Inferior vesical artery
4. Middle rectal artery
5. Obturator artery
6. Uterine artery
7. Internal pudendal
8. Inferior gluteal
Obliterated umbilical


Superior vesical artery

1. Upper surface of bladder,
2. Terminal part of ureter
3. Vas deferens
Inferior vesical
1. Base of bladder,
2. terminal part of
ureter,
3. seminal vesicle,
4. ampulla of vas
deferens
Middle rectal artery

Lower part of
Rectum
Twigs to bladder
Seminal vesicle
Obturator artery
1. Urinary bladder
2. Nutrient br to
ilium
3. Pubic br
Uterine artery& vaginal A
Uterus
Bladder
Terminal part of
ureter
Fallopian tube
ovary
Inferior gluteal

Internal pudendal artery

Branches of internal pudendal artery
Inferior rectal artery
Perineal branch
Artery to bulb of penis vestibule
Deep artery of penis or clitoris
Dorsal artery of penis or clitoris
Posterior division
1. Ilio lumbar

2. Superior gluteal

3. Lateral sacral arteries

Ilio lumbar


Superior gluteal


Lateral sacral arteries

Applied anatomy

Ligation of ILA
Therapeutic ligation may become necessary:
(1) Before or after hysterectomy for postpartum
haemorrhage
(2) Where bleeding continues from the base
of the broad ligament;
(3) Where there is profuse bleeding from the
pelvic side-wall;
(4) Where there is profuse bleeding from the
angle of the vagina;
(5) Where areas of diffuse bleeding are present
without a clearly identifiable vascular
bed;
(6) In the case of ruptured uterus in which the
uterine artery may be torn at the site of its
origin from the internal iliac artery;
.
(7) When there are additional indications
including atony of the uterus where
conventional methods have failed;
(8) Where extensive lacerations of the
cervix have occurred following difficult
instrumental delivery;
(9) Where there is significant bleeding from
the lower part of the broad ligament;
(10) When there are gunshot wounds to the
lower abdomen;
(11) In the case of fracture of the pelvis and
intraperitoneal hemorrhage