Anomalous Left testicular Artery Arising from left Accessory renal Artery and its Clinical implications.

Origin of the Testicular Artery variations were found during routine dissection of abdomen of the middle aged cadaver in the Dept of Anatomy, Govt. Medical College Jammu. On the left side there were two renal arteries, One of them was the main Renal artery which was originating from the anterolateral aspect of abdominal aorta and running to the hilum of the kidney in front of the renal vein The other was the Accessory Renal artery which was originating from anterolateral aspect of aorta 5mm above origin of main renal artery and going to the upper pole of the kidney. The origin of accessory renal artery and main renal artery was 4.2 and 9.2mm below the level of origin of superior mesentric artery. The left testicular artery was originating from the accessory renal artery and crossing the renal artery and the renal vein anteriorly before following its usual course in the posterior abdominal wall. Only one renal artery was seen on the right side arising from the anterolateral aspect of aorta. The right testicular artery originated 52mm below the origin of right renal artery and followed its normal course This anomaly is explained by embryological development of both kidneys and gonads from intermediate mesoderm of mesonephric crest. Further the vasculature of kidneys and gonads is derived from lateral mesonephric branches of dorsal aorta .Even though the condition presents as a silent renal anomaly (Undiagnosed throughout life and revealed only on autopsy) the surgical implications are noteworthy, which too have been highlighted in this report.

Effect of Malnutrition on the Sequence and Time of Appearance of the Ossification Centres of the Wrist and Hand in Malnourished Children.

Appearance of ossification centres of 500 malnourished children (250 boys and 250 girls) from birth to eight years was observed in the radiographs of the wrist i.e. lower end of radius and ulna and the hand i.e. carpals, metacarpals and phalanges. There was no marked difference in the sequence of appearance of ossification centres, capitate and hamate were first to appear followed by other bones as occurs in healthy children. The centres most commonly retarded in the hand and wrist in the children with malnutrition comprising the current series were the middle and distal phalanges and those least retarded were the capitate and hamate.