ABSTRACT
During routine dissection of abdomen an accessory leftgastric artery was found arising from the splenic arteryin one out of 30 adult formalin fixed cadavers in theDepartment of Anatomy, Kasturba Medical CollegeManipal. The origin of left gastric artery was normal.The accessory artery was running upwards behind usualleft gastric artery and run along lesser curvature of thestomach and also gave oesophageal branch supplyingthe lower part of esophagus. Before attempting anysurgical procedure on stomach or lower end ofoesophagus, preoperative evaluation of the arterialpattern and variations is desirable for correct surgicalapproach and to reduce postoperative complications.However, accessory left gastric origin from splenicartery becomes important to be noted when the patientundergoes angiography for diagnostic bleeding orduring trans catheter therapy. Knowledge about thesevariations is also important to be noted prior to surgeryin order to prevent postoperative complications whichwould be fatal.
ABSTRACT
Furcal perforations are significant iatrogenic complications of endodontic treatment and could lead to endodontic failure.Successful treatment depends on the immediate sealing of the perforation and prevention of infection. Several materials usedinitially to repair the perforation were considered inadequate due to their bacterial leakage and lack of biocompatibility to theunderlying tissues. Recently, mineral trioxide aggregate (MTA) has been regarded as an ideal material for perforation repair,retrograde filling, pulp capping, and apexification. Successful management of an iatrogenic furcal perforation using MTA onmandibular first molar is described in this case report. The tooth was endodontically treated and coronally restored with resincomposite. After 6 months, the absence of periradicular radiolucent lesion indicated a successful outcome of sealing the furcalperforation using MTA.