9. =A. iliaca externa= (Fig. 126, _k_).--The external iliac artery
passes obliquely caudad from the aorta, lying ventrad of the common
iliac vein and against the medial surface of the psoas minor muscle. It
passes onto the ventral surface of this and the iliopsoas and at the
same time reaches the tendon of the abdominal muscles; through a small
opening in this tendon lying ventrocaudad of that for the iliopsoas, it
leaves the abdominal cavity. On its emergence from the abdominal cavity
onto the medial surface of the thigh it receives the name =A. femoralis=
(_m_). The branches of the external iliac artery are described below
(page 309).
10. =A. hypogastrica= (or iliaca interna) (Fig. 126, _l_).--The
hypogastric or internal iliac arteries are given off from the aorta
usually within a centimeter caudad of the external iliac. Each passes
caudolaterad, lying on the medial side of the common iliac vein, and
divides into branches which supply the structures within the pelvis and
the muscles about the pelvic wall. There is much variation in the origin
and relations of the branches of this artery. The following seems to be
a very common arrangement: A very short distance from the origin the
=umbilical= artery (_n_) is given off. The hypogastric artery then
extends two or three centimeters and gives off =A. glutea superior=
(_p_), which passes at once to the pelvic wall. A little farther caudad
the hypogastric divides into the =middle hemorrhoidal= (_r_), to the
rectum, and the =glutea inferior= (_q_), which passes out of the
pelvis.
Branches of the hypogastric artery:
_a._ =A. umbilicalis= (Fig. 126, _n_).--This small artery arises from
the hypogastric about one centimeter from the beginning of the latter,
and passes ventrad to the bladder. Here it divides into two
branches--the =superior vesical= to the sides of the bladder, the
=inferior vesical= to the neck of the bladder and the urethra.
_b._ =A. glutea superior= (Fig. 126, _p_).--This passes dorsolaterad
from the hypogastric and reaches the pelvic wall against the medial
surface of the ilium. Here it divides into two branches. One passes
between the iliopsoas muscle and the ventral border of the ilium to the
medial surface of the gluteus maximus; it gives branches to the gluteus
muscles, the pyriformis, and the rectus femoris. The other branch passes
dorsad of the ilium, sending a branch to the medial surface of the
gluteus medius, and a small branch which joins the lateral sacral artery
and enters thus the sacral canal.
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