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Case Report
Langar’s axillary arch; a misguiding finding to the physicians and unexpected barrier to the surgeons
1 University of Duhok, College of Medicine, Department of General Surgery, Duhok, Kurdistan Region, Iraq
2 University of Duhok, College of Medicine, Department of General Surgery, Duhok, Kurdistan Region, Kurdistan Region, Iraq
3 2University of Sulaimani, College of Medicine, Department of General Surgery, Sulaimani, Kurdistan Region, Iraq
4 Kscien organization, Hamdi Str. Azadi Mall, Sulaimani, Kurdistan Region, Iraq
Address correspondence to:
Fahmi Hussein Kakamad
Doctor City, 11th Building, Apartment 50, Sulaimani, Kurdistan region,
Iraq
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Article ID: 100966Z01SA2018
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How to cite this article
Arif SH, Mohammed AA, Salih AM, Kakamad FH. Langar’s axillary arch; a misguiding finding to the physicians and unexpected barrier to the surgeons. Int J Case Rep Images 2018;9:100966Z01SA2018.ABSTRACT
Introduction: Variation in the axillary anatomy is of tremendous practical relevance along almost all operations executed in this area. The aim of this study is to report and discuss a case with the axillary arch of Langer.
Case Report: A 48-year-old lady presented to the clinic with a right breast mass sized about 3×2.5 cm in the upper outer quadrant for a 6-month duration. The mass was proved to be malignant. During mastectomy and axillary lymph node dissection, an abnormal muscle was encountered that crossed the axilla in front of the axillary vessels and extended from the pectoralis major muscle to the latissmus dorsi.
Conclusion: Axillary arch of Langer is a rare but crucial anatomical variation of the axillary region required to be known by every physician and surgeon dealing with pathologies in this region to promote their assessment and dissection skill.
Keywords: Axillary arch, Axillary lymph node dissection, Langar’s muscle, Latissmus dorsi muscle
SUPPORTING INFORMATION
Author Contributions
Sardar Hassan Arif - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Ayad Ahmad Mohammed - Substantial contributions to conception and design, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Abdulwahid M. Salih - Substantial contributions to conception and design, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Fahmi Hussein Kakamad - Substantial contributions to conception and design, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Guaranter of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this case report.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2018 Sardar Hasan Arif et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
