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120 ver the pelvic brim, anterior to the sacroiliac joint, at the level of the first sacral vertebra (S1), the common iliac artery divides into two branches. External iliac artery, which is a direct extension, lies medial to the psoas major muscle; and once the artery advances inferior to the inguinal ligament, its distal continuation comes to be known as the femoral artery. Internal iliac artery courses inferiorly, downwards to the level of the greater sciatic foramen. It is the main artery supplying blood to the uterus, vagina, bladder, and urethra via the anterior division (internal pudendal artery, inferior gluteal artery, obturator artery, uterine artery, superior vesical artery, inferior vesical artery, middle rectal artery). The posterior division (superior gluteal artery, ilio-lumbar artery and lateral sacral artery) supplies blood mainly to the gluteal region, medial thigh and hip joints.1,2

Ligation of Internal Iliac Artery: Educational Video with Basic Steps and Key Points