115 - Imaging of the Abdomen 2

Question 1

Location of left and right adrenals

Answer 1

Right adrenal sits in a more suprarenal position.

Left adrenal sits more medially

Question 2

Relative positions of the superior mesenteric vessels and head of the pancreas

Answer 2

Head of the pancreas always to the right of superior mesenteric vessels

Question 3

Relative amounts of blood entering liver

Answer 3

75% from portal vein.

25% from hepatic artery.

Question 4

Number of main hepatic veins

Answer 4

Three

Question 5

How is a coeliac angiogram performed?

Answer 5

Pass catheter through femoral artery, through aorta into coeliac artery.
Quickly inject contrast, rapidly take a series of X-rays.

Question 6

Indirect portography

Answer 6

After performing a coeliac angiogram, contrast flows to spleen via splenic artery.

Question 7

How is liver divided into lobes?

Answer 7

Now divide liver into R and L lobes by middle hepatic vein (roughly where the gallbladder sits).
Used to be divided by falciform ligament.