Gray's Tract III

Question 1

Patient has acute abdominal pain and jaundice. There is a tumor in the head of the pancreas. Which structure is most likely obstructed?

Answer 1

The common bile duct is located at the head of the pancreas and receives content from the cystic duct and hepatic duct.

Question 2

The gastroduodenal ligament is ligated. A branch of which artery will continue to supply blood to the pancreas?

Answer 2

The SMA will supply the pancreas (through the inf. pancreaticoduodenal a.).

Question 3

A patient has esophageal varices. The varices are most likely a result of the anastomoses between the left gastric vein and which other vessel or vessels?

Answer 3

Esophageal varices are dilated veins in the submucosa of the lower esophagus. The left gastric vein and the esophageal veins of the azygos system form a portal-caval anastomosis.

Question 4

name the esophageal, paraumbilical and rectal portacaval anastomoses

Answer 4

Question 5

There is a tumor in the tail of the pacreas. The tumor has compromised the blood supply to another organ. Which organ is most likely to have its blood supply compromised?

Answer 5

The splenic artery is located at the termination of the pancreatic tail.

Question 6

A woman fractured the 9th and 10th rib on her left side and she has intraabdominal bleeding. Which organ is most likely injured?

Answer 6

The spleen rests against the diaphragm and ribs 9, 10 and 11 in the left hypochondriac area.

Question 7

Diverticulosis has been affecting the distal part of the descending colon. Which dermatome would pain most likely be referred to?

Answer 7

L1, L2

Question 8

Laceration of the body of the pancreas is seen with hemorrhage around the vessel traveling along the superior border of the pancreas. Which vessel is this?

Answer 8

The splenic artery is the largest branch of the celiac trunk that takes a tortuous course to the left along the superior border of the pancreas.