最新Abdominal Anatomy：腹部解剖幻灯片.ppt

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1、AbdominalAnatomy：腹部解剖Whatanatomicallydividestheliverintolobes(rightandleft)andsegments.Thehepaticveins.Middlehepaticveindividestherightandleftlobes.Therighthepaticveinsplitstherightlobeintoanteriorandposteriorsegments.Thelefthepaticveindividestheleftlobeintomedialandlateralsegments.LMRW

2、hatlobeoftheliverismarkedwiththearrowThecaudatelobeCanyouidentifythebrightstructuresurroundedbytheblackarrows?ThisistheleftportalveinCanyouidentifythebrightstructuremarkedbytheblackarrows?ThisistherightportalveinCanyouidentifythelowattenuatingstructuremarkedbytheblackarrowsThisisthecomm

3、onhepaticductWhatbranchoftheaortaismarkedThisistheceliactrunkWhatarethebranchesoftheceliactrunkCommonhepatic,splenicandleftgastricThisisasagittalimagefromaCTangiogram.Canyouidentifythevesselscomingoffoftheaorta?Solidarrow--celiactrunk.Dottedarrow--SMAThisisaCTangiogramoftheabdominalvess

4、els.Canyoupickouttheceliactrunk?Canyouseethe3branches:commonhepatic,splenicandleftgastric?CeliactrunkSplenicarteryCommonhepaticLeftgastricTheseare2sequentialcoronalimagesfromaCTangiogramshowingthepancreaticbloodsupply.Thisisthecommonhepaticarteryofftheceliactrunk.Whatbranchisthisextendi

5、nginferiorly?GastroduodenalarteryThisarteryisanatomizingwithwhicharterycomingofftheSMA?InferiorpancreaticoduodenalWhatisthisfluidandairfilledstructurebetweentheliverandspleen?ThisisthestomachWhatportionofcolondoyouseenanteriortothespleenandnexttothestomach?Thisisthesplenicflexure.Whatpa

6、rtofthepancreasisthis?ThebodyWhatpartifthepancreasisthis?Thisisthetailanditusuallyextendsfurtherovertowardsthespleen.Whatisthislowattenuationstructure(blackarrows)adjacenttothepancreas(whitearrows)CommonbileductWhatarethetinymetallicstructuresanteriortothecommonbileductHint:doesthispers

7、onhaveagallbladder?TheseareclipsfromacholecystectomyWhatisthisveinjustbehindthepancreas?SplenicveinWhatvenousstructuredoesthisjointomakeuptheportalvein?ThesplenicveinjoinsthesuperiormesentericveintomakeuptheportalveinWhatisthestructuresanteriorandnearthesuperioraspectsoftheleft