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This rare, potentially life-threatening syndrome is typically caused by an angle of 6–25° between the AA and the SMA, in comparison to the normal range of 38–56°, due to a lack of retroperitoneal and visceral fat (mesenteric fat). In addition, the aortomesenteric distance is 2–8 millimeters, as opposed to the typical 10–20. [1]
the third part of the duodenum, a segment of the small intestines (can be compressed by the SMA at this location, leading to superior mesenteric artery syndrome). uncinate process of pancreas - this is a small part of the pancreas that hooks around the SMA. The SMA typically runs to the left of its associated vein, the superior mesenteric vein ...
[1] [2] The name derives from the fact that, in the sagittal plane and/or transverse plane, the SMA and AA (with some imagination) appear to be a nutcracker crushing a nut (the renal vein). There is a wide spectrum of clinical presentations and diagnostic criteria are not well defined, which frequently results in delayed or incorrect diagnosis. [1]
Schematic image of the blood supply to the human stomach: left and right gastric artery, left and right gastroepiploic artery and short gastric arteries [15] The lesser curvature of the human stomach is supplied by the right gastric artery inferiorly and the left gastric artery superiorly, which also supplies the cardiac region.
The periaortic lymph node group is divided into three subgroups: preaortic, paraaortic, and retroaortic: The preaortic group drains the gastrointestinal viscera. They can be subdivided into three groups: the celiac nodes, the superior mesenteric nodes, and the inferior mesenteric nodes.
The IMA arises from the anterior aspect of the abdominal aorta. [2] [3]Its origin is situated at the L3 vertebral level, [2] [3] below the origins of the two renal arteries, [3] 3-4 cm above the aortic bifurcation, [3] [2] at the level of the umbilicus, and posterior to the inferior border of the horizontal (III) part of the duodenum.
The signs and symptoms of colitis are quite variable and dependent on the cause of the given colitis and factors that modify its course and severity. [2]Common symptoms of colitis may include: mild to severe abdominal pains and tenderness (depending on the stage of the disease), persistent hemorrhagic diarrhea with pus either present or absent in the stools, fecal incontinence, flatulence ...
Images are produced using contrast medium by subtracting a "pre-contrast image" or mask from subsequent images, once the contrast medium has been introduced into a structure. Hence the term "digital subtraction angiography. [1] [2] Subtraction angiography was first described in 1935 and in English sources in 1962 as a manual technique. Digital ...