• When venous occlusion occurs, blood backflows into the pampiniform plexus and a varicocele forms. (picmonic.com)
  • According to ISGPS definitions, the tumor contact to the celiac trunk, more than 180° abutment to the superior mesenteric artery, infiltration of the inferior vena cava, unreconstructable superior mesenteric vein or occlusion of the portal vein, or aortic invasion or encasement are considered signs of locally advanced pancreatic cancer [ 12 ]. (biomedcentral.com)
  • An emergency CT scan of the abdomen revealed occlusion of the distal superior mesenteric artery. (biomedcentral.com)
  • Mesenteric vessel occlusion has long been the sole cause of acute mesenteric ischemia. (springeropen.com)
  • Magnetic resonance angiogram of the recipient celiac axis depicts complete occlusion of the hepatic artery. (medscape.com)
  • CT images at 1 and 6 months following SPDP were compared with preoperative images to evaluate postoperative changes in vascular patency and to determine whether the analysed vessel was a native or collaterals that developed after surgery following the possible occlusion of the original spleenic artery or vein. (symbiosisonlinepublishing.com)
  • Mesenteric occlusion was first described by Virchow in 1859. (com.bd)
  • According to Gallavardin, the most frequent cause of mesenteric occlusion is mitral stenosis, the next most common cause being probably arterio-sclerosis. (com.bd)
  • Descending behind the organ are the superior rectal vessels (Fig. 5.7), the hypogastric plexus of autonomic nerves and, on each side of the midline, the sympathetic trunk and sacral plexus. (pediagenosis.com)
  • The splenic artery branches out into five vessels once it reaches the spleen, each of which supplies a different portion of the organ. (shiken.ai)
  • The superior mesenteric vessels cross the anterior surface of the uncinate process and separate it from the neck of the gland, which lies in front of the superior mesenteric vein and the commencement of the portal vein. (pediagenosis.com)
  • No sign of invasion of the hepatic pedicle or of the superior mesenteric vessels were observed. (spandidos-publications.com)
  • The proximity of the middle colic vessels to the superior mesenteric vessels contributes to the complexity of this step, making it challenging for less-trained surgeons. (e-jmis.org)
  • The lymphatic vessels of the proximal transverse colon drain into the lymph nodes associated with the superior mesenteric artery and the middle and right colic arteries, while the vessels of the distal transverse colon drain into the nodes associated with the inferior mesenteric and left colic arteries. (e-jmis.org)
  • the iliac branches of the iliolumbar vessels, the fourth lumbar artery, and the right kidney. (rasoulazizi.com)
  • Galen's (Claudius Galenus, 129 - 216 A.D.) false dogma that the organ functioned as a mechanical protective cushion for the mesenteric vessels was unchallenged until the seventeenth century (17). (pancreapedia.org)
  • Diagnosis is often made on computed tomographic angiography (CTA) where lack of contrast is noted in one or more of the mesenteric vessels. (mhmedical.com)
  • It lies posterior to the superior mesenteric vessels. (teachmeanatomy.info)
  • It overlies the superior mesenteric vessels which form a groove in its posterior aspect. (teachmeanatomy.info)
  • Body - centrally located, crossing the midline of the human body to lie behind the stomach and to the left of the superior mesenteric vessels. (teachmeanatomy.info)
  • Thrombosis of the mesenteric vessels is nearly always an extension of a primary lesion in the veins of the kidney, intestine or pelvis. (com.bd)
  • For nontraumatic abdominal emergencies, ultrasound is used to investigate biliary colic, pelvic pain in women, scrotal pathology in men, suspected appendicitis or intussusception in children, and lower-extremity deep venous thrombosis. (radiologykey.com)
  • Persistent hematuria can precipitate renal vein thrombosis 4 . (radiopaedia.org)
  • A computed tomography (CT) scan showed ischemia of the small intestines as a result of superior mesenteric vein thrombosis. (biomedcentral.com)
  • Further diagnostics for coagulation disorders were initiated, after developing a stroke and mesenteric thrombosis under direct oral anticoagulation. (biomedcentral.com)
  • A condition caused by one or more episodes of DEEP VEIN THROMBOSIS, usually the blood clots are lodged in the legs. (lookformedical.com)
  • Mechanical devices inserted in the inferior vena cava that prevent the migration of blood clots from deep venous thrombosis of the leg. (lookformedical.com)
  • One-year survival has been reported following transplantation of a living-related segment of a donor intestine [ 4 ] and in a 41-year-old woman with short gut syndrome (SGS) secondary to superior mesenteric artery thrombosis. (medscape.com)
  • A-1: Magnetic resonance angiogram in a transplantation patient with hepatic artery thrombosis. (medscape.com)
  • C-1: Gortex hepatic artery graft thrombosis in a 59-year-old man (shown by arrow). (medscape.com)
  • C-4: Splenic vein thrombosis of the same patient is marked by arrows. (medscape.com)
  • The arterial supply to the rectum is derived principally from the superior rectal artery (Fig. 5.7), the continuation of the inferior mesenteric artery (p. 182). (pediagenosis.com)
  • The spleen is highly vascular, and its arterial supply is mainly provided by the splenic artery, which runs laterally along the superior aspect of the pancreas within the splenorenal ligament. (shiken.ai)
  • The arterial supply of the large intestine is from the superior and inferior mesenteric arteries. (learnsurgeryonline.com)
  • The arterial supply of the right colon - that is, the caecum, ascending colon, hepatic flexure and right third or half of the transverse colon - is derived from the superior mesenteric artery, through its ileocolic, right colic and middle colic branches. (learnsurgeryonline.com)
  • The arterial supply of the left colon - that is, the distal one third of the transverse colon, descending colon and sigmoid colon - is derived from the inferior mesenteric artery, through its left colic, sigmoid and superior rectal branches. (learnsurgeryonline.com)
  • Arterial supply of the ascending colon comes from the ileocolic artery and right colic artery, both branches of the SMA. (rasoulazizi.com)
  • The superior rectal artery is the direct continuation of the inferior mesenteric artery and is the main arterial supply of the rectum. (tandf.co.uk)
  • Varicocele occurs when the pampiniform plexus of veins within the spermatic cord becomes dilated, due to obstruction of venous drainage. (picmonic.com)
  • The tip of the CVC was located peripherally in the venous drainage of the left lung. (biomedcentral.com)
  • The lymphatic drainage route of the colon generally mirrors that of the arterial circulation, in contrast to most of the anatomy, where lymphatic drainage mirrors the venous circulation. (e-jmis.org)
  • Obstruction of the splenic vein by an inflamed tail of the pancreas can lead to left-sided portal hypertension, gastric varices and GI bleeding. (medscape.com)
  • Imaging in the arterial phase can be performed to evaluate mesenteric ischemia, aortic dissection, or aneurysm, and can also be used to improve visualization of the pancreas in patients with upper abdominal pain. (radiologykey.com)
  • Middle colic artery - passes upwards on the body of the pancreas to reach the transverse mesocolon within which it divides to supply the right two-thirds of the transverse colon. (learnsurgeryonline.com)
  • Resectability and the degree of abutment of the tumor to the venous and arterial structures adjacent to the pancreas were reported. (biomedcentral.com)
  • The body of the pancreas crosses the aorta and usually covers the origins of its ventral branches, the coeliac trunk, the common hepatic and splenic branches of which are related to the superior border of the gland (Fig. 4.55), and the superior mesenteric artery, which emerges at the lower border (Fig. 4.53). (pediagenosis.com)
  • splenic artery serving the spleen, stomach, and pancreas. (slideserve.com)
  • The superior mesenteric artery supplies the small intestine and most of large intestine, and the pancreas. (slideserve.com)
  • and, after passing behind the root of the transverse mesocolon, it terminates, behind the neck of the pancreas, by uniting with the splenic vein to form the portal vein. (co.ma)
  • the middle colic vein joins it anterior to the lower border of the head of the pancreas, and close to its termination it receives the right gastro-epiploic and the pancreatico-duodenal veins. (co.ma)
  • It receives tributaries from both surfaces of the stomach, and near the pylorus turns posteriorly, in the right gastro-pancreatic fold of peritoneum, passes in front of the neck of the pancreas, and ends in the superior mesenteric vein. (co.ma)
  • it crosses the front of the abdominal aorta, immediately below the origin of the coeliac artery, and terminates, behind the neck of the pancreas, by joining the superior mesenteric vein to form the portal vein. (co.ma)
  • The pancreatic veins issue from the substance of the pancreas, and terminate directly in the splenic vein. (co.ma)
  • In transverse colon cancer, proximity to the pancreas and variation in arterial and venous anatomy make radical resection more difficult. (e-jmis.org)
  • The superior mesenteric artery lies behind the neck of the pancreas and anterior to the uncinate process. (teachmeanatomy.info)
  • As it journeys from its origin at the celiac plexus to the splenic hilum, the splenic artery traverses the superior border of the pancreas. (teachmeanatomy.info)
  • The pancreas is supplied by the pancreatic branches of the splenic artery . (teachmeanatomy.info)
  • The pancreatic veins draining the rest of the pancreas do so via the splenic vein. (teachmeanatomy.info)
  • The pancreas is cooled in situ with iced saline slush, then removed en bloc with the liver (for transplantation into a different recipient) and the 2nd portion of the duodenum containing the ampulla of Vater. (msdmanuals.com)
  • The donor iliac artery is used for reconstruction on the back table to reconstruct the splenic artery and superior mesenteric artery of the pancreas graft. (msdmanuals.com)
  • The nutcracker syndrome (NCS) results most commonly from the compression of the left renal vein (LRV) between the abdominal aorta (AA) and superior mesenteric artery (SMA), although other variants exist. (wikipedia.org)
  • Long described by urologists and nephrologists, it encompasses all manifestations associated with venous stasis induced by stricture of the left renal vein: either between the aorta and the superior mesenteric artery, or between the aorta and the spine. (journalajrrga.com)
  • Splanchnic Circulation Arteries serving the digestive organs are branches of the abdominal aorta. (slideserve.com)
  • Nutcracker syndrome is a vascular compression disorder that refers to the compression of the left renal vein, most commonly between the superior mesenteric artery (SMA) and aorta , although other variations can exist 1 . (radiopaedia.org)
  • The internal carotid artery is the rostral continuation of the dorsal aorta and lies in the roof of the primitive pharynx on each side of the hypophyseal pouch. (ehd.org)
  • After discussing with the patient the risks and the benefits of the surgical procedure, the patient was submitted to pancreatoduodenectomy en bloc with portal vein resection while the continuity of the portal vein was reestablished by using a cadaveric graft originating from the abdominal aorta. (spandidos-publications.com)
  • Noncontrast CT acquisitions were used to calculate calcium scores of the abdominal aorta, celiac trunk, superior mesenteric artery (SMA), and common iliac artery according to the Agatston method. (springeropen.com)
  • Silastic vessel loops are placed around the artery proximally, near the takeoff from the aorta, and distally, as well as on any side branches which should all be preserved ( figure 2 ). (mhmedical.com)
  • These images are from the arterial phase - note the intense high density in the abdominal aorta and, immediately anterior to it, the superior mesenteric artery. (svuhradiology.ie)
  • Venous revascularisation via left gonadal vein transposition in posterior nutcracker syndrome: case report. (journalajrrga.com)
  • In this section we will look at the colonic branches of the superior mesenteric artery. (learnsurgeryonline.com)
  • Its tributaries correspond with the branches of the superior mesenteric artery. (co.ma)
  • rterial supply to the colon comes from branches of the superior mesenteric artery (SMA) and inferior mesenteric artery (IMA). (rasoulazizi.com)
  • The apex of the mesentery overlies the left ureter anterior to the bifurcation of the left common iliac artery and the left sacroiliac joint. (learnsurgeryonline.com)
  • After each common iliac artery gives rise to a small axial artery to the lower limb bud, it continues into the umbilical cord as an umbilical artery carrying blood to the chorionic villi. (ehd.org)
  • Compression of the left common ILIAC VEIN by the right common ILIAC ARTERY against the underlying fifth LUMBAR VERTEBRA is the typical underlying malformation. (lookformedical.com)
  • The compression causes renal vein hypertension, leading to hematuria (which can lead to anemia) and abdominal pain (classically left flank or pelvic pain). (wikipedia.org)
  • Abdominal CT is obtained with intravenous contrast in the portal venous phase and oral contrast administered 45 to 90 minutes prior to the study. (radiologykey.com)
  • Right colic artery - ascends to the right behind the peritoneum of the posterior abdominal wall, across the right psoas and ureter, and divides into ascending and descending branches. (learnsurgeryonline.com)
  • The venous trunk which receives blood from the lower extremities and from the pelvic and abdominal organs. (lookformedical.com)
  • As embolisation of thrombus related to the atrial fibrillation was suspected to be the cause of the abdominal pain, a dual-phase (arterial and portal venous) CT of the abdomen was performed as this helps to identify changes of ischaemia. (svuhradiology.ie)
  • The posterior segmental artery supplies most of the posterior kidney, with the exception of the lower pole. (medscape.com)
  • The appendicular artery is a branch of the posterior caecal artery. (learnsurgeryonline.com)
  • It then turns posteriorly, in the left gastro-pancreatic fold, and reaches the posterior wall of the abdomen, where it again changes its direction to run from left to right, behind the omental bursa, to the right gastro-pancreatic fold, at the root of which it opens into the portal vein. (co.ma)
  • The arterial, venous, and lymphatic systems are all part of the vascular system, and the Department of Vascular and Endovascular Surgery at Malla Reddy Narayana Hospital offers a wide range of services for the diagnosis and treatment of vascular system-related disorders. (mallareddynarayana.com)
  • AMI is defined by the association of mesenteric vascular insufficiency (which can be occlusive or nonocclusive) with ischemic gut injury (which can be reversible or irreversible when transmural necrosis occurs). (springeropen.com)
  • A compression of ILIAC VEIN that results in a decreased flow in the vein and in the left LOWER EXTREMITY due to a vascular malformation. (lookformedical.com)
  • En este grupo se incluyen las enfermedades de las ARTERIAS, las VENAS y el resto del sistema vascular del organismo. (bvsalud.org)
  • Although risk factors of occlusive acute mesenteric ischemia are well known, triggering factors of nonocclusive mesenteric ischemia (NOMI) remain unclear. (springeropen.com)
  • Acute mesenteric fischemia may develop on top on chronic mesenteric ischemia due to an underlying atherosclerotic lesion, but may also occur de novo due to an embolic event. (mhmedical.com)
  • Acute mesenteric ischemia is a surgical emergency where time is of the essence to avoid full-thickness bowel necrosis and even death. (mhmedical.com)
  • The arteries should be surveyed for any signs of atherosclerosis and the bowel examined for any thickening, implying early ischemia or evidence of full-thickness necrosis. (mhmedical.com)
  • This condition is not to be confused with superior mesenteric artery syndrome, which is the compression of the third portion of the duodenum by the SMA and the AA. (wikipedia.org)
  • The anterior surface of the head is related to the first part of the duodenum, the transverse colon and the gastroduodenal artery (Fig. 4.53). (pediagenosis.com)
  • The uncinate process lies immediately superior to the horizontal duodenum. (pediagenosis.com)
  • Nutcracker syndrome should not be confused with superior mesenteric artery syndrome (Wilkie syndrome), also a superior mesenteric artery compression disorder , where the SMA compresses the third part of the duodenum (the two conditions, however, may be associated). (radiopaedia.org)
  • The left renal vein is longer than the right as it crosses the midline to reach the inferior vena cava (IVC). (medscape.com)
  • A vein on either side of the body which is formed by the union of the external and internal iliac veins and passes upward to join with its fellow of the opposite side to form the inferior vena cava. (lookformedical.com)
  • Venous insufficiency often occurs in the legs, and is associated with EDEMA and sometimes with VENOUS STASIS ULCERS at the ankle. (lookformedical.com)
  • on the left side the testicular vein drains into the left renal vein, while on the right side the testicular veins drains directly into the IVC. (picmonic.com)
  • Generally, the left gonadal vein drains into the left renal vein inferiorly, while the left suprarenal vein drains into the superior aspect of the renal vein at approximately the same level. (medscape.com)
  • Posteriorly, the left second lumbar vein typically drains into the left renal vein as well. (medscape.com)
  • When severe leg swelling leads to skin breakdown, it is called venous STASIS ULCER. (lookformedical.com)
  • Impaired venous blood flow or venous return (venous stasis), usually caused by inadequate venous valves. (lookformedical.com)
  • As soon as the artery supplying a particular part of the intestine becomes plugged, there promptly ensues an anæmia of the gut, venous stasis and loss of contractility following. (com.bd)
  • Occasionally the coronary vein terminates in it. (co.ma)
  • Pre-existing cardiovascular diseases or coronary artery diseases. (who.int)
  • The venous anastomosis is performed end to end to the medial EJV branch, and the arterial anastomosis is completed end to side to the CA. Both anastomoses are performed with interrupted 10‐0 nylon. (johnshopkins.edu)
  • The mesoappendix, containing the appendicular branch of the ileocolic artery (branch of superior mesenteric artery), descends behind the ileum. (medchrome.com)
  • The first branch off of the renal artery is the inferior suprarenal artery. (medscape.com)
  • These arteries branch into interlobar arteries, which travel in a parallel fashion in between the major calyces and then branch further into arcuate arteries that run within the cortex across the bases of the renal pyramids. (medscape.com)
  • it ascends along the cystic duct and, as a rule, terminates in the right branch of the portal vein. (co.ma)
  • The proximal two-thirds of the transverse colon is perfused by the middle colic artery, a branch of SMA, while the latter third is supplied by branches of the IMA. (rasoulazizi.com)
  • The superior mesenteric artery is the most commonly affected, and often the thrombus lodges at the site of the first branch. (mhmedical.com)
  • The right gastric vein is a small vessel which is formed by the union of tributaries from the upper parts of both surfaces of the stomach. (co.ma)
  • It runs from left to right along the right portion of the lesser curvature, between the layers of the lesser omentum, and terminates in the portal vein, after that vessel has entered the lesser omentum. (co.ma)
  • Historically, it has been believed that the arc of Riolan, or the meandering mesenteric artery (of Moskowitz), is a variable vessel connecting the proximal SMA to the proximal IMA that can be extremely important if either vessel is occluded. (rasoulazizi.com)
  • Peripancreatic fibrosis is usually a late finding that involves the portal and/or splenic veins. (medscape.com)
  • It supplies the ascending colon and anastomoses with the ileocolic and middle colic arteries. (learnsurgeryonline.com)
  • While the ileocolic artery is almost always present, the right colic may be absent in 5 15% of individuals. (rasoulazizi.com)
  • It receives the vasa brevia or short gastric veins, the left gastro-epiploic vein, the pancreatic veins, and the inferior mesenteric vein. (co.ma)
  • The spleen contains anterior, superior, posteromedial and inferior borders, with smooth posteromedial and inferior borders, and notched anterior and superior borders. (shiken.ai)
  • If the spleen becomes enlarged (a condition known as splenomegaly), the superior border moves inferiorly and the notches can be felt. (shiken.ai)
  • In enlargement of the spleen (known as splenomegaly), the superior border moves inferomedially, and its notches can be palpated. (shiken.ai)
  • The lower pole of the spleen and the greater curvature of the stomach with greater omentum attached lie superior to the splenic flexure. (learnsurgeryonline.com)
  • The splenic vein is formed by the union of five or six tributaries which issue from the hilum on the gastric surface of the spleen. (co.ma)
  • they pass backwards towards the spleen, in the gastro-splenic ligament, and terminate either in the trunk of the splenic vein or in one of its main tributaries. (co.ma)
  • At the left extremity of the lower part of the greater curvature of the stomach it enters the gastro-splenic ligament, through which it passes towards the hilum of the spleen, and it terminates in the commencement of the splenic vein. (co.ma)
  • Venous blood drains into the portal venous system via the superior rectal vein and its continuation, the inferior mesenteric vein. (pediagenosis.com)
  • it is a continuation of the popliteal vein and becomes the external iliac vein. (lookformedical.com)
  • In the recipient, the carotid artery (CA) and external jugular vein (EJV) are isolated. (johnshopkins.edu)
  • The patient is positioned supine on the operating table and the entire abdomen and anteromedial thighs should be prepared and draped, in case saphenous vein be needed for mesenteric bypass. (mhmedical.com)
  • These patients may also display gastroduodenal artery encasement including possible short segment encasement or direct abutment of the hepatic artery and less than 180° abutment of the superior mesenteric artery [ 8 ]. (biomedcentral.com)
  • This supply may be supplemented by middle rectal branches from the internal iliac arteries. (pediagenosis.com)
  • As the superior and middle rectal veins interconnect, the wall of the rectum is a site of portacaval anastomosis (p. 185). (pediagenosis.com)
  • these unite to form the superior rectal vein, which later becomes the inferior mesenteric vein. (tandf.co.uk)
  • Endovascular surgery, on the other hand, uses a minimally invasive technique to address conditions that impact the arteries, veins, and lymphatic system. (mallareddynarayana.com)
  • It is formed by the union of the ileo-cæcal and appendicular veins. (co.ma)
  • between the layers of the lesser omentum, and along the lesser curvature of the stomach with the left gastric artery, to the oesophagus, where it receives œsophageal tributaries. (co.ma)
  • Nausea and vomiting can result due to compression of the splanchnic veins. (wikipedia.org)
  • Because of the left side anatomy, a varicocele is more likely to occur around the left testicle, as more opportunities arise for venous compression, such as a left-sided renal carcinoma, or a dilated superior mesenteric artery compressing the left renal vein. (picmonic.com)
  • Mesoaortic compression of the left renal vein (nutcracker syndrome): Case reports and review ofthe literature. (journalajrrga.com)
  • In the absence of clinical symptoms, renal vein compression is referred to as nutcracker phenomenon or nutcracker anatomy, which can be a more common situation. (radiopaedia.org)
  • Compression of the left renal vein can occur primarily in two anatomic locations 10 . (radiopaedia.org)
  • Gastric gastrointestinal stromal tumor (GIST) en face. (medscape.com)
  • Selective masked injection in the superior mesenteric artery (red arrow) demonstrates a large arterial feeder with tumor staining (white arrows). (medscape.com)
  • It bifurcates into right and left common iliac arteries in the lower lumbar region. (ehd.org)
  • The kidneys are paired retroperitoneal structures that are normally located between the transverse processes of T12-L3 vertebrae, with the left kidney typically somewhat more superior in position than the right. (medscape.com)
  • They then radiate into interlobular arteries, which extend into the cortex of the kidney to finally become afferent arterioles, then peritubular capillaries to efferent arterioles. (medscape.com)
  • The formation or presence of a blood clot (THROMBUS) within a vein. (lookformedical.com)
  • Transjugular portography demonstrates extensive portal vein thrombus in the whole-liver allograft of a 40-year-old woman whose clinical condition rapidly deteriorated on postoperative day 39. (medscape.com)
  • The inferior mesenteric artery serves the large intestine. (slideserve.com)
  • Occasionally, the gonadal vein swelling may lead to ovarian vein syndrome in women. (wikipedia.org)
  • Orczyk K, Wysiadecki G, Majos A, Stefańczyk L, Topol M, Polguj M. What each clinical anatomist has to know about left renal vein entrapment syndrome (nutcracker syndrome): a review of the most important findings. (journalajrrga.com)
  • In certain situations, the syndrome can result from a retroaortic or circumaortic left renal vein . (radiopaedia.org)