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Author11 Posts
  #1

A tumor associated with the 3rd part of Duodenum would lead to decreased blood flow to which vessel:

1- Superior mesenteric Artery.
2- Inferior mesenteric Artery.
3- Inferior Vena Cava.
4- Abdominal Aorta.
5- Splenic Artery.

___________________
Old IMG graduated in 1992.

  #2

IVC ?

  #3

Answer is

1- Superior mesenteric Artery.


___________________
Old IMG graduated in 1992.

  #4

can u pls post the explaniation.

  #5

any one can explain ????????????????????

  #6

Superior mesenteric artery, both 3rd part of duodenum and head of pancreas lie adjacent to that vessel, and it is common that tumors arising there invade the SMA.

  #7

dncosta, SMA lies ant to 3rd part of dudenum and IMA,aorta, IVC lies posteriorly to the 3rd part of dudenum and head of the pancreas in the concavity of the duedenum. why tumor associated with 3rd part compress only SMA, why it cant obstruct posterior structure.



  #8

This is a clinical (or surgical) fact. IMA arises from aorta inferior to that level. And aorta and IVC are rarely invaded (although commonly surrounded, especially in lymphomas).

  #9

thanks dncosta.

  #10

Also IVC is so thick and has a wide diameter to be affaected than SMA.

___________________
Old IMG graduated in 1992.

  #11

A VERY GOOD QUESTION

___________________
ieltsforall









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