Imaging Approach to the Stomach

Published on 20/07/2015 by admin

Filed under Radiology

Last modified 20/07/2015

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Inferior phrenic arteries
Right gastric artery
Right gastroepiploic artery
Esophageal branch of left gastric artery
Left gastric artery
Splenic artery
Left gastroepiploic artery
Branches of left and right gastric arteries
(Top) In “conventional” arterial anatomy of the stomach and duodenum (present in only 50% of the population), the left gastric artery arises from the celiac trunk, supplies the lesser curvature, and anastomoses with the right gastric artery, a branch of the proper hepatic artery. The greater curvature of the stomach is supplied by anastomosing branches of the gastroepiploic arteries, with the left arising from the splenic artery.
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Hepatogastric ligament
Hepatoduodenal ligament
Pyloric sphincter
Outer (longitudinal) muscle layer
Middle (circular) muscle layer
(Bottom) The lesser omentum extends from the stomach to the porta hepatis and can be divided into the broader, thinner hepatogastric ligament and the thicker hepatoduodenal ligament. Note the layers of gastric muscle, with the middle circular layer being the thickest.

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(Left) Axial CECT shows a near water density LUQ mass image that might be mistaken for an adrenal adenoma or other lesion. Its contiguity with the stomach and a tiny bubble of gas image suggest the correct etiology of gastric diverticulum.
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(Right) An upright film from an upper GI series in the same patient shows the juxtacardiac diverticulum image with an air-fluid level.
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