the internal iliac artery is connected to the renal arteries. Normally, anasto-
motic connections across the midline from the opposite internal iliac artery
keep pelvic organs with enough blood to maintain proper function. The
transplanted renal vein is often connected to, the external iliac vein, since it
is typically larger and thus easier to establish anastomoses.
400.The answer is b.(Moore and Dalley, p 285.)The patient in the scenario
has infectious mononucleosis, a virus-induced illness, leading to swollen
lymph nodes and spleen. The splenomegaly is evidenced by the very rounded
contours of the organ. Infectious mononucleosis can exhibit liver involve-
ment; however, the organ indicated is not the liver (not answers a, d, and e)
but the spleen in the upper left hypochondrium. The bright organ between it
and the vertebra is the left kidney. The liver is on the opposite side of the
abdominal cavity. The stomach (answer c)is not seen.
401.The answer is c.(Moore and Dalley, p 284.)The splenic artery origi-
nates from the celiac trunk and courses tortuously along the posterior aspect
of the pancreas. The left gastric artery (answer a)is a separate branch of the
celiac trunk and courses along the lesser curvature of the stomach where it
anastomoses with the right gastric artery (answer d),a branch of hepatic
artery. The right gastro-omental (gastroepiploic) artery (answer e)is a
branch of the gastroduodenal artery and courses along the greater curvature
of the stomach. The superior mesenteric artery (answer b)is more inferior
seen running to the right side of the patient.
402.The answer is b.(Moore and Dalley, p 284.) Structure 20 is the common
hepatic artery. The celiac [18; (answer a)] artery (trunk) gives off the splenic
[19;(answer d)] artery (to the patient’s left) and the common hepatic [20;
(answer b)] artery (to the patient’s right). Other labeled structures are as fol-
lows: 17, right adrenal gland; 21, portal vein; and 22, left adrenal gland. The
crus of diaphragm (answer c)is seen covering each side of the abdominal
aorta. The superior mesenteric artery (answer e)is not seen in this image and
would be further inferior with the abdomen.
403.The answer is b.(Moore and Dalley pp 257–258, 330.)Enlargement of
the gallbladder is a common complication of gallstone development. If the
gallbladder enlarges enough and becomes inflamed then it can contact the
inferior surface of the diaphragm, leading to right-sided shoulder/neck pain.
Abdomen Answers 525