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{{WBRQuestion
{{WBRQuestion
|QuestionAuthor={{Rim}}
|QuestionAuthor= {{SSK}} {{Alison}} (Reviewed by Serge Korjian)
|ExamType=USMLE Step 1
|ExamType=USMLE Step 1
|MainCategory=Anatomy
|MainCategory=Anatomy
|SubCategory=Gastrointestinal
|SubCategory=Gastrointestinal, General Principles
|MainCategory=Anatomy
|MainCategory=Anatomy
|SubCategory=Gastrointestinal
|SubCategory=Gastrointestinal, General Principles
|MainCategory=Anatomy
|MainCategory=Anatomy
|SubCategory=Gastrointestinal
|SubCategory=Gastrointestinal, General Principles
|MainCategory=Anatomy
|MainCategory=Anatomy
|MainCategory=Anatomy
|MainCategory=Anatomy
|SubCategory=Gastrointestinal
|MainCategory=Anatomy
|MainCategory=Anatomy
|SubCategory=Gastrointestinal
|SubCategory=Gastrointestinal, General Principles
|MainCategory=Anatomy
|MainCategory=Anatomy
|SubCategory=Gastrointestinal
|SubCategory=Gastrointestinal, General Principles
|MainCategory=Anatomy
|MainCategory=Anatomy
|SubCategory=Gastrointestinal
|SubCategory=Gastrointestinal, General Principles
|MainCategory=Anatomy
|MainCategory=Anatomy
|SubCategory=Gastrointestinal, General Principles
|MainCategory=Anatomy
|MainCategory=Anatomy
|SubCategory=Gastrointestinal
|MainCategory=Anatomy
|Prompt=A 52 year old male patient is diagnosed with gastric cancer. He is scheduled to undergo total gastrectomy. During his surgery, the surgeon resects the ligament that connects the greater curvature of the stomach and the spleen. Which artery is most likely contained in the resected ligament?
|SubCategory=Gastrointestinal, General Principles
|Explanation=The ligament resected in the vignette is the gastrosplenic ligament, which connects the greater curvature of the stomach to the spleen. The gastrosplenic ligament separates the greater and the lesser sacs on the left side. It contains several structures, including the short gastric arteries, and the left gastroepiploic vessels.
|Prompt=A 52-year-old man, recently diagnosed with gastric cancer, is scheduled to undergo total gastrectomy. During his surgery, the surgeon resects the ligament that connects the greater curvature of the stomach and the spleen. Which of the following arteries is most likely contained in the resected ligament?
|Explanation=The ligament that is most likely resected in this scenario is the [[gastrosplenic ligament]], which connects the greater curvature of the stomach to the spleen. The [[gastrosplenic ligament]] separates the greater and the lesser sacs laterally. The [[gastrosplenic ligament]] contains several structures, including the short gastric arteries and the left gastroepiploic vessels.


Educational Objective: The gastrosplenic ligament connects the greater curvature of the stomach to the spleen. It contains the short gastric arteries.
[[File:Peritoneal_ligaments.jpg|700px]]
|AnswerA=Left gastric artery
|AnswerA=Left gastric artery
|AnswerAExp=The left gastric artery is not contained in the gastrosplenic artery.
|AnswerAExp=The left gastric artery is not contained in the gastrosplenic artery. It is one the three primary arteries branching off of the celiac trunk.
|AnswerB=Short gastric artery
|AnswerB=Short gastric arteries
|AnswerBExp=The short gastric arteries are contained in the gastrosplenic ligament. The gastrosplenic ligament connects the greater curvature of the stomach to the spleen.
|AnswerBExp=The short gastric arteries are contained in the gastrosplenic ligament. The gastrosplenic ligament connects the greater curvature of the stomach to the spleen.
|AnswerC=Hepatic artery
|AnswerC=Hepatic artery
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|AnswerE=Gastroepiploic artery
|AnswerE=Gastroepiploic artery
|AnswerEExp=The gastroepiploic artery is contained in the gastrocolic ligament, which connects the greater curvature of the stomach to the transverse colon.
|AnswerEExp=The gastroepiploic artery is contained in the gastrocolic ligament, which connects the greater curvature of the stomach to the transverse colon.
|EducationalObjectives=The gastrosplenic ligament connects the greater curvature of the stomach to the spleen. The [[gastrosplenic ligament]] contains the short gastric arteries.
|References=Townsend CM. Sabiston Textbook of Surgery, The Biological Basis of Modern Surgical Practice. Saunders; 2008.<br>
First AID for the USMLE Step 1 2013 P. 336
|RightAnswer=B
|RightAnswer=B
|WBRKeyword=ligament, structure, contain, contained, greater, great, less, lesser, sac, omentum, left, curvature, spleen, stomach, short, gastric, artery, arteries, surgery, gastrectomy, gastric, cancer
|WBRKeyword=Ligament, Greater, Lesser, Sac, Omentum, Spleen, Stomach, Short gastric arteries, Short, Gastric, Arteries, Surgery, Gastrectomy, Gastric, Cancer
|Approved=No
|Approved=Yes
}}
}}

Latest revision as of 23:34, 27 October 2020
Author [[PageAuthor::Serge Korjian M.D. (Reviewed by Alison Leibowitz) (Reviewed by Serge Korjian)]]
Exam Type ExamType::USMLE Step 1
Main Category MainCategory::Anatomy
Sub Category SubCategory::Gastrointestinal, SubCategory::General Principles
Prompt [[Prompt::A 52-year-old man, recently diagnosed with gastric cancer, is scheduled to undergo total gastrectomy. During his surgery, the surgeon resects the ligament that connects the greater curvature of the stomach and the spleen. Which of the following arteries is most likely contained in the resected ligament?]]
Answer A AnswerA::Left gastric artery
Answer A Explanation AnswerAExp::The left gastric artery is not contained in the gastrosplenic artery. It is one the three primary arteries branching off of the celiac trunk.
Answer B AnswerB::Short gastric arteries
Answer B Explanation AnswerBExp::The short gastric arteries are contained in the gastrosplenic ligament. The gastrosplenic ligament connects the greater curvature of the stomach to the spleen.
Answer C AnswerC::Hepatic artery
Answer C Explanation AnswerCExp::The portal triad, which includes the hepatic artery, portal vein, and common bile duct, is contained in the hepatoduodenal ligament. The ligament connects the liver to the duodenum.
Answer D AnswerD::Splenic artery
Answer D Explanation AnswerDExp::The splenic artery is contained in the splenorenal ligament. The splenorenal ligament connects the spleen to the posterior abdominal wall.
Answer E AnswerE::Gastroepiploic artery
Answer E Explanation AnswerEExp::The gastroepiploic artery is contained in the gastrocolic ligament, which connects the greater curvature of the stomach to the transverse colon.
Right Answer RightAnswer::B
Explanation [[Explanation::The ligament that is most likely resected in this scenario is the gastrosplenic ligament, which connects the greater curvature of the stomach to the spleen. The gastrosplenic ligament separates the greater and the lesser sacs laterally. The gastrosplenic ligament contains several structures, including the short gastric arteries and the left gastroepiploic vessels.


Educational Objective: The gastrosplenic ligament connects the greater curvature of the stomach to the spleen. The gastrosplenic ligament contains the short gastric arteries.
References: Townsend CM. Sabiston Textbook of Surgery, The Biological Basis of Modern Surgical Practice. Saunders; 2008.
First AID for the USMLE Step 1 2013 P. 336]]

Approved Approved::Yes
Keyword WBRKeyword::Ligament, WBRKeyword::Greater, WBRKeyword::Lesser, WBRKeyword::Sac, WBRKeyword::Omentum, WBRKeyword::Spleen, WBRKeyword::Stomach, WBRKeyword::Short gastric arteries, WBRKeyword::Short, WBRKeyword::Gastric, WBRKeyword::Arteries, WBRKeyword::Surgery, WBRKeyword::Gastrectomy, WBRKeyword::Gastric, WBRKeyword::Cancer
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