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Diagnostic ultrasound ( PDFDrive )

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458 PART II Abdominal and Pelvic Sonography

A

B

C

FIG. 12.30 Occluded Celiac and Superior Mesenteric

Arteries. (A) Angiogram shows wide patency of origin

of the large, stented inferior mesenteric artery (IMA).

(B) Duplex Doppler at origin of IMA shows elevation of

systolic and diastolic velocity. (C) Duplex Doppler 3 cm

distal to IMA origin shows very similar elevation of velocity.

The velocity elevation was probably due to increased low

carried by the IMA to supply organs that are usually supplied

by the celiac and superior mesenteric arteries.

Ao

IVC

A

B

FIG. 12.31 Inferior Vena Cava (IVC) Anomalies. (A) Computed tomography image of duplicated IVC (black arrows), the most common anomaly

of the IVC. The left IVC joined the left renal vein. The IVC above the level of the renal veins was in the normal location. (B) Ultrasound of another

IVC anomaly, a left IVC running to the left of the aorta (Ao). The left IVC joins the left renal vein.

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