VHJOE Editor:

John Deutsch, MD
St. Mary's Duluth Clinic

International Editor :

Manoop S. Bhutani, MD
MD Anderson Cancer Center
Houston, TX

Editorial Board:

William R. Brugge, MD
Massachusetts General Hospital

Peter R. McNally, DO
Denver, CO

Thomas J. Savides, MD
University of California,
San Diego

C. Mel Wilcox, MD
University of Alabama, Birmingham

The featured movie for this issue shows an example of how digital anatomy can help explain pathologic conditions. A 47 year old patient with a history of cirrhosis from hepatitis C and alcohol was found to have weight loss and abdominal pain. A CT scan was read which suggested a possible splenic infarct and there was a question raised regarding splenic vein thrombosis. EUS was performed to further evaluate the CT findings.

The video shows the CT images of note and a model (Figure 1) of some relevant anatomy with the spleen, splenic vein, left adrenal and celiac artery. A cross section from the Visible Human (Figure 2) shows images similar to what would be found during radial array EUS. The EUS images show hyperechoic material traveling from right to left, as would be expected in flow from the splenic vein towards the portal vein.

Figure 1
Figure 2

We hope this video demonstrates how digital anatomy and the Visible Human can be used to help familiarize readers with anatomic relations in this important abdominal region.

Video 1

 

 

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