During emergency surgery, it was found that a chronic gastric ulcer had perforated the posterior wall of the stomach and eroded a large artery running immediately posterior to the stomach. The artery is the:
A. Gastroduodenal B. Common hepatic C. Left gastroepiploic D. Splenic E. Superior mesenteric
Splenic-netter plate 288 will help you to understand this answer. the splenic artery is a branch of the celiac trunk. it passes deep to the stomach and sends branches to the pancreas before reaching the spleen. if the posterior wall of the stomach eroded, gastric juices could damage the splenic artery. the gastroduodenal artery lies behind the first portion of the duodenum. an ulcer in this portion of the duodenum might jeopardize the gastroduodenal artery. the common hepatic artery is a branch of the celiac trunk which runs superior to the lesser curvature of the stomach. the left gastroepiploic artery runs on the left side of the greater curvature of the stomach. finally, the superior mesenteric artery arises from the aorta at the l1 level, posterior to the pancreas. it crosses over the third portion of the duodenum.