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NBME 18 Answers

nbme18/Block 4/Question#29

65 yo man, cancer of the cecum

Ileocolic → superior mesenteric → portal → right hepatic branch of the portal

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submitted by lilyo(5),

Anyone have an idea on how to approach this question?

gdupgrant  So the thing i think they tried to catch people on was that the SMV Joins with the splenic to become the portal vein and the IMV feeds into the splenic vein. And they want you to know that cecum is midgut, so drained by the SMV. so my approach was automatically eliminate any answer that included IMV or Splenic vein and that left me with only Ileocolic → superior mesenteric → portal → right hepatic branch of the portal +