Blood Supply

Question 1

تقسيمة ال git

Answer 1

1- foregut : osephageas - stomach - middle of 2 nd part of duodenum- liver - spleen- pancreas
Supplies by cliac trunk

2-midgut : middle of 2 nd part of duodenum till rt 2/3 of transverse colon
Supplied by sma

3- hindgut : lt 1/3 of transverse colon till the upper half of anal canal
Supplied by ima

Question 2

Coeliac trunk
(4)
( level- relations - branches - nickname)

Answer 2

1- at the level of upper border of L1
2- behind the posterior wall of lesser sac related to celiac plexus of nerves , celiac lymph nodes, celiac ganglia and crura of diaphragm
3- branches :
Left gastric
Common hepatic
Splenic
4- artery of foregut

Question 3

Talk about left gastric a

Answer 3

• run along the lesser curvature to anastomosis with the right one
• gives osephageal branches that letter anastomosis with the osephageal branches from thoracic aorta

Question 4

Talk about the splenic a
(5)

Answer 4

1- the largest branch of celiac trunk
2- behind the posterior wall of lesser sac
3- runs on the upper border of body of pancreas
4- passes through the lienorenal ligament to reach the spleen
5- branches :
- left gastroepiploic
- short gastric
- pancreatic
- terminal splenic

Question 5

Talk about common hepatic a

Answer 5

1- gives right gastric a
2- gastroduodanul a ~> superior pancreaticoduodenal , right gastroepiploic

Then changes its name to proper hepatic
Then gives - supraduodenal
- rt , lt hepatic
- cystic

Question 6

Talk about sma
(Level - nickname - branches) (3)

Answer 6

1- the artery ofmidgut
2- at the level of lower border of L1
3- branches
- inferior pancreaticoduodenal
- jejunal
- ileal
- ileocolic
- right colic
- middle colic

Question 7

Talk about inferior pancreaticoduodenal , jejunal, ileual , middle colic

Answer 7

1- inferior pancreaticoduodenal
(5)
1- the first artery
2- sma gives it before entering the root of mesentry
3- runs between head of pancreas and duodenum
4- supplies the inferior half of head and duodenum
5- anastomosis with the superior

Ileul
8:10 branches
In the root of mesentry
Supplies ileum

Jejunal
8:10 branches
In the root of mesentry
Supplies jejunum

Middle colic
Enters the mesocolon
Gives rt, lt branches

Question 8

Talk about right colic , ileocolic

Answer 8

1- right colic
- gives ascending , descending
- supplies ascending colon, right flexure

2- ileocolic
- gives superior, inferior
- superior supplies ascending colon
- inferior gives 5 branches
• anterior cecal
• posterior cecal
• ileul : supplies the terminal ileum and then ANASTOMOSIS WITH THE SMA
• appendicular
• colic : supplies the ascending also

Question 9

Talk about ima (3)
( level - nickname- branches )

Answer 9

1- artery of hindgut
2- at the level of L3 ( behind the 3rd part of duodenum )
3- branches :
- left colic
- sigmoid
- ends as superior rectal

Question 10

Talk about portal vein (3)

Answer 10

1- formed behind the neck of pancreas by union of splenic , smv
2- tributaries
Rt, lt gastric veins
3- termination
By rt, lt terminal branches then to liver to ivc

Question 11

Talk about splenic vein (4)

Answer 11

1- passes in lienorenal ligament
2- below its artery
3- unites with smv to give portal
4- tributaries
- left gastroepiploic
- short gastric
- pancreatic
- imv

Question 12

Talk about smv
(3)

Answer 12

1- passes infront if 3 rd part of duodenum
2- joins the spenic to form portal
3- tributaries
- anteroinferior pancreaticoduodenal
- anterosuperior pancreaticoduodenal
- jejunal
- ileul
- iliocolic
- right colic
- middle colic
- right gastroepiploic

Question 13

Talk about imv
(3)

Answer 13

1- ascends to posterior abdominal wall
2- joins the splenic vein behind the body of pancreas
3- tributaries
- left colic
- sigmoid
- superior rectal