Blood supply to midgut and hindgut (+ a bit of liver) Flashcards
Blood supply to midgut
Superior mesenteric artery
Blood supply to hindgut
Inferior mesenteric artery
Where do both these vessels originate?
Abdominal aorta
What level does superior mesenteric artery branch off?
L1
What level does inferior mesenteric artery branch off?
Around L3
Branches of superior mesenteric artery
Ileocolic artery –> caecum
Right colic artery –> ascending colon
Middle colic artery –> first 2/3 transverse colon
Branches to ileum and jejunum
Branches of inferior mesenteric artery
Left colic artery –> descending colon
Sigmoidal artery –> sigmoid colon
Change of name of inferior mesenteric
As it passes into pelvis it is renamed superior rectal artery - supplying superior rectum
What is formed by the anastomoses of all the arteries supplying the mid and hindgut?
Marginal artery - surrounds inner large bowel like a margin
Where do the inferior and superior mesenteric artery anastomose?
Left colic artery anastomoses with middle colic artery at splenic flexure
Watershed area in mid/hindgut
From margin of midgut to hindgut at transverse colon onwards there is area with worst blood supply - ischaemia can occur if BP drops
Look on notability at the diagram you drew ella it will make sense
Plz look
Venous drainage of midgut
Superior mesenteric vein
Venous drainage of hindgut
Inferior mesenteric vein
Rectum drainage
Upper 1/3 superior rectal vein
Middle and lower 1/3 –> systemic venous system (middle rectal vein and inferior rectal veins —> internal iliacs)