Module 2B: Development Of Lymphatic And Digestive Systems Flashcards
(140 cards)
Abdominal aorta- unpaired visceral branches
Celiac trunk
upper border of L1, immediately after entering abdomen. 3 branches:
1. Left gastric a cardiac
stomach, lesser omentum, L half of small curvature of stomach
—Esophageal br esophagus;
anastomosis w/ thoracic aorta esophageal branches
- Splenic a—>largest, tortuous
—Pancreatic br—>pancreas
—Proper splenic br—>spleen
— Short gastric br—>upper
greater curvature of stomach & fundus
— Left gastroepiploic —>left side
of greater curvature of stomach & greater omentum - Common Hepatic a
• Gastroduodenal a
• Right gastric a (sometimes right
side of lesser curvature & lesser
omentum • Proper hepatic a
• R hepatic liver
• Cystic a gallbladder • L hepatic a liver • Right gastric a (sometimes)
• Superior pancreaticoduodenal a
(anterior & posterior) common
bile duct, duodenum & head of
pancreas • Right gastroepiploic right side
of lesser curvature & greater
omentum
Name the three branches of the abdominal aorta celiac trunk
Left gastric a
Splenic a
Common hepatic a
The common hepatic a turns into the ______ ______ artery
Proper hepatic a
The proper hepatic a has what branches ? What do they supply?
Proper hepatic a
• R hepatic —>liver
• Cystic a —> gallbladder
• L hepatic a—> liver
• Right gastric a (sometimes)
Abdominal aorta- unpaired visceral branches
Superior mesenteric a :
Lower border L1, branches pancreas, small intestine, ascending &
transverse colon
Name the branches of the superior mesenteric a. (5)
- Inferior pancreaticoduodenal a
(anterior & posterior) —>
duodenum, head of pancreas - Middle colic a —> transverse
colon - Right colic —> ascending colon
- Ileocolic —> lower ascending
colon, cecum, appendix, distal
end of ileum - Jejunal & ileal aa (intestinal aa)
—> ileum & jejunum
Abdominal aorta- unpaired visceral branches
Inferior mesenteric a:
@L3, supplies descending colon, sigmoid colon, rectum
Name the three branches of the inferior messenteric a?
- Left colic a —> descending
colon - Sigmoid aa —>
sigmoid colon - Superior rectal a —> upper
part of rectum
Name the three main unpaired branches of abdominal aorta
Celiac trunk
Superior mesenteric
Inferior mesenteric
Name the parked visceral branches of the abdominal aorta
Visceral branches
1. R & L middle suprarenal aa —> suprarenal glands
- R & L renal aa—>kidneys (@lower L1 level)
• R & L inferior suprarenal a—> suprarenal glands - Gonadal aa (testicular, ovarian)
—> (male) testes, ureter, cremaster, spermatic cord
—> (female) ovaries, labia majora, ureter, uterine tubes
Name the three arteries supplying the adrenal glands
Superior suprarenal a
Middle suprarenal a (coming off the renal artery)
Inferior suprarenal a (coming off renal a)
Name the parietal branches of parried visceral abdominal aorta
- R & L inferior phrenic aa —>inferior diaphragm**1 st
branches of abdominal aorta!
**Superior suprarenal a —> suprarenal glands - Lumbar aa (4-5 pairs, arise opposite corresponding
vertebral bodies skin & muscles of back & abdominal wall, lumbar vertebrae, cord, meninges
Name the terminal paired visceral branches of abdominal aorta
- Common iliac aa : bifurcation of aorta @ L4
- Middle sacral a (unpaired) sacrum & coccyx
Collateral arterial circulation
**know marginal artery
• Several routes in event of aortic
obstruction
• Sudden, acute obstruction of
abdominal aorta @ or above
level of renal aa is fatal
• Sudden occlusion below renal
level results in gangrene of LE • Major collateral channels in
event of aortic obstruction
noted in notes
- Marginal artery (very weak): R, L, middle
colic aa, ileocolic, sigmoid anastomosing
parallel to inner margin of colon (ileocolic
junction to rectum) - Superior epigastric (terminal br of internal
thoracic W/ inferior epigastric (br of
external iliac) - Lumbar aa W/ iliolumbar (br of internal
iliac) & deep circumflex iliac a (br of
exernal iliac) - Superior rectal W/ middle rectal (off
internal iliac) & inferior rectal (off internal
pudendal- a branch of internal iliac) - Ovarian & uterine aa (not for everyone…)
Inferior vena cava
Receives veins corresponding to paired visceral & parietal branches
• R & L renal vv —> IVC
• Lumbar vv: communicating brs to vertebral venous
plexuses. 4-5 pairs interconnected by ascending
lumbar vv—>azygos & hemiazygos vv
• Gonadal (testicular/ovarian)
• R gonadal —> IVC
• L gonadal —> L renal v
• Suprarenal vv
• R —> IVC
• L—> L renal v
• Inferior phrenic vv
• R—>IVC
• L—> L renal v
• Hepatic vv (2-3)
• —> IVC
What does the L renal v receive that the R does not?
Left inferior phrenic,
left gonadal
left suprarenal v
Portal venous system
“Portal” = second capillary bed between arterial-venous bed and heart
Typical flow?
Portal flow?
Typical flow
Artery —> capillary —> vien —> heart
Portal flow
Artery —> capillary (digestive tract) —> portal view, —> capillary (liver sinusoids) —> vein —> heart
Portal venous system
• All venous return from GI tract
goes to liver via portal system vv • Portal vein formed by
confluence of superior
mesenteric v & splenic v
• Also receives coronary v (L & R
gastric vv)
Areas of portal-caval anastomoses
1.Superior rectal (portal) & middle a& inferior
rectal (caval)
2. Esophageal plexus= anastomosis of thoracic
esophageal vv + abdominal esophageal vv
3. Paraumbilical area: small vv w/in falciform
ligament (vv arise fr L portal br/L portal hepatic
v) + subcutaneous vv around the umbilicus
(superficial epigastric & thoracoepigastric vv)
4. Numerous diffuse small vv which pass to body
wall from NON- peritonealized surfaces of such
organs as (ascending & descending colon,
duodenum, pancreas, bare area of liver… these
anastomose W/ small caval tributaries in body
wall & diaphragm
Clinical application
Caput medusa
• In event of portal v obstruction
(or portal hypertension)
• Rectal vv (hemorrhoids) and
esophageal vv (varices) are
prominent
• Paraumbilical area may form
caput medusa
• Channels between non-
peritonealized surfaces of organs
listed and body wall may enlarge
The abdominal aorta begins at which vertebral level?
L2
T12
T10
L4
T12
Which vein directly drains into the inferior vena cava?
Superior mesenteric vein
Splenic vein
Inferior mesenteric vein
Left renal vein
Left renal vein
The gonadal arteries arise from the aorta at the level of:
T10
L1–L2
L4
T12
L1-L2
A blockage in the inferior mesenteric artery would most directly affect which organ?
Liver
Rectum
Stomach
Jejunum
Rectum