12.7 Flashcards

1
Q

Abdominal aorta starts in midline at T___/L___, and ends anterior to L___, by dividing into right and left common iliac arteries

A

T12/L1

L4

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2
Q

Main branches of abdominal aorta:

A
  • 3 anterior (unpaired) (for GI viscera).
  • 3 paired branches off side (for adrenals, kidneys and ureters)
  • Series of paired posterior branches (for walls of abdomen).
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3
Q

What are the 3 unpaired branches off the front of AA?

A

Celiac trunk - to foregut structures.
SMA - to midgut structures.
IMA - to hindgut structures.

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4
Q

Foregut derivatives (supplied by celiac trunk):

A

Liver, gall bladder, pancreas and spleen.

Tubular GI parts = abdominal oesophagus, stomach and half of duodenum as far as major duodenal papilla.

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5
Q

Midgut derivatives (SMA supply)

A

Tubular - everything from major duodenal papilla to proximal part of splenic flexure.

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6
Q

Hindgut (IMA supply):

A

Tubular - everything from proximal part of splenic flexure to first part of anal canal.

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7
Q

Origin of celiac trunk:

A

Approx T12, usually superior border of pancreas.

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8
Q

3 branches of celiac trunk:

A

Left gastric artery, splenic artery and common hepatic artery.

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9
Q

Instead of arcades and vasa recta, the colic arteries feed into a ___ artery

A

Marginal

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10
Q

Origin of SMA:

A

Off front of AA at approx 1 cm below celiac trunk, approx level of L1.

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11
Q

Origin of IMA:

A

Starts at inferior border of the third part of duodenum, approx L3

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12
Q

Portal system of veins drains:

A

Tubular GI tract, gall bladder, pancreas AND spleen (NOT liver).

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13
Q

Origin of portal vein:

A

Behind neck of pancreas at level of L2

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14
Q

The portal vein is formed when ___ vein joins the ___ ___ vein

A

Splenic vein joins superior mesenteric vein

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15
Q

All structures supplied by branches from FRONT of AA drain into ___ ___

A

Portal vein

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16
Q

If the substance of the liver becomes fibrosed, then you can develop ___ ___

A

Portal hypertension

17
Q

Does the portal venous system have valves?

A

NO!

It is valveless so there can be reverse flow.

18
Q

5 sites of portosystemic anastomosis:

A

Distal end of oesophagus - can rupture causing massive haematemesis.
Anal canal - large haemorrhoids.
Anterior abdominal wall - can recanalise and push blood through ligamentum teres (umbilical vein).
Other 2 =
Retroperitoneal space behind ascending and descending colon.
Top of liver where it sits against diaphragm.