Abdomen 1.3 Flashcards
Where does the abdominal aorta enter the abdomen?
via the aortic hiatus (T12 vertebral level) in the diaphragm
When does the abdominal aorta divide into common iliac arteries?
anterior to L4 vertebra
Where does the abdominal aorta supply blood to?
abdominopelvic viscera and posterior abdominal wall
What are the 3 unpaired vessels supplying the GI tract?
- Celiac
- Superior mesenteric
- Inferior mesenteric
What are the paired branches to glandular structures?
- middle suprarenal
- left and right renal arteries
- left and right gonadal arteries
What are the parietal branches to the posterior abdominal wall?
- Inferior phrenic arteries
- 4 pairs of lumbar arteries
- a small median sacral artery (our “caudal” artery).
What is a common site for aortic aneurysms?
- abdominal aorta inferior to the origin of the renal arteries and above the aortic bifurcation
- Iliac arteries also usually involved
Where do the suprarenal gland receive their arterial blood supply from?
- from inferior phrenic arteries
- directly from middle suprarenal arteries arising from the aort
- from inferior suprarenal arteries arising from the renal vessels
What type of organs are the suprarenal (adrenal) gland and the kidneys?
retroperiteneal
Which kidney is higher?
right kidney lies slightly lower than the left kidney, owing to the presence of the liver on the right side
What shape is the right adrenal gland?
usually is pyramidal in shape
What shape is the left adrenal gland?
usually semilunar in shape
Why are there lots of arteries and/or veins associated with the kidneys?
Because of the segmental development of the kidneys and their lobulated appearance
At what level does the inferior vena cava pierce the diaphragm?
T8 and enters right atrium of heart
What veins drain blood from the liver into the inferior vena cava just inferior to the diaphragm?
2 or 3 hepatic veins
What do principal tributaries of the inferior vena cava correspond to?
many of the arterial branches arising from the abdominal aorta
What are some of these tributaries?
- the common iliac veins
- pairs of lumbar veins
- gonadal (testicular or ovarian) veins
- renal veins
- azygos vein
- suprarenal veins
- inferior phrenic veins
- hepatic veins
What forms the portal venous system?
Veins draining the gastrointestinal tract, its accessory organs (gallbladder and pancreas) and the spleen
Which veins do not have valves?
- Veins vary in number and arrangement and possess numerous connections with veins lying superficial or deep
- and with veins of specialized systems such as the portal system draining the gastrointestinal tract
- these veins do not have valves
- blood flow may occur in either direction depending on the pressure gradient propelling the blood
How is the hepatic portal vein formed?
union of the splenic vein and superior mesenteric vein.
What are important portacaval anastomotic sites?
- sites around the esophagus
- the paraumbilical region
- the rectum,
- where portions of the gastrointestinal tract are in a retroperitoneal position.
How does blood still reach the heart if portal blood flow is decreased or prevented from flowing through the liver?
important portacaval anastomoses
What happens if the inferior vena cava is partially compressed or obstructed?
venous blood can flow via the portacaval anastomoses into the portal system of veins
What is the parietal and visceral peritoneum?
Parietal peritoneum lines the inner aspect of the abdominal walls and reflects onto the viscera as visceral peritoneum