abdominal aorta and branches Flashcards
arteries supplying GI structures are single or double?
single
arteries supplying GI structures branch anteriorly of superiorly?
anteriorly
single, anteriorly branched artery
supplies GI structure or non-GI structure?
GI structure
artery suppling non-GI: paired or single?
paired
artery suppling non-GI: branch anteriorly, laterally and/or posteriorly?
laterally and posteriorly
what are the watershed regions of the colon?
- splenic flexure
- rectosigmoid colon
which arteries supply the splenic flexure?
SMA and IMA
which arteries supply the rectosigmoid colon?
last sigmoid branch from the IMA
superior rectal artery
SMA is short for?
superior mesenteric artery
IMA is short for?
inferior mesenteric artery
celiac artery supplies what?
esophagus, stomach, liver
duodenum till ampulla of Vater
(foregut)
SMA supplies what?
lower duodenum (after ampulla of Vater), jejunum, ileum, proximal 2/3 of colon
(midgut)
IMA supplies what?
distal 1/3 colon, sigmoid, rectum, anal canal till pectinate line
(hindgut)
what is the nutcracker syndrome?
compression of left renal vein between SMA and aorta
compression of left renal vein between SMA and aorta
what is this called?
nutcracker syndrome
nutcracker syndrome: symptoms?
abdominal/flank pain, gross hematuria, left sided varicocele
what is varicocele ?
enlarged veins scrotum
what causes gross hematuria in nutcracker syndrome?
rupture of thin walled renal varicosities
what are varicosities?
twisted, enlarged veins
twisted, enlarged veins
what are these called?
varicosities
what are the 3 major anterior arteries branching of the abdominal aorta?
celiac, SMA, IMA
lateral (important) branches of abdominal aorta from top down?
inferior phrenic
middle suprarenal
renal
gonadal
inferior phrenic branch supplies what?
diaphragm
middle suprarenal branch supplies what?
adrenal gland
superior suprarenal
branch of what?
inferior phrenic
inferior phrenic branches into what?
superior suprarenal
inferior suprarenal
branch of what?
renal
renal artery branches into what?
inferior suprarenal
vertebra level: celiac?
T12
vertebra level: SMA?
L1
vertebra level: IMA?
L3
vertebra level: inferior phrenic?
T12
vertebra level: middle suprarenal?
L1
vertebra level: renal?
between L1 and L2
vertebra level: gonadal?
L2
vertebra level: biforcation?
L4
(biFOURcation)
what does the biforcation of the abdominal aorta split into?
left and right common iliac artery
what do the common iliac arteries split into?
external and internal iliac arteries
what artery splits of the middle of the bifurcation of the abdominal aorta?
median sacral artery
SMA syndrome: what is it?
SMA and aorta compress duodenum
which part of the duodenum gets compressed in SMA syndrome?
transverse (third) portion
what kind of symptoms SMA syndrome?
intermittent intestinal obstruction symptoms (abdominal pain, vomiting, abdominal distension)
mostly postprandial pain
which organ is obstructed in SMA syndrome?
duodenum
SMA and aorta compress duodenum
what is this?
SMA syndrome
among which conditions does SMA syndrome usually occur?
diminished mesenteric fat
e.g. malnutrition