L21- Hindgut Flashcards
What is the major artery supplying the hindgut?
inferior mesenteric artery
What viscera are included in the hindgut?
- distal transverse colon
- descending colon
- sigmoid colon
- rectum
- proximal anus
What is the mesentery off of the sigmoid called?
The sigmoid mesocolon
What is the junction between the rectum and sigmoid called? What is no longer visible at this point on the colon?
- The rectosigmoid junction
- tenia coli no longer visible
What are fistulae?
Patent connections when developmentally connected structures fail to disconnect
Where does the inferior mesenteric artery arise?
From the abdominal aorta at the L3 level
What are the main branches of the inferior mesenteric artery
- left colic artery
- sigmoid artery (2-4)
- superior rectal artery
What is the major vein of the hindgut?
The inferior mesenteric vein (parallels the arteries, as do the left colic, sigmoid and superior rectal)
What are the three major tributaries to the hepatic portal system?
- splenic vein
- superior mesenteric vein
- inferior mesenteric vein
- also contributions from the right and left gastric veins
The superior rectal vein and Inferior Mesenteric Vein are part of what system?
The portal system
The middle and inferior vein to the internal iliac are part of what system?
The caval system
What are the hidden retroperitoneal varices?
Retroperitoneal portions of the GI may drain via lumbar veins directly to the IVC -can also drain through the portal system
What is the pathway for the lymphatics of the hindgut?
Inferior mesenteric and lumbar lymph nodes –> chyle cistern –> thoracic duct
Sympathetic preganglionic fibers originate from where?
T1-L2
Sympathetics to the body wall synapse where?
In the paravertebral ganglion and exit via rami