Mesenteric Ischaemia Flashcards
At what vertebral level does the coeliac trunk originate?
T12
What are the 3 main branches of the coeliac trunk?
Left gastric
Splenic
Common hepatic
What parts of the bowel does the coeliac trunk innervate? (7)
Superior portion of duodenum
Pancreas
Biliary tree
Liver
Spleen
Stomach
Oesophagus
What vertebral level does the SMA arise
L1
What parts of the bowel does the SMA supply? (7)
Inferior region of head of pancreas
Uncinate process of pancreas
Duodenum
Jejunum and ileum
Caecum
Ascending colon
Proximal 2/3 of transverse colon
What vertebral level does the IMA arise
L3
The IMA is a ___peritoneal structure
Retro
What portions of the bowel does the IMA supply? (5)
Distal 1/3 of transverse colon
Splenic flexure
Descending colon
Sigmoid colon
Rectum
What are the symptoms and signs of chronic mesenteric ischaemia? (3)
Colicky abdominal pain after eating
Weight loss
Abdominal bruit on examination
What is the gold standard scan for chronic mesenteric ischaemia?
Ct Angiography
What is a key risk factor for acute mesenteric ischaemia?
AF
What is the gold standard investigation for acute mesenteric ischaemia?
Contrast CT
What marker will be raised in acute mesenteric ischaemia?
Lactate
