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Erika Bálint, M.D.
mesentery: visceral layer of the peritoneum, that
reaches the small intestines, covers them and
attaches them to the posterior abdominal wall
(radix mesenterii)
the edge of the intestinal wall that connects with
the mesentery is called the mesenterial edge,
the opposite is the antimesenterial edge
the supplying vessels and nerves of the small
intestines run within the mesentery
antimesenterial
                   edge



mesenterial edge
Mesenterial vessels
abdominal aorta: the descending aorta
from the aortic hiatus downwards
Branches:
1. Parietal
2. Paired visceral
3. Unpaired visceral
1. inferior phrenic artery: right below the
aortic hiatus on the inferior surface of the
diaphragm (superior suprarenal artery)
2. lumbal arteries: 4 pairs of segmental
arteries
3. medial sacral artery: rudimentary in
humans
1. medial suprarenal artery: to anterior
surface of the suprarenal glands
2. renal artery (L1): to the hilum of the
kidneys (inferior suprarenal artery)
3. testicular artery or ovaric artery (L1):
  : part of the spermatic cord,
  : in the suspensory ligament of the ovaries
1. coeliac trunk (Th12-L1) (tripus Halleri)
2. superior mesenteric artery (L1)
3. inferior mesenteric artery (2-3 fingers
above the division of the abdominal aorta)
Coeliac trunk

                                             coeliac trunk



                                                                                          left gastric artery

                    common hepatic artery                                                                       short gastric arteries


                                                               anastomosis
                                                                                    splenic artery

    proper hepatic artery               right gastric artery

                                                             pancreatic branches

                                                                                                       left gastroepiploic artery
right branch       left branch



cystic artery                                                                      anastomosis
                     gastroduodenal artery

                                                right gastroepiploic artery
                      superior
                pancreaticoduodenal
                      arteries               anastomosis
A. mesenterica superior

                            anastomosis                     inferior
                                                      pancreaticoduodenal         marginal artery of the colon
                                                            arteries                 (Drummond-artery)


   medial colic artery                                       Anastomosis of Riolan



                         superior mesenteric artery




                                                               jejunal arteries
right colic artery




                                                  ileal arteries
             ileocolic arteries
                                                                                      left colic artery

                         caecal arteries



                                  appendicular artery
Inferior mesenteric artery

                                                                                         left colic artery




                                                inferior mesenteric artery


                                                                                      sigmoid arteries
                                                       Sudeck-point


  internal iliac artery                                              rectosigmoid
                                                                                    sigmoid ima artery
                                                                         artery

                                            superior rectal artery

internal pudendal artery
                                medial rectal artery


                           inferior rectal artery
Collects the blood of the unpaired abdominal
viscera
Forms from splenic vein and superior
mesenteric vein
inferior mesenteric vein connects to this system
(generally opens into the splenic vein)
coronary veins of the stomach open into the
portal vein directly
PORTAL CIRCULATION!
superior vena cava                  inferior vena cava



                                            portal vein
azygos vein /hemiazygos vein
                                   coronary veins of
                                      the stomach
                                   (left gastric vein)


                      esophageal veins
inferior vena cava


                       common iliac vein
                                            portal vein
                internal iliac vein

                                              inferior mesenteric vein
   internal pudendal vein


inferior rectal vein          medial rectal vein          superior rectal vein



                            rectal venous plexus
superior vena cava                       inferior vena cava



brachiocephalic vein                                                      common iliac vein


                                                              external iliac vein
              subclavian vein

                                                                             femoral vein
    axillary vein                      portal vein
                                                 greater saphenous vein


          thoracoepigastric vein                              superficial epigastric vein



                                   paraumbilical veins

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12e mesentery

  • 2. mesentery: visceral layer of the peritoneum, that reaches the small intestines, covers them and attaches them to the posterior abdominal wall (radix mesenterii) the edge of the intestinal wall that connects with the mesentery is called the mesenterial edge, the opposite is the antimesenterial edge the supplying vessels and nerves of the small intestines run within the mesentery
  • 3. antimesenterial edge mesenterial edge
  • 5. abdominal aorta: the descending aorta from the aortic hiatus downwards Branches: 1. Parietal 2. Paired visceral 3. Unpaired visceral
  • 6. 1. inferior phrenic artery: right below the aortic hiatus on the inferior surface of the diaphragm (superior suprarenal artery) 2. lumbal arteries: 4 pairs of segmental arteries 3. medial sacral artery: rudimentary in humans
  • 7. 1. medial suprarenal artery: to anterior surface of the suprarenal glands 2. renal artery (L1): to the hilum of the kidneys (inferior suprarenal artery) 3. testicular artery or ovaric artery (L1): : part of the spermatic cord, : in the suspensory ligament of the ovaries
  • 8. 1. coeliac trunk (Th12-L1) (tripus Halleri) 2. superior mesenteric artery (L1) 3. inferior mesenteric artery (2-3 fingers above the division of the abdominal aorta)
  • 9. Coeliac trunk coeliac trunk left gastric artery common hepatic artery short gastric arteries anastomosis splenic artery proper hepatic artery right gastric artery pancreatic branches left gastroepiploic artery right branch left branch cystic artery anastomosis gastroduodenal artery right gastroepiploic artery superior pancreaticoduodenal arteries anastomosis
  • 10.
  • 11. A. mesenterica superior anastomosis inferior pancreaticoduodenal marginal artery of the colon arteries (Drummond-artery) medial colic artery Anastomosis of Riolan superior mesenteric artery jejunal arteries right colic artery ileal arteries ileocolic arteries left colic artery caecal arteries appendicular artery
  • 12.
  • 13. Inferior mesenteric artery left colic artery inferior mesenteric artery sigmoid arteries Sudeck-point internal iliac artery rectosigmoid sigmoid ima artery artery superior rectal artery internal pudendal artery medial rectal artery inferior rectal artery
  • 14.
  • 15. Collects the blood of the unpaired abdominal viscera Forms from splenic vein and superior mesenteric vein inferior mesenteric vein connects to this system (generally opens into the splenic vein) coronary veins of the stomach open into the portal vein directly PORTAL CIRCULATION!
  • 16. superior vena cava inferior vena cava portal vein azygos vein /hemiazygos vein coronary veins of the stomach (left gastric vein) esophageal veins
  • 17. inferior vena cava common iliac vein portal vein internal iliac vein inferior mesenteric vein internal pudendal vein inferior rectal vein medial rectal vein superior rectal vein rectal venous plexus
  • 18. superior vena cava inferior vena cava brachiocephalic vein common iliac vein external iliac vein subclavian vein femoral vein axillary vein portal vein greater saphenous vein thoracoepigastric vein superficial epigastric vein paraumbilical veins