Abdomen Vasculature

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ABDOMINAL

AORTA
 Start: Aortic hiatus (T12)
 End: lower level of L4
 Bifurcates at: L4/2.5 cm below
umbilicus/ Interiliac plane
 Branches
 Visceral
 Posterior
 Terminal: Common Iliac
Arteries
ABDOMINAL
AORTA
 Visceral Branches
UNPAIRED PAIRED
Celiac trunk Middle suprarenal
(upper border of L1)
SMA Renal
(Lower Border of L1)
IMA Gonadal
(L3)

 Posterior Branches
1. Inferior Phrenic: gives rise to superior
suprarenal
2. Lumbar Arteries (L1-L4)
3. Median Sacral
INFERIOR VENA
CAVA
 Start: L5 (R + L common iliac)
 Diaphragm: T8
 No tributaries from abdominal part of the
GIT, spleen, pancreas, GB
 Tributaries
 Common iliac
 Lumbar
 Right Gonadal
 Renal
 Right suprarenal
 Inferior Phrenic
 Hepatic
LUMBAR VEINS

VEIN DRAINAGE
L1 Ascending Lumbar Veins
L2 (collateral if IVC is
blocked)
L3
IVC
L4
L5 Iliolumbar Vein
ARTERIAL SUPPLY
CELIAC TRUNK
3 branches
1. LEFT GASTRIC ARTERY
 Smallest branch
 Left gastric
 Esophageal artery
CELIAC TRUNK
3 branches
1. LEFT GASTRIC ARTERY
2. SPLENIC ARTERY
 Largest branch
 Branches to the neck, body and tail of the
pancreas
 Short gastric artery(fundus)
 Left gastroomental/gastroepiploic artery
 Splenic
CELIAC TRUNK
COMMON HEPATIC ARTERY
 Hepatic artery proper
 Right Hepatic Artery
 Cystic Artery
 Left Hepatic Arteries
 Gastroduodenal artery
 Supraduodenal artery
 Posterior superior pancreaticoduodenal
artery
 Terminal:
 Right gastroomental/gastroepiploic
artery
 Anterior superior pancreaticoduodenal
artery
CELIAC TRUNK
COMMON HEPATIC ARTERY
 Hepatic artery proper
 Right Hepatic Artery
 Cystic Artery
 Left Hepatic Arteries
 Gastroduodenal artery
 Supraduodenal artery
 Posterior superior pancreaticoduodenal
artery
 Terminal:
 Right gastroomental/gastroepiploic
artery
 Anterior superior pancreaticoduodenal
artery
SUPERIOR MESENTERIC ARTERY
 inferior pancreaticoduodenal artery
 RIGHT LEFT
Middle Colic Jejunal
Right Colic Ileal
Ileocolic
SUPERIOR MESENTERIC ARTERY

 inferior pancreaticoduodenal
artery
 Anterior inferior
pancreaticoduodenal artery
 Posterior inferior
pancreaticoduodenal artery
SUPERIOR MESENTERIC ARTERY

JEJUNAL ILEAL
VASA RECTA
long and close short and far
together, forming apart,
narrow windows forming low broad
visible in the windows
mesentery
SUPERIOR MESENTERIC ARTERY

 MIDDLE COLIC ARTERY


 right branch + right colic
artery
 left branch + left colic
artery(of IMA)
 RIGHT COLIC ARTERY
 Ascending branch + middle
colic
 Descending branch +
ileocolic
 ILEOCOLIC ARTERY
 Superior branch + right colic
 Inferior branch
SUPERIOR MESENTERIC ARTERY

 MIDDLE COLIC ARTERY


 RIGHT COLIC ARTERY
 ILEOCOLIC ARTERY
 Superior branch + right colic
 Inferior branch
 Colic branch
 Cecal branch
 Appendicular branch
 Ileal branch
INFERIOR MESENTERIC ARTERY

 LEFT COLIC ARTERY


 Ascending branch + middle colic (SMA)
 Descending branch + 1st sigmoid
artery
 SIGMOID ARTERY(2-4)
 SUPERIOR RECTAL ARTERY
+ middle rectal arteries (from the
internal iliac artery) and the inferior
rectal arteries (from the internal
pudendal artery) .
INFERIOR MESENTERIC ARTERY

 LEFT COLIC ARTERY


 Ascending branch + middle
colic (SMA)
 Descending branch + 1st
sigmoid artery
 SIGMOID ARTERY(2-4)
 SUPERIOR RECTAL ARTERY
+ middle rectal arteries
(from the internal iliac
artery)
+ inferior rectal arteries
(from the internal pudendal
VENOUS
DRAINAGE
PORTAL VEIN (L2)
 SPLENIC VEIN + SMV
 Tributaries to the portal
vein
 right and left gastric veins
 cystic veins
 para-umbilical veins
 Right and Left Branches
SPLENIC VEIN
 Tributaries to the splenic
vein
 Short gastric vein
 Left gastroepiploic vein
 Pancreatic vein
 Inferior mesenteric vein
SUPERIOR MESENTERIC VEIN
 Tributaries to the SMV
 Jejunal
 Ileal
 Ileocolic
 right colic
 middle colic veins
 right gastro-omental vein
 anterior and posterior inferior
pancreaticoduodenal veins,
INFERIOR MESENTERIC VEIN

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