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Superior mesenteric artery

From Wikipedia, the free encyclopedia
Artery which supplies blood to the intestines and pancreas
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Blood vessel
Superior mesenteric artery
Frontal view of thesuperior mesenteric artery and its branches. The large vessel (blue) beside the SMA is thesuperior mesenteric vein. A considerable number of different branching patterns exist.
3D-renderedcomputed tomography ofabdominal aortic branches, showing exit of superior mesenteric artery between the kidneys.
Details
PrecursorVitelline arteries
SourceAbdominal aorta
BranchesInferior pancreaticoduodenal
middle colic
right colic
intestinal branches (jejunal,ileal)
ileocolicMarginal artery of the colon
VeinSuperior mesenteric vein
SuppliesIntestine
Identifiers
Latinarteria mesenterica superior
MeSHD017538
TA98A12.2.12.053
TA24252
FMA14749
Anatomical terminology

Inhuman anatomy, thesuperior mesenteric artery (SMA) is anartery which arises from the anterior surface of theabdominal aorta, just inferior to the origin of theceliac trunk, and supplies blood to theintestine from the lower part of theduodenum through two-thirds of thetransverse colon, as well as thepancreas.

Structure

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Origin

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In the adult, the SMA arises anterior to inferior border of vertebra L1 (transpyloric plane). It is usually 1 cm lower than theceliac trunk.

Course and relations

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It initially travels in an anterior/inferior direction, passing behind/under the neck of the pancreas and thesplenic vein. Located under this portion of the superior mesenteric artery, between it and the aorta, are the following:

The SMA typically runs to the left of its associated vein, thesuperior mesenteric vein. After passing the neck of the pancreas it starts giving off its branches.

Branches

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BranchSupplies
inferior pancreaticoduodenal arteryhead of thepancreas and to the ascending and inferior parts of theduodenum (proximal loop)
intestinal arteriesbranches toileum, branches tojejunum (proximal loop)
ileocolic arterysupplies last part of ileum,cecum, andappendix (distal loop)
right colic arteryto ascending colon (distal loop)
middle colic arteryto the transverse colon (distal loop)

The number of arterial arcades in the ileum is more than the number of arcades in the jejunum.[1]

The middle, right, andileocecal branches anastomose with each other to form amarginal artery along the inner border of the colon. This artery is completed by branches of the left colic which is a branch of theinferior mesenteric artery.

Clinical significance

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Additional images

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  • Animated Volume rendered CT scan of abdominal and pelvic blood vessels.
    AnimatedVolume renderedCT scan of abdominal and pelvic blood vessels.
  • Superior mesenteric artery
    Superior mesenteric artery
  • Dissection showing the anatomical relationship between the superior mesenteric artery and surrounding structures
    Dissection showing the anatomical relationship between the superior mesenteric artery and surrounding structures

References

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  1. ^Conley, Dylan; Hurst, Peter R.; Stringer, Mark D. (March 2010)."An investigation of human jejunal and ileal arteries".Anatomical Science International.85 (1):23–30.doi:10.1007/s12565-009-0047-9.ISSN 1447-6959.PMID 19488686.S2CID 7926213.
  2. ^Redaelli CA, Schilling MK, Büchler MW (1998). "Intraoperative laser Doppler flowmetry: a predictor of ischemic injury in acute mesenteric infarction".Digestive Surgery.15 (1):55–9.doi:10.1159/000018587.ISSN 0253-4886.PMID 9845564.S2CID 46785333.

External links

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Abdominal
aorta
Inferior phrenic
Celiac
Left gastric
Common hepatic
Splenic
Superior mesenteric
Suprarenal
Renal
Gonadal
Lumbar
Inferior mesenteric
Common iliac
Internal iliac
Posterior surface
Iliolumbar
Anterior surface
Superior vesical artery
Obturator
Middle rectal
Uterine
Inferior gluteal
Internal pudendal
External iliac
Median sacral
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