L20 Duodenum
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Questions and Answers

Which artery supplies the part of the duodenum above the major duodenal papilla?

  • Gastroduodenal artery
  • Superior pancreaticoduodenal artery (correct)
  • Superior mesenteric artery
  • Inferior pancreaticoduodenal artery

Which vein does the duodenum drain into?

  • Hepatic vein
  • Splenic vein (correct)
  • Inferior vena cava
  • Renal vein

Which part of the duodenum receives the bile duct?

  • Fourth part
  • Second part (correct)
  • Third part
  • First part

Which part of the duodenum is closely related posteriorly to the gastroduodenal artery?

<p>First part (A)</p> Signup and view all the answers

Which part of the duodenum is attached to the diaphragm by the suspensory ligament?

<p>Fourth part (A)</p> Signup and view all the answers

Which nerve supply is responsible for the sympathetic innervation of the duodenum?

<p>T9 and T10 (A)</p> Signup and view all the answers

Which artery supplies the part of the duodenum below the major duodenal papilla?

<p>Inferior pancreaticoduodenal artery (A)</p> Signup and view all the answers

Which part of the duodenum has the superior mesenteric artery as an important anterior relation?

<p>Third part (C)</p> Signup and view all the answers

Which lymph nodes drain the duodenum?

<p>Pancreaticoduodenal nodes, hepatic nodes, and celiac nodes (D)</p> Signup and view all the answers

Which nerve supply is responsible for the parasympathetic innervation of the duodenum?

<p>Vagus nerve (C)</p> Signup and view all the answers

Where does bile and pancreatic secretions enter the descending duodenum?

<p>Major duodenal papilla (D)</p> Signup and view all the answers

Which structure suspends and supports the duodenojejunal flexure?

<p>Suspensory muscle of the duodenum (B)</p> Signup and view all the answers

Where does the third part of the duodenum travel laterally to?

<p>Left (A)</p> Signup and view all the answers

What aids in widening the angle of the duodenojejunal flexure?

<p>Suspensory muscle contraction (C)</p> Signup and view all the answers

Where is the fourth part of the duodenum located in relation to the pancreas?

<p>Inferiorly (B)</p> Signup and view all the answers

Which structure crosses over both the inferior vena cava and aorta?

<p>Duodenum (D)</p> Signup and view all the answers

At what vertebral level does the ascending part of the duodenum join the jejunum?

<p>(L3) - (L2) (C)</p> Signup and view all the answers

From where does the suspensory muscle of the duodenum originate?

<p>Diaphragm (A)</p> Signup and view all the answers

What is the Latin origin of the name 'duodenum'?

<p>Twelve fingers length (C)</p> Signup and view all the answers

Which part of the small intestine is most proximal?

<p>Duodenum (D)</p> Signup and view all the answers

Which ligament connects the duodenum to the liver?

<p>Hepatoduodenal ligament (D)</p> Signup and view all the answers

In which part of the duodenum is the most common site of ulceration?

<p>First part (superior) (C)</p> Signup and view all the answers

Where does the descending portion of the duodenum curve around?

<p>Head of the pancreas (A)</p> Signup and view all the answers

Which part of the duodenum is retroperitoneal?

<p>First part (superior) (D)</p> Signup and view all the answers

Where does the duodenum start and end anatomically?

<p>Pylorus to duodenojejunal junction (B)</p> Signup and view all the answers

What shape do the four parts of the duodenum form?

<p>'C' shape (B)</p> Signup and view all the answers

Flashcards

First Part of Duodenum

The first part of the duodenum, about 2 inches in length, located within the peritoneal cavity.

Second Part of Duodenum

The second part of the duodenum, where the bile duct enters through the ampulla of Vater.

Third Part of Duodenum

The third part of the duodenum, located inferior to the pancreas and posterior to the superior mesenteric artery.

Fourth Part of Duodenum

The fourth part of the duodenum, which ascends and joins the jejunum at the duodenojejunal flexure.

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Duodenojejunal Flexure

The point where the fourth part of the duodenum meets the jejunum.

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Suspensory Ligament of Duodenum (or Ligament of Treitz)

The ligament that supports the duodenojejunal flexure.

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Anterior Relation of the 4th Part of Duodenum

The anterior relation of the fourth part of the duodenum.

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Posterior Relation of the 4th Part of Duodenum

The posterior relation of the fourth part of the duodenum.

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Superior Pancreaticoduodenal Artery

The artery responsible for supplying blood above the opening of the major duodenal papilla.

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Inferior Pancreaticoduodenal Artery

The artery responsible for supplying blood below the opening of the major duodenal papilla.

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Origin of Superior Pancreaticoduodenal Artery

The source of the superior pancreaticoduodenal artery.

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Origin of Inferior Pancreaticoduodenal Artery

The source of the inferior pancreaticoduodenal artery.

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Venous Drainage of the Duodenum

The veins draining the duodenum connect to these larger vessels.

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Lymphatic Drainage of the Duodenum

The lymph nodes that receive drainage from the duodenum.

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Sympathetic Nerve Supply of Duodenum

The sympathetic nerves supplying the duodenum, originating from the spinal cord.

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Parasympathetic Nerve Supply of Duodenum

The parasympathetic nerves supplying the duodenum, originating from the brain.

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Fixed Part of Small Intestine

A fixed part of the small intestine, covered only on the anterior side.

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Length of Duodenum

The length of the duodenum.

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Shape of the Duodenum

The shape the duodenum forms around the head of the pancreas.

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Parts of the Duodenum

The four distinct sections of the duodenum.

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Posterior Relation of the First Part of Duodenum

The first part of the duodenum is closely related to this artery posteriorly.

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Blood Vessels Crossed by the Third Part of Duodenum

The third part of the duodenum travels laterally to the left, crossing over these important blood vessels.

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Inferior Relation of the Third Part of Duodenum

The third part of the duodenum is located inferiorly to this organ.

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Posterior Relation of the Third Part of Duodenum

The third part of the duodenum is located posteriorly to these vessels.

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Origin of Suspensory Muscle of Duodenum

The suspensory muscle of the duodenum or ligament of Treitz arises from this structure.

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Attachment Points of Suspensory Muscle of Duodenum

The suspensory muscle of the duodenum attaches to these parts of the duodenum.

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Study Notes

Duodenum Relations

  • Anterior relation of the 4th part of the duodenum is the small intestine
  • Posterior relation of the 4th part of the duodenum is the left psoas major

Arterial Supply

  • Above the opening of the major duodenal papilla, the duodenum is supplied by the superior pancreaticoduodenal artery
  • Below the opening of the major duodenal papilla, the duodenum is supplied by the inferior pancreaticoduodenal artery
  • The superior pancreaticoduodenal artery arises from the gastroduodenal artery
  • The inferior pancreaticoduodenal artery arises from the superior mesenteric artery

Venous Drainage

  • The veins of the duodenum drain into the splenic vein, superior mesenteric vein, and portal vein

Lymphatic Drainage

  • The duodenum drains into the pancreaticoduodenal nodes, hepatic nodes, coeliac nodes, and cisterna chyli

Nerve Supply

  • The duodenum is supplied by sympathetic nerves from T9 and T10
  • The duodenum is supplied by parasympathetic nerves from the vagus

Parts of the Duodenum

  • The first part of the duodenum is 2 inches long and intraperitoneal
  • The first part of the duodenum is closely related to the gastroduodenal artery posteriorly
  • The second part of the duodenum receives the bile duct in the ampulla of Vater
  • The third part of the duodenum has a very important anterior relation with the superior mesenteric artery
  • The fourth part of the duodenum is attached to the diaphragm by the suspensory ligament

Third Part of the Duodenum

  • The third part of the duodenum travels laterally to the left, crossing over the inferior vena cava and aorta
  • The third part of the duodenum is located inferiorly to the pancreas and posteriorly to the superior mesenteric artery and vein

Fourth Part of the Duodenum

  • The fourth part of the duodenum ascends and curves anteriorly to join the jejunum at the duodenojejunal flexure
  • The duodenojejunal junction is supported by the suspensory muscle of the duodenum or ligament of Treitz
  • The suspensory muscle of the duodenum arises from the right crus of the diaphragm and attaches to the posterior surface of the duodenojejunal flexure and the third and fourth parts of the duodenum

General Features

  • The duodenum is a fixed part of the small intestine, covered only anteriorly
  • The duodenum is 25cm long and forms a ‘C’ shape around the head of the pancreas
  • The duodenum can be divided into four parts: first part (superior), second part (descending), third part (inferior), and fourth part (ascending)

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L20 Duodenum PDF - Anatomy

Description

This quiz covers the anatomy of the duodenum small intestine, including its structure and divisions. Learn about the proximal portion of the small intestine, its length, and the parts that make up the duodenum.

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