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</p> Signup and view all the answers

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

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

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

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

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

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

    Which lymph nodes drain the duodenum?

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

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

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

    Where does bile and pancreatic secretions enter the descending duodenum?

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

    Which structure suspends and supports the duodenojejunal flexure?

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

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

    <p>Left</p> Signup and view all the answers

    What aids in widening the angle of the duodenojejunal flexure?

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

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

    <p>Inferiorly</p> Signup and view all the answers

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

    <p>Duodenum</p> Signup and view all the answers

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

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

    From where does the suspensory muscle of the duodenum originate?

    <p>Diaphragm</p> Signup and view all the answers

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

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

    Which part of the small intestine is most proximal?

    <p>Duodenum</p> Signup and view all the answers

    Which ligament connects the duodenum to the liver?

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

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

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

    Where does the descending portion of the duodenum curve around?

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

    Which part of the duodenum is retroperitoneal?

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

    Where does the duodenum start and end anatomically?

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

    What shape do the four parts of the duodenum form?

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

    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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