Anatomy Quiz: Abdominopelvic Cavity

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Questions and Answers

Which of the following structures is located in the right upper quadrant of the abdomen?

  • Terminal ileum
  • Sigmoid colon
  • Liver (correct)
  • Spleen

Which of the following is a characteristic of the peritoneal cavity?

  • It is a potential space between the parietal and visceral peritoneum. (correct)
  • It is completely closed off in both males and females.
  • It contains a large volume (over 500mL) of serous fluid.
  • It directly connects the abdominal cavity to the thoracic cavity.

A double layer of peritoneum extending from the posterior abdominal wall that encloses an organ is called:

  • Mesentery (correct)
  • Visceral peritoneum
  • Peritoneal ligament
  • Parietal peritoneum

Which of the following organs is located in the left hypochondriac region?

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

What is the PRIMARY function of the mesentery?

<p>To provide a pathway for nerves, vessels, and lymphatics to abdominal organs. (A)</p> Signup and view all the answers

The abdominopelvic cavity is composed of which two continuous cavities?

<p>Abdominal and pelvic cavities (B)</p> Signup and view all the answers

Which of the following organs is primarily located in the hypogastric/suprapubic region?

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

Which of the following structures is found in the right iliac/inguinal region?

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

Which spinal cord segments contribute presynaptic neurons to the sympathetic nervous system?

<p>T1-L2 (C)</p> Signup and view all the answers

Where do presynaptic sympathetic fibers typically synapse after exiting the spinal cord?

<p>Paravertebral ganglia (C)</p> Signup and view all the answers

Which of the following organs is correctly paired with its peritoneal classification?

<p>Transverse colon - Intraperitoneal (D)</p> Signup and view all the answers

Which of the following is a prevertebral ganglion associated with the sympathetic nervous system?

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

During embryonic development, how do viscera acquire a peritoneal covering?

<p>They invaginate into the peritoneal sac, acquiring a covering of visceral peritoneum. (C)</p> Signup and view all the answers

What is the primary function of abdominopelvic splanchnic nerves?

<p>Carry presynaptic sympathetic fibers to the prevertebral ganglia (C)</p> Signup and view all the answers

The hepatic portal vein is formed by the confluence of which two veins?

<p>Superior mesenteric vein and splenic vein (C)</p> Signup and view all the answers

Which of the following structures is NOT part of the Caval venous system?

<p>Hepatic portal vein (C)</p> Signup and view all the answers

Postsynaptic fibers leaving the prevertebral ganglia form periarterial plexuses that follow branches of which major artery?

<p>Abdominal Aorta (C)</p> Signup and view all the answers

Which of the ligaments listed below is a remnant of the umbilical vein?

<p>Round ligament (ligamentum teres hepatis) (A)</p> Signup and view all the answers

Which of the following structures does not directly contribute to the formation or location of the hepatopancreatic ampulla (ampulla of Vater)?

<p>Cystic duct (C)</p> Signup and view all the answers

Which thoracic splanchnic nerve originates at T5-T9 and synapses in Celiac ganglion?

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

Which of the following structures do the postganglionic fibers of the greater splanchnic nerve primarily innervate?

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

Which of the following organs is retroperitoneal?

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

Obstruction of the portal vein can lead to Caput Medusae. Which of the following portal-caval anastomoses is directly involved in the formation of Caput Medusae?

<p>Paraumbilical veins – Epigastric veins (D)</p> Signup and view all the answers

The lesser splanchnic nerve originates at which spinal cord levels?

<p>T10-T11 (D)</p> Signup and view all the answers

Which portion of the duodenum is intraperitoneal?

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

Which ligament is not directly associated with the stomach and its connection to other organs?

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

A patient presents with hemorrhoids. Which portal-caval anastomosis is most likely impaired?

<p>Superior Rectal veins – Middle &amp; Inferior rectal veins (C)</p> Signup and view all the answers

Which of the following is NOT a function of the liver?

<p>Secretion of digestive enzymes (A)</p> Signup and view all the answers

The bare area of the liver is characterized by:

<p>Direct contact with the diaphragm and absence of visceral peritoneum. (C)</p> Signup and view all the answers

Which of the following accurately describes the location of the jejunum within the abdominal cavity?

<p>Primarily within the left upper quadrant (C)</p> Signup and view all the answers

What percentage range of blood supply to the liver is typically provided by the hepatic portal vein?

<p>75-80% (B)</p> Signup and view all the answers

Which of the following is a function of the pyloric sphincter?

<p>Regulating the passage of chyme from the stomach into the duodenum (B)</p> Signup and view all the answers

The hepatic artery proper is a component of which structure?

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

Which part of the small intestine crosses anterior to the inferior vena cava and aorta?

<p>Inferior (horizontal, 3rd) part of the duodenum (B)</p> Signup and view all the answers

What is the primary function of rugae in the stomach?

<p>Allowing expansion of the stomach (D)</p> Signup and view all the answers

Which of the following structures is responsible for storing and concentrating bile?

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

Which spinal cord segments contribute to the origin of the lumbar splanchnic nerves?

<p>L1-L2/L3 (C)</p> Signup and view all the answers

The aorticorenal ganglia, which contribute to the renal plexus, receive synapses from which spinal nerve?

<p>T12 (D)</p> Signup and view all the answers

Which of the following structures receives parasympathetic innervation via the vagus nerve?

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

Where are the presynaptic cell bodies of the pelvic splanchnic nerves located?

<p>Sacral region of the spinal cord (S2-S4) (B)</p> Signup and view all the answers

Which of the following is the location of the postganglionic cell bodies for parasympathetic innervation of the hindgut?

<p>Terminal/Intramural ganglia (B)</p> Signup and view all the answers

What is the primary destination of presynaptic fibers from the pelvic splanchnic nerves?

<p>Inferior hypogastric plexus (C)</p> Signup and view all the answers

Which cranial nerve carries preganglionic parasympathetic fibers to the abdomen?

<p>CN X (C)</p> Signup and view all the answers

What type of innervation is supplied by the lumbar splanchnic nerves?

<p>Sympathetic to hindgut (D)</p> Signup and view all the answers

Through which structure do presynaptic fibers from the sacral spinal cord reach their target organs in the pelvis?

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

Which of the following is NOT a head ganglia of the parasympathetic nervous system?

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

Which of the following is a characteristic unique to the ileum when compared to the jejunum?

<p>Many short arterial loops (C)</p> Signup and view all the answers

The mesentery proper attaches which structures to the posterior abdominal wall?

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

Which structure passes posterior to the superior mesenteric artery?

<p>Uncinate process of the pancreas (B)</p> Signup and view all the answers

The hepatopancreatic ampulla opens into which part of the duodenum?

<p>Descending (2nd) part (A)</p> Signup and view all the answers

Which of the following features is characteristic of the large intestine?

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

Which structure is located most closely applied to the surface of the kidney?

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

At approximately which vertebral level do the kidneys typically lie?

<p>T12-L3 (B)</p> Signup and view all the answers

The midgut is supplied by which artery?

<p>Superior mesenteric artery (A)</p> Signup and view all the answers

Which of the following is NOT directly a branch of the celiac trunk?

<p>Right gastric artery (C)</p> Signup and view all the answers

The intestinal arteries, which supply the jejunum and ileum, arise from which major artery?

<p>Superior mesenteric artery (B)</p> Signup and view all the answers

The marginal artery of Drummond provides an anastomotic connection between which two arteries?

<p>Superior mesenteric artery and inferior mesenteric artery (D)</p> Signup and view all the answers

Which effect does sympathetic innervation typically have on the gastrointestinal tract?

<p>Constriction of blood vessels (A)</p> Signup and view all the answers

Which of the following autonomic plexuses provides innervation specifically for the hindgut and pelvic viscera?

<p>Superior hypogastric plexus (A)</p> Signup and view all the answers

Which type of nerve carries presynaptic parasympathetic fibers to the pelvic organs?

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

What is the primary effect of parasympathetic innervation on glycogen levels?

<p>Promotes building/conservation of glycogen. (A)</p> Signup and view all the answers

Flashcards

Abdominal Cavity

The space bounded by abdominal walls, diaphragm, and pelvis; contains digestive organs, spleen, kidneys, and ureters.

Abdominopelvic Cavity

The combined and continuous cavity formed by the abdomen and pelvis.

Four Abdominal Quadrants

The abdomen is divided into four quadrants: RUQ, LUQ, RLQ, LLQ for description.

Right Upper Quadrant

Contains liver, gallbladder, pylorus, duodenum, hepatic flexure, and head of pancreas.

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Peritoneum

A membrane lining the abdominal cavity; includes parietal and visceral layers.

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Mesentery

A double layer of peritoneum connecting an organ to the posterior abdominal wall.

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Peritoneal Cavity

The potential space between the parietal and visceral peritoneum, containing peritoneal fluid.

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Intraperitoneal

Refers to organs fully enclosed by visceral peritoneum and suspended in the peritoneal cavity.

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Retroperitoneal

Organs that are partially outside the peritoneal cavity, covered only on the anterior surface by parietal peritoneum.

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Mnemonic for Retroperitoneal Organs

SAD PUCKER helps remember retroperitoneal organs: Suprarenal glands, Aorta/IVC, Duodenum, Pancreas, Ureters, Colon, Kidneys, Esophagus, Rectum.

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Functions of the Liver

The liver detoxifies, stores glycogen, produces hormones, synthesizes plasma proteins, and creates bile.

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Liver's Anatomical Lobes

The liver has 4 anatomical lobes: Right, Left, Quadrate, and Caudate.

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Hepatic Portal Vein

Carries 75%-80% of blood to the liver from the GI tract, formed by the superior mesenteric and splenic veins.

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Portal Venous System

Transports blood from the GI viscera to the liver for filtration via the hepatic portal vein.

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Caval Venous System

Drains blood from posterior abdominal structures into the inferior vena cava, bypassing the liver.

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Bare Area of Liver

Region of the liver in direct contact with the diaphragm, not covered by visceral peritoneum.

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Liver Ligaments

Includes the falciform, coronary, triangular, and round ligaments that support the liver and connect it to the abdominal wall.

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Presynaptic Neuron

Neurons originating in the CNS, specifically from the lateral horn of the spinal cord (T1-L2).

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Postsynaptic Neuron

Neurons located in paravertebral or prevertebral ganglia that receive signals from presynaptic neurons.

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Sympathetic Ganglia

Clusters of neurons in the sympathetic nervous system; includes paravertebral and prevertebral ganglia.

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Prevertebral Ganglia

A type of sympathetic ganglia located near major arteries in the abdominal area, containing postganglionic neurons.

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Celiac Ganglion

A prevertebral ganglion that innervates the foregut structures of the abdominal cavity.

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Splanchnic Nerves

Nerves carrying presynaptic sympathetic fibers to the abdominal and pelvic viscera via ganglia.

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Thoracic Splanchnic Nerves

Presynaptic sympathetic nerves originating from T5-T11 that innervate abdominal viscera; includes greater, lesser, and least splanchnic nerves.

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Lumbar Splanchnic Nerves

Nerves from the lumbar region that convey presynaptic sympathetic fibers to the lower abdominal viscera.

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Portal-Caval Anastomoses

Connections between caval and portal veins that allow collateral circulation.

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Caput Medusae

Varicose veins radiating around the umbilicus due to portal obstruction.

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Gallbladder Function

Stores and concentrates bile for fat digestion.

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Common Bile Duct

Duct formed by the cystic duct and hepatic duct.

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Portal Triad

Contains the hepatic portal vein, hepatic artery proper, and common bile duct.

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Stomach Regions

The stomach has four regions: Cardia, Fundus, Body, and Pylorus.

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Rugae

Longitudinal folds in the stomach's mucous membrane that flatten when full.

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Greater Omentum

Double-layered peritoneal sheet hanging from the stomach's greater curvature.

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Small Intestine Sections

Divided into Duodenum, Jejunum, and Ileum for nutrient absorption.

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Duodenum

First and shortest part of the small intestine, approximately 1 foot long.

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Renal Plexus

A network formed by postganglionic fibers from aorticorenal ganglia affecting kidney function.

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Cranial Outflow

Parasympathetic innervation provided through cranial nerves to head and thoracic/abdominal viscera.

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Pelvic Splanchnic Nerves

Provide parasympathetic innervation to the distal GI tract and pelvic viscera from S2-S4.

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Vagus Nerve

Cranial nerve X supplying parasympathetic innervation from the esophagus to the splenic flexure.

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Ganglia in Parasympathetic System

Include Ciliary, Pterygopalatine, Submandibular, and Otic; mainly near or within organs.

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Postsynaptic Cell Bodies

Located near target organs or within organ walls in the parasympathetic system.

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Foregut & Midgut Innervation

Parasympathetic innervation supplied mainly by the Vagus nerve for the upper GI tract.

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Periarterial Plexuses

Formed by postganglionic fibers that follow arterial branches to target organs.

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Aorticorenal Ganglia

Ganglia where preganglionic fibers synapse, contributing to renal and visceral innervation.

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Ileum

The final section of the small intestine, characterized by fewer plicae circulares.

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Jejunum

The middle section of the small intestine, known for prominent plicae circulares.

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Mesentery Proper

Fan-shaped fold of peritoneum anchoring jejunum and ileum to the abdominal wall.

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Pancreas

An accessory digestive gland producing both exocrine and endocrine secretions.

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Haustra

Pouch-like structures in the large intestine formed by teniae coli contractions.

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Renal Capsule

Protective outer layer surrounding each kidney, consisting of fibrous and fat layers.

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Celiac Trunk

Major artery supplying blood to the foregut, arising from the abdominal aorta.

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Superior Mesenteric Artery

Artery supplying the midgut, arising from the abdominal aorta at L1.

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Inferior Mesenteric Artery

Artery supplying the hindgut, arising from the abdominal aorta at L3.

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Teniae Coli

Three separate bands of longitudinal muscle found in the large intestine.

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Sympathetic Nervous System

Part of the autonomic nervous system that prepares the body for 'fight or flight' responses.

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Parasympathetic Nervous System

Part of the autonomic nervous system that promotes 'rest and digest' functions.

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Study Notes

Abdominal Cavity Organs

  • The abdominal cavity is bordered by the abdominal walls, diaphragm, and pelvis.
  • It forms the major part of the abdominopelvic cavity, which is continuous with the pelvic cavity.
  • The abdominal cavity houses most of the digestive organs, spleen, kidneys, and ureters.

Outline

  • The outline of the abdominal cavity presentation covers the organs of the abdominal cavity, blood supply, and innervation.

Organs of Abdominal Cavity

  • The abdominal cavity is a large space that contains major digestive organs.
  • The digestive tract, as well as spleen, kidneys, ureters and several other organs are included in the abdominal cavity.

Blood Supply

  • The blood supply to the abdominal cavity involves major blood vessels arising from the abdominal aorta.
  • There are 3 large blood vessel trunks that provide blood to the organs of the abdominal cavity
  • The celiac trunk, superior mesenteric artery and inferior mesenteric artery are the 3 major blood supply trunks

Innervation

  • The visceral organs of the abdomen receive innervation from both sympathetic and parasympathetic nerves.
  • The sympathetic system is responsible for inhibiting peristalsis, constricting blood vessels, and other actions.
  • The parasympathetic system promotes peristalsis and secretion of digestive juices.

Liver

  • The liver is divided into 4 anatomical lobes (right, left, quadrate, and caudate).
  • The functions of the liver include detoxification, glycogen storage, production of hormones, synthesis of plasma proteins, and production of bile.
  • The liver is supplied blood through the Hepatic portal vein.

Gallbladder

  • The gallbladder stores and concentrates bile, which emulsifies fat during digestion.
  • It has multiple parts including a fundus, body, and neck.

Duct System

  • The common bile duct joins with the main pancreatic duct forms hepatopancreatic ampulla (ampulla of Vater)
  • The ampulla opens into the 2nd part of the duodenum at major duodenal papilla.

Portal Triad

  • The portal triad contains three essential structures: the hepatic portal vein, hepatic artery, and common bile duct.
  • These structures are important to the liver.

Stomach

  • The stomach stores food and chemically & mechanically prepares food for digestion and passage into the duodenum.
  • The stomach is divided into four major regions: cardia, fundus, body, and pylorus.

Stomach: Ligaments

  • The greater omentum, gastrosplenic ligament, gastrophrenic ligament, and gastrocolic ligament are important structures that connect the stomach to other abdominal organs.

Small Intestine

  • The small intestine is the primary site for nutrient absorption.
  • It consists of three distinct parts: duodenum, jejunum, and ileum.
  • Duodenum is the first part of the small intestine, and it's a short, C-shaped structure.
  • Jejunum is the middle section of the small intestine, responsible for absorption.
  • Ileum is the final part of the small intestine, and it's longest part as well

Small Intestine: Duodenum

  • The duodenum is the first part of the small intestine.
  • The duodenum is divided into four segments: superior (first), descending (second), inferior (third), and ascending (fourth).

Small Intestine: Jejunum & lleum

  • The jejunum is located in the left upper quadrant.
  • The ileum is located mostly in the right lower quadrant.
  • In terms of structure, the jejunum has more prominent plicae circulares and larger diameter than the ileum.
  • In addition, vasa recta loops in the jejunum are longer.

Small Intestine: Mesentery

  • The mesentery proper is a fan-shaped fold of peritoneum that attaches the jejunum and ileum to the posterior abdominal wall.

Pancreas

  • The pancreas is an accessory digestive gland located posterior to the stomach.
  • It has four main regions: head, uncinate process, neck, and body.
  • The tail of the pancreas is located near the hilum of the spleen and left colic flexure.
  • Ducts from the pancreas and common bile duct unite to form a larger hepatopancreatic duct which opens into the duodenum.

Large Intestine

  • The large intestine absorbs water and electrolytes, and produces and absorbs vitamins.
  • The large intestine has definite characteristics that distinguish it from other parts of the digestive tract.
  • The large intestine is divided into cecum, ascending colon, transverse colon, descending colon, sigmoid colon, and rectum.

Kidneys

  • The kidneys are retroperitoneal organs located on the posterior abdominal wall.
  • They are associated with multilayered capsules including fibrous capsule, perinephric fat, renal fascia, and paranephric fat.
  • Each kidney is comprised of a cortex and medulla.
  • Parts of the kidney include renal pyramid, renal papilla, renal column, renal sinus, minor calyx, major calyx, renal pelvis, and ureter.

Foregut, Midgut, Hindgut

  • The foregut, midgut, and hindgut are the three parts of the gut tube that the digestive organs are subdivided into.
  • The foregut includes the esophagus, stomach, liver, gallbladder, pancreas, and upper duodenum.
  • The midgut includes the rest of the duodenum, jejunum, ileum, cecum, appendix, and proximal two-thirds of the transverse colon.
  • The hindgut includes the distal one-third of the transverse, descending, sigmoid colon, rectum, and upper anal canal.

Celiac Trunk

  • The celiac trunk is a major arterial branch that supplies blood vessels to the foregut.
  • Three main arteries arise from the celiac trunk – the left gastric artery, the splenic artery, and the common hepatic artery.

Superior Mesenteric Artery

  • The superior mesenteric artery supplies the midgut part of the gastrointestinal tract.
  • It's a branch that arises from the abdominal aorta, at the level of L1.
  • Four smaller arteries branch from the superior mesenteric artery: ileocolic, right colic, middle colic, and intestinal arteries.

Inferior Mesenteric Artery

  • The inferior mesenteric artery supplies the hindgut part of the gastrointestinal tract.

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