Marginal artery of the colon

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Marginal artery of the colon
Inferior mesenteric a.gif
Frontal view of the abdominal aorta and the territory supplied by the inferior mesenteric artery. The arteries on the right side (left side of image) arise from the superior mesenteric artery (SMA). The marginal artery (not labeled) connects the middle colic artery (a branch of the SMA) to the left colic artery (a branch of the IMA).
Colonic blood supply.svg
Colonic blood supply (Marginal artery is #9)
Details
Source superior mesenteric artery, inferior mesenteric artery
Supplies large intestine
Identifiers
Latin arteria marginalis coli
TA98 A12.2.12.068
TA2 4266
FMA 14824
Anatomical terminology

In human anatomy, the marginal artery of the colon, also known as the marginal artery of Drummond, the artery of Drummond, and simply as the marginal artery, is an artery that connects the inferior mesenteric artery with the superior mesenteric artery. It is sometimes absent, as an anatomical variant.

Contents

Structure

The marginal artery runs in the mesentery close to the large intestine as part of the vascular arcade that connects the superior mesenteric artery and the inferior mesenteric artery. [1] It provides an effective anastomosis between these two arteries for the large intestine. [1]

Variation

The marginal artery is almost always present, and its absence should be considered a variant.

Clinical significance

Removal of the inferior mesenteric artery

Along with branches of the internal iliac arteries, it is usually sufficiently large to supply the oxygenated blood to the large intestine. [1] This means that the inferior mesenteric artery does not have to be re-implanted (re-attached) into the repaired abdominal aorta in abdominal aortic aneurysm repair. [1]

Arc of Riolan

The Arc of Riolan (Riolan's arcade, Arch of Riolan, Haller's anastomosis), also known as the meandering mesenteric artery, is another vascular arcade present in the colonic mesentery that connect the proximal middle colic artery with a branch of the left colic artery. This artery is found low in the mesentery, near the root. In the setting of chronic ischemic colitis, both the marginal artery and the meandering mesenteric artery may be enlarged significantly, and may provide significant blood flow to the ischemic colonic segment.

History

The marginal artery is also known as the marginal artery of Drummond. [1]

See also

Related Research Articles

<span class="mw-page-title-main">Large intestine</span> Last part of the digestive system in vertebrates

The large intestine, also known as the large bowel, is the last part of the gastrointestinal tract and of the digestive system in tetrapods. Water is absorbed here and the remaining waste material is stored in the rectum as feces before being removed by defecation. The colon is the longest portion of the large intestine, and the terms are often used interchangeably but most sources define the large intestine as the combination of the cecum, colon, rectum, and anal canal. Some other sources exclude the anal canal.

<span class="mw-page-title-main">Sigmoid colon</span> Section of the large intestine closest to the rectum and anus

The sigmoid colon is the part of the large intestine that is closest to the rectum and anus. It forms a loop that averages about 35–40 centimetres (14–16 in) in length. The loop is typically shaped like a Greek letter sigma (ς) or Latin letter S. This part of the colon normally lies within the pelvis, but due to its freedom of movement it is liable to be displaced into the abdominal cavity.

<span class="mw-page-title-main">Mesentery</span> Contiguous fold of tissues that supports the intestines

The mesentery is an organ that attaches the intestines to the posterior abdominal wall and is formed by the double fold of peritoneum. It helps in storing fat and allowing blood vessels, lymphatics, and nerves to supply the intestines, among other functions.

<span class="mw-page-title-main">Abdominal aorta</span> Largest artery in the abdomen

In human anatomy, the abdominal aorta is the largest artery in the abdominal cavity. As part of the aorta, it is a direct continuation of the descending aorta.

<span class="mw-page-title-main">Celiac artery</span> First major branch of the abdominal aorta

The celiacartery, also known as the celiac trunk or truncus coeliacus, is the first major branch of the abdominal aorta. It is about 1.25 cm in length. Branching from the aorta at thoracic vertebra 12 (T12) in humans, it is one of three anterior/ midline branches of the abdominal aorta.

<span class="mw-page-title-main">Superior mesenteric artery</span> Artery which supplies blood to the intestines and pancreas

In human anatomy, the superior mesenteric artery (SMA) is an artery which arises from the anterior surface of the abdominal aorta, just inferior to the origin of the celiac trunk, and supplies blood to the intestine from the lower part of the duodenum through two-thirds of the transverse colon, as well as the pancreas.

<span class="mw-page-title-main">Inferior mesenteric artery</span>

In human anatomy, the inferior mesenteric artery, often abbreviated as IMA, is the third main branch of the abdominal aorta and arises at the level of L3, supplying the large intestine from the distal transverse colon to the upper part of the anal canal. The regions supplied by the IMA are the descending colon, the sigmoid colon, and part of the rectum.

<span class="mw-page-title-main">Superior mesenteric vein</span> Vein which drains blood from the small intestine

In human anatomy, the superior mesenteric vein (SMV) is a blood vessel that drains blood from the small intestine. Behind the neck of the pancreas, the superior mesenteric vein combines with the splenic vein to form the portal vein that carries blood to the liver. The superior mesenteric vein lies to the right of the similarly named artery, the superior mesenteric artery, which originates from the abdominal aorta.

<span class="mw-page-title-main">Sigmoid arteries</span>

The sigmoid arteries are 2–5 branches of the inferior mesenteric artery that are distributed to the distal descending colon and the sigmoid colon.

<span class="mw-page-title-main">Right colic artery</span> Artery supplying the colon

The right colic artery is an artery of the abdomen, a branch of the superior mesenteric artery supplying the ascending colon. It divides into two terminal branches - an ascending branch and a descending branch - which form anastomoses with the middle colic artery, and ileocolic artery (respectively).

<span class="mw-page-title-main">Middle colic artery</span> Artery supplying the colon

The middle colic artery is an artery of the abdomen; a branch of the superior mesenteric artery distributed to parts of the ascending and transverse colon. It usually divides into two terminal branches - a left one and a right one - which go on to form anastomoses with the left colic artery, and right colic artery (respectively), thus participating in the formation of the marginal artery of the colon.

<span class="mw-page-title-main">Left colic artery</span> Artery

The left colic artery is a branch of the inferior mesenteric artery distributed to the descending colon, and left part of the transverse colon. It ends by dividing into an ascending branch and a descending branch; the terminal branches of the two branches go on to form anastomoses with the middle colic artery, and a sigmoid artery (respectively).

<span class="mw-page-title-main">Ileocolic artery</span> Artery in the abdomen

The ileocolic artery is the lowest branch arising from the concavity of the superior mesenteric artery. It supplies the cecum, ileum, and appendix.

<span class="mw-page-title-main">Intestinal arteries</span>

The intestinal arteries arise from the convex side of the superior mesenteric artery. They are usually from twelve to fifteen in number, and are distributed to the jejunum and ileum.

<span class="mw-page-title-main">Colic flexures</span> Two abrupt bends in the large intestine

In the anatomy of the human digestive tract, there are two colic flexures, or curvatures in the transverse colon. The right colic flexure is also known as the hepatic flexure, and the left colic flexure is also known as the splenic flexure. Note that "right" refers to the patient's anatomical right, which may be depicted on the left of a diagram.

<span class="mw-page-title-main">Mesenteric arteries</span>

The mesenteric arteries take blood from the aorta and distribute it to a large portion of the gastrointestinal tract.

An acute abdomen refers to a sudden, severe abdominal pain. It is in many cases a medical emergency, requiring urgent and specific diagnosis. Several causes need immediate surgical treatment.

<span class="mw-page-title-main">Superior mesenteric plexus</span>

The superior mesenteric plexus is a continuation of the lower part of the celiac plexus, receiving a branch from the junction of the right vagus nerve with the plexus.

<span class="mw-page-title-main">Superior rectal artery</span>

The superior rectal artery is an artery that descends into the pelvis to supply blood to the rectum.

<span class="mw-page-title-main">Arterial arcades</span>

The arterial arcades are a series of anastomosing arterial arches between the arterial branches of the jejunum and ileum.

References

  1. 1 2 3 4 5 Mahadevan, Vishy (2020-01-01). "Anatomy of the caecum, appendix and colon". Surgery (Oxford). 38 (1): 1–6. doi:10.1016/j.mpsur.2019.10.017. ISSN   0263-9319.