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Diagnostic Ultrasound - Abdomen and Pelvis

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Bowel<br />

SMALL INTESTINE<br />

Anatomy: <strong>Abdomen</strong><br />

Celiac artery<br />

Superior mesenteric artery<br />

Ileocolic artery<br />

Jejunal straight arteries<br />

Jejunal arterial arcades<br />

Ileal straight arteries<br />

Liver<br />

Stomach<br />

Pancreas<br />

Superior mesenteric artery<br />

Duodenum (3rd part)<br />

Transverse colon<br />

Aorta<br />

Greater omentum<br />

Inferior vena cava<br />

Small bowel loops<br />

(Top) Graphic shows the vascular supply of the entire small intestine from the superior mesenteric artery (SMA). The small bowel<br />

segments are displaced inferiorly. The SMA arises from the anterior abdominal aorta <strong>and</strong> gives off the inferior pancreaticoduodenal<br />

branch that supplies the duodenum <strong>and</strong> pancreas. Arising from the left side of the SMA are numerous branches to the jejunum <strong>and</strong><br />

ileum. Jejunal arteries are generally larger <strong>and</strong> longer than those of the ileum. After a straight course, the arteries form multiple<br />

intercommunicating curvilinear arcades. (Bottom) Graphic shows the sagittal section of the central abdomen, revealing the jejunum<br />

<strong>and</strong> ileum suspended in a radial pattern by the mesentery. Note the overlying greater omentum attached from the inferior portion of<br />

the stomach to drape the small bowel segments <strong>and</strong> transverse colon.<br />

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