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Related to colic artery: ileocolic artery
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Blue Arrow showing the Inferior Mesenteric Vein and Red Arrow showing the Ascending Branch of the Left Colic Artery lying close to the Mouth of the Sa
The patient already had one session of successful angioembolization of left colic artery. In ICU he developed frank bleeding from the fistula in the epigastrium.
Caption: FIGURE 2: Intraoperative photograph showing left paraduodenal hernia: left paraduodenal hernia (LPDH) occurring when small intestine prolapses posteroinferiorly into this fossa (of Landzert), which is bounded by the fourth part of the duodenum, the posterior peritoneum, the inferior mesenteric vein, and left branches of the middle colic artery. LPDH borders displayed.
Characteristics Results Technical success 112 (98%) Site Upper GI hemorrhage 47 (41%) Lower GI hemorrhage 67 (59%) Embolization Proximal (selective) 21 (19%) Distal (superselective) 91 (81%) Arteries embolized Gastroduodenal artery 36 (32%) Ileocolic artery 28 (25%) Right colic artery 12 (11%) Jejunal branches of SMA 10 (8.9%) Left gastric artery 09 (8.0%) Superior rectal artery 07 (6.2%) Ileal branches of SMA 05 (4.4%) Left colic artery 04 (3.6%) Middle colic artery 01 (0.9%) Embolization material Microcoils 69 (62%) PVA particles 33 (29%) PVA with microcoils 09 (8.0%) Gel foam 01 (0.9%)
The right colic artery, right branch of the cranial mesenteric artery, after a short way irrigates the right colon and anastomises with the ileocecocolic artery.
Yet, the caudal mesenteric artery, after arising from the abdominal aorta ventral face, immediately cranial to the external iliac arteries emission, divides into two branches, cranial rectal artery that sends branches to the large intestine terminal portion, and the right colic artery, which in its cranial path through the descending colon wall anastomises with the descending branch of the middle colic artery (Fig.
The superior branch passes upward along the ascending colon to anastomose with the right colic artery. The inferior branch continues toward the ileocolic junction dividing into colic, cecal, appendicular and ileal branches (1).
The Superior mesenteric artery gave rise to inferior pancreatico-duodenal artery as the first branch and the middle colic artery (MCA) as the next branch as usual.
The left colic artery is the first branch of the inferior mesenteric artery.