MRCEM Notes

Posterior abdominal wall vessels

Abdominal aorta

  • Commences at vertebral level T12
  • Ends by bifurcating into right and left common iliac arteries at L4. Anteriorly this corresponds to a point approximately 2cm below the umbilicus just left of the midline.

Abdominal aorta branches
Branch positionTypeBranches
Anterior3 single anterior visceral branches (unpaired)coeliac trunk
superior mesenteric
inferior mesenteric
Lateral3 lateral visceral branches (paired)suprarenal
renal
gonadal
Lateral5 wall branches (paired)inferior phrenic and lumbar (but names not required)
Terminal3 branchesLeft common iliac (main branch)
Right common iliac (main branch)
Median sacral

Level of selected branches/landmarks:

Branch of aortaVertebral Level
Coeliac trunkT12
Superior mesentericL1
Renal arteriesL1/2
Testicular or ovarian arteriesL2
Inferior mesenteric arteryL3
Bifurcation of the abdominal aortaL4


IVC
  • Commences at vertebral level T8
  • Ends by bifurcating below the aorta at L5 level.

Diagram illustrating the abdominal aorta & IVC

Diagram illustrating the abdominal aorta branches

Diagram illustrating the diaphragmatic openings of the diaphragm
Full-size image