MRCEM Notes

Colon

Arterial supply of the large intestine


The table below illustrates the main vessels supplying the sections of the large intestine. It should be noted that the junnction of the proximal 2/3 and distal 1/3 of the colon is where the arterial supply switches from superior mesenteric to inferior mesenteric artery.

Part of large intestineMain vessel supplyingOrigin of vessel
Appendix & caecumileocolicSuperior mesenteric
Ascending colonright colicSuperior mesenteric
Transversemiddle colic
(left colic supplies distal 1/3)
Superior mesenteric
Descendingleft colicInferior mesenteric
Sigmoidsigmoid branchesInferior meseteric
Rectumsuperior rectal branchesinferior mesenteric

Diagram illustrating arterial supply of the colon


Diagram illustrating anatomy of the colon


Anatomical Relations

Ascending colon
Section of colonAnterior relationsPosterior relations
Ascending colonLoops of small intestine
Greater omentum
Anterior abdominal wall
Iliacus
Iliac crest
Quadratus lumborum
Transversus abdominis
Right kidney (lower pole)
Iliohypogastric nerve
Ilioinguinal nerve
Transverse colonGreater omentum
Anterior abdominal wall
2nd & 3rd part of duodenum
Head of pancreas
Loops of small intestine
Descending colonLoops of small intestine
Greater omentum
Anterior abdominal wall
Iliacus
Iliac crest
Quadratus lumborum
Transversus abdominis
Iliohypogastric nerve
Ilioinguinal nerve
Left kidney (lower pole)
Sigmoid colonBladder
Uterus & upper vagina
Rectum
Sacrum
Loops of small bowel
Full-size image