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    Duodenum

    Uploaded by

    abrarmostafa01
    Diagram of duodenum

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Duodenum

    Uploaded by

    abrarmostafa01
    6 views20 pages
    Diagram of duodenum

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    © © All Rights Reserved

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    PDF, TXT or read online from Scribd

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    Diagram of duodenum

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    6 views20 pages

    Duodenum

    Uploaded by

    abrarmostafa01
    Diagram of duodenum

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 20

    DUODENUM

    RELATIONS

    FIRST PART
    Anterior – Quadrate lobe of the liver

    Posterior – Portal vein, gastroduodenal artery, and bile-duct.


    The vena cava is behind these.

    Superior - Epiploic foramen and hepatic artery (horizontal


    part)

    Inferior - Head of the pancreas


    SECOND PART
    Anterior - Gall-bladder, transverse colon, and small gut
    Posterior - Rt. Renal vessels, the pelvis and surrounding areas
    of the rt.kidney
    Right - Hepatic flexure of the colon
    Left - Head of the pancreas. It is pierced about the
    middle by the bile
    and pancreatic ducts.
    THIRD PART
    Anterior - Superior mesenteric vessels, the root of the
    mesentery, the transverse colon and mesocolon
    Posterior - Inferior vena cava, aorta, gonadal vessels of both
    sides, the left sympathetic trunk, and the left psoas
    Superior - Head of the pancreas
    Inferior - Small gut
    FOURTH PART

    Anterior- Transverse mesocolon, and transverse colon


    Posterior - Left psoas major, left sympathetic trunk, left renal and
    testicular vessels and inferior mesenteric artery
    Superior - Pancreas
    Inferior - Jejunum
    Right - Aorta
    Left - Left Kidney
    and ureter
    ARTERIAL SUPPLY
    • Derived from coeliac trunk:
    Superior pancreaticoduodenal (branch of
    gastroduodenal which in turn is a branch of
    hepatic artery)
    • Derived from Superior mesenteric artery:
    Inferior pancreaticoduodenal
    • Additional supply from:
    Supraduodenal/ Right gastric/ Right
    gastroepiploic arteries
    Venous drainage
    • Splenic
    • Superior mesenteric
    • Some veins directly in to portal vein
    Lymphatic drainage
    • Pancreaticoduodenal nodes
    nodes Pyloric Hepatic Coeliac
    • Lower down: to preaortic lymph node around superior
    mesenteric artery
    • Nerve supply
    • Coeliac plexus- Gets sympathetic component from
    both greater splanchnic nerves & branches from
    both the vagus nerves
    Duodenal cap

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