•Ischaemia more likely to affect small bowel than largebowel•The Superior Mesenteric Artery (SMA) supplies:- Small bowel- Ascending Transverse colon- Proximal 2/3 of Transverse colon•The Inferior Mesenteric Artery (IMA) supplies:- Distal 1/3 of Transverse colon- Descending colon- Sigmoid colon
Acute Abdomen
Ischaemic Bowel
The Splenic Flexure:
•Is the junction between the transverse anddescending colon•Is supplied by the most distal portions of both the IMA & SMA•Is especially vulnerable to ischemia duringperiods of systemic hypoperfusion, suchas in shock
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