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Acute Abdomen
 Ischaemic Bowel
Philomena CorriganNurse Consultant Cardiac CareSenior Lecturer Adult Nursing
 
Acute Abdomen
 Ischaemic Bowel
Ischaemia more likely to affect small bowel than largebowelThe Superior Mesenteric Artery (SMA) supplies:- Small bowel- Ascending Transverse colon- Proximal 2/3 of Transverse colonThe 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 colonIs supplied by the most distal portions of both the IMA & SMAIs especially vulnerable to ischemia duringperiods of systemic hypoperfusion, suchas in shock
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