Small Intestine:

Ketypevitoneal:
From Phlorus to: leocaal Tunction paHially tovered by Peuid
E istal
om nd, 2ed, t

mo bile Ryt
Inraperiton@n
Conmpletely Coye red b evifbn

Nodenum
Jeyunum leum Opoxpt
-Shovtest
wides
O
fxed paut
DCm ampul
From PMorus RE daodena
to ducdenoTenunal flexrat)
lexuvt (mobile paranpule
t
2-510 L2
- loc
above the level o Umblicus jom
LtL2 L3 5Cm
L
Inf duodend
4 Parts fle xure
(0 13/ Saterioy part 5um indhes lony.(L)

0adesc en ding Rt om indhes long (L-L3

G3/4onfenlal part -38 cm4incher long(L3)
(4)4th/Ascenting Pat scm / indhes long-(Le)

nd fixe t
mostly et o petoneal (Exp ts ends) uwhero
Suspented by folde peitoneum
AnH Only 2ntly tver with peaiioneum
mobile,(has Mejendey)
,st anulla
IMMObile ,gan
st part dudenum nd 3cM
ahd 3cM Cno mesentery)
- begins at py lots
mee he Part
pas ses Right to
Heptocuodtral liz omentum
PERITDNE AL REATIDNS above- lesser

2n
moabie LIt atachedk belo)-(geater Ometum
Proki mal ampulla (duodenal Ca
Distal 3cm ixed
.Ret10periHoneal
Pertoneum only en At Side

Viseyal velationS
tve, Gal blader
uadrats tobe of
 Post Gasto duo denal a tovy bile dut Porkal vein
Sup
Sup opi pioic for a en
nf Head and heck paner eas

SECOND PART
FDUODENOM
-T4DCm Long
Sup Superidy duodenad flexue
Inf LouwOr bot der o La Canes left bec. ome 3 p t
Peri-o neal relation
-RechopeiHoreal fined
ant SusPevi toneum
(Ecp: nea the Middk
deredly elded th
Visteral yelatfonS: Colen
Ant Peobe
Lobe
bv transver Se
mesotolon Colen T0ot
Cot oo tYansuavsSe
Yans
Post
Smallintstine.
OHT
aot S o Rt Kd ney 24 Yenal vessels, Rt ed v e
PA pSoas Ma Mus
Med Hend o an Creos Bile duct
lot R Colic flexure
Inf Maj duodenal popila Min duodenal pobillalongitudinal d
pica Longitudinali s
st
THIRD PADT oF DUODENOM:

b
-cm long, HoriZon 1ay
beins ok Infeiov duodenal Plexune
ront o the TyC, and ends by
ahghly uPoamdin. 3
th pat in ront o 1he Abdominal Aorta.
Janing
Janing the

Peitoneal Telations:
Fixed
Retropeitoneal
and
plae)
-

in median
at S. Revitonuro (Ecp:

viscexal relafionS:

Ant Sup Mesantenc vas sels, yodt Mea tey

 A
Rst k UeterRt. PscQ
est May vC, obdomi nal aoyta
Sap Head o PanChas or Oncinate Process
coils Jejunum
Inf 4

PART OF DUODENUM
FOOR TH

- 5 CM long
The . aorta
un s puards on or) immeately do

betomes contnuaugu Juganum, at the ducdono jaJuna fken

Peritoneal velaton rs2a)
wde eitorum (uo, (T- 2
ss ant pei to niuM
teminal ut us Suspandadbymetentey»tyt Av
4sd,NiSeal Relatins
Stomacth
le[Sey Sac
Ant tyansverse Colon tyansversa meSocden,
yenal avtery, t qenadal artey
Pbst t Sympartioetic Chaio, tt.
inf mesentevi Vain.
sentery
b the vight Atlachmenk ouppespart o100t me
t kdney t Ueter
lo the left
Sup PaaCsaaS
Body e`keletal Mus. from diophrog
d u o d e n u

-9 4reiz Smootu

PU ODENUM OR LIGAtMENT OF TREITZ

SUSPE NGORY MUSCLE oF
dnd uppor Tha duo deno jejunal
-
Fibomus ulot band
wkich Suspendk
Flexuye
Made up in t uper part
Striped MUS fie h
Midd le par
Elastic fibres
Lower Part
Plain MUS fib1os

normally ts contyaction ingaseS he anglo oduedenoj ejunsl flexue

AngmbgisSmMaCELIAC TRUNK
K 1ERIAL SoPPLY
the level o he cpeniMhe
duodenum 18 Suppledby
upto
he aperior pancvabico duodendl qutely blouo E by he
npancreatitodurdendl atery.
OM Heraic-a Supedund enal astroduoderal .a .a, Majo duedonal pap|la
 Venous draiha fe
The Vain othu duodenam drainhto Thu sblenic

SupaiD Meset nc Ond portal vens.

ymph Dyinge:
-Mogt lyoph Vessels oon the duodenum end tn
tu
Panat akicadl dudinal nodes Presenk along h nsde a t
Cusve ofh duodonunt
Dnit ymph nedeS
SmuNedes pterit lynpk eles Cellac
Nove Suply vates lasse hhoracic planch nic neve
paythetic -N (75-Ta), (Tio
cehat,sm Pleutes
pra Sy pfletic N-Vagus nerves celiaC S Y nep Se
SM PEuses
JE3UNUM AND ILEUM preventebral rm
inhinsic fangia in wal Periateia Plexutes
are Kaspended pom heostei0y d omi nal Wall
Wall
bya MesenBexY and nerve Con 2hdar oble mobility

fTejunum /s 9Jrtelineoper)leing-D Flexne

I leum 3/5 o r one)ewninade- 1-CAEAL
a Jorchin
Blord Supply
-b from Supevioys Mgs enteiC Actey
dt oinedbycocespondin Yainýros sr
ub
MECKEL'S DIVERTICULUM

-1t 16 the Proserderd PasiSient proxi mal

viHeloimesinal dactwhid i Present In Tha im or yo
ard homally desop2avs
Hzo uteine ufe
duving6hWaok
Tt oceuyh In Sukjeets
UAualy ity s a incha 5cm long
A193

u k oAM
 Dierene T6TUNUM AND ILEUM:

FEATURE JE TUMDM
TLEUM
0 Location
UPpel, left pat a Intestira intesfin
ardd (ouwer Rt part o

dals hickey MOY yasculay Tinney less Vascedor

lumen wider
oflen
npty Nayou often Loodo

Mesentery N o uindoua
awindou &s Phesen
f a t lesS abundant 4ot atundant
Vase Teda longer feueC) Yasa uda Shorter

5, Cihulq mulosal
langer Morl closely Set Smallos Spa se
folds

Fazdias Smal Intetine

lage Sunface Ara

-veater lengfl ointortine
menbrane
Mulaus
pwsence ciular Hds
aborption qdxgalted fpod.
helps in os
Imeltinal glnds Crypts ber kuh n
ovey the entae
dixtubuted
Smple uhular glands
1leum
Tunum and
1leu
MuLous membyane lbs
MuCouk
Lynphatic Menb
Follides 2 type S eAcgngatel
l iHary LF LF

CLuNICAL ANATOM Y an
ComMen SiHefor pephe Oltel
The st pavt duodenu 1
9
Acute inflarmmatio divertf culum a Produces

ymphpm $ that Yes emble tho Se APPENDICITIS