blood supply and innervation of structures of abdomen&pelvis3

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STRUCTURE ARTERIAL VENOUS LYMPH NERVE Testis Testiculapr artery Pampiniform plexus 4 t0 2 to 1 RIGHT:IVC LEFT: Left renal vein Para-aortic nodes T10 Epididymus Do do do Do Ductus deferens Art. To vas deferens(Sup.ves ical) Nearest lymph nodes Inf. Hypogastric plexus Seminal vesicle Inf. Vesical Middle rectal ----do--- Stomach Celiac trunk Portal vein Vagus(imp) Duodenum Sup & inf pancreaticoduod enal Sup mesenteric Portal vein Celiac Sup. Mesenteric nodes Jejunum&Ile um Sup.mesenteric Sup.mesenteric nodes T9,T10 Vagal Caecum Ant&post br of ileocecal br.of sup mesenteric artery Ileocolic nodes Appendix Appendicular artery br. Of post. cecal artery Ileocolic nodes T10 Colon Right,middle colic(Sup mesenteric) Left colic(Inf mesenteric) Sup & Inf mesenteric nodes T10-L2 Vagal Pelvic splanchnic Pancreas Splenic Superior pancreaticoduod enal Inferior pancreaticoduod enal Splenic vein Portal vein Sup mesenteric vein Pancreaticospl enic Celiac Sup.mesenteric nodes T6-T10 Vagal parasympathetic Gallbladder Cystic artery Cystic vein Cystic node T7-T9 Liver Hepatic artery br of celiac Portal vein Hepatic nodes Symp: Celiac Parasym: Vagus Spleen Splenic artery br of celiac Splenic vein Pancreaticospl enic to celiac nodes Celiac plexus Kidney Renal artery(L2 Renal vein Para-aortic T12,L1

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Page 1: Blood supply and innervation of structures of abdomen&pelvis3

STRUCTURE ARTERIAL VENOUS LYMPH NERVE

Testis Testiculapr artery Pampiniform plexus 4 t0 2 to 1 RIGHT:IVC LEFT: Left renal vein

Para-aortic nodes

T10

Epididymus Do do do Do

Ductus deferens

Art. To vas deferens(Sup.vesical)

Nearest lymph nodes

Inf. Hypogastric plexus

Seminal vesicle

Inf. Vesical Middle rectal

----do---

Stomach Celiac trunk Portal vein Vagus(imp)

Duodenum Sup & inf pancreaticoduodenal

Sup mesenteric Portal vein

Celiac Sup. Mesenteric nodes

Jejunum&Ileum

Sup.mesenteric Sup.mesenteric nodes

T9,T10 Vagal

Caecum Ant&post br of ileocecal br.of sup mesenteric artery

Ileocolic nodes

Appendix Appendicular artery br. Of post. cecal artery

Ileocolic nodes T10

Colon Right,middle colic(Sup mesenteric) Left colic(Inf mesenteric)

Sup & Inf mesenteric nodes

T10-L2 Vagal Pelvic splanchnic

Pancreas Splenic Superior pancreaticoduodenal Inferior pancreaticoduodenal

Splenic vein Portal vein Sup mesenteric vein

Pancreaticosplenic Celiac Sup.mesenteric nodes

T6-T10 Vagal parasympathetic

Gallbladder Cystic artery Cystic vein Cystic node T7-T9

Liver Hepatic artery br of celiac

Portal vein Hepatic nodes Symp: Celiac Parasym: Vagus

Spleen Splenic artery br of celiac

Splenic vein Pancreaticosplenic to celiac nodes

Celiac plexus

Kidney Renal artery(L2 Renal vein Para-aortic T12,L1

Page 2: Blood supply and innervation of structures of abdomen&pelvis3

level) nodes

Suprarenals Aorta Renal Inf. Phrenic

Right: IVC Left: Left renal vein

Para-aortic Symp: Celiac

Ureter UP: Renal MID: Aorta, Gonadal, Common iliac, Int. iliac LOWER: Sup. Vesical, Inf. Vesical & uterine

ABD: Para-aotic PELVIC: Common iliac & Int. iliac nodes

T10-L1 Pelvic splanchnic nerves

Rectum Sup rectal Middle rectal Inf.rectal

UP.PART: Pre-aortic nodes LOW.PART: Int. iliac nodes

Pelvic splanchnic nerves

Anal canal SUP.PART: Sup. Rectal artery INF.PART: Inf. Rectal artery POST.PART: Median sacral artery

(SITE OF PORTO-SYSTEMIC ANASTOMOSIS) Sup.rectal & Inf. Mesenteric vein to portal vein Middle rectal& Inf. rectal to Int. iliac vein

Int. iliac nodes Sup. Inguinal nodes

SUP. PART& EXT.ANAL SPHINCTER: Inf. Rectal br. Of pudendal nerve LOWER PART& INT ANAL SPHINCTER: Autonomic Sympathetic:L1, L2 Parasympathetic: Pelvic splanchnic nerves

Bladder Sup vesical Inf. vesical

Vesicoprostatic plexus Int. iliac vein

Ext iliac(Mainly) Int. iliac & Obturator nodes

Sympathetic: L1,L2 Parasympathetic: S2,S3,S4

Prostate Inf.vesical Middle rectal Internal pudendal

Vesicoprostatic venous plexus Int. iliac vein

Int. iliac nodes S2, S3, S4

Uterus Uterine artery Int. iliac veins

Uterine tubes

Tubal br. Of ovarian artery

Tubal veins to ovarian veins

Ovaries Ovarian artery Plexus Para-aortic Symp: T10, T11

Page 3: Blood supply and innervation of structures of abdomen&pelvis3

Right: IVC Left: Left renal vein

nodes

Parasymp: Inf. Hypogastric plexus

Vagina Vaginal br. Of int.iliac

Int. iliac vein EXT & INT. iliac Lower part: Sup. Inguinal lymph nodes

Perineal br. Of pudendal nerve Ilioinguinal nerve

Urethra M A L E F E M A L E

No single artery From neighbouring vessels Prostate, Sphincter urethrae, Corpus spongiosum Inf. vesical Vaginal Int. pudendal

Vesical plexus Int. pudendal vein

Int. iliac(MAINLY) Ext.iliac(SOME)

MUCOUS MEMB. OF PENILE URETHRA: Perineal br. Of pudendal nerve PROX.PART: Inf.hypogastric plexus --------do-----------

Penis Int. pudendal CORPORA CAVERNOSA: Dorsal artery of penis CORPUS SPONGIOSUM: Artery to bulb SKIN,FASCIA& GLANS: Dorsal artery

Veins accompanying arteries to int. pudendal veins(Partly) Deep dorsal vein to vesicoprostatic plexus(Mainly) Superficial dorsal vein to sup. Ext. pudendal

SKIN: Sup. Inguinal lymph nodes GLANS&CORPORA: Deep inguinal lymph nodes

SKIN: Pudendal nerve Prox. Penis: Ilioinguinal nerve(L1) GLANS: Dorsal nerve of penis(S2) BULBOSPONGIOSUS& ISCHIOCAVERNOSUS: Perineal br. of pudendal nerve(S2,S3) EJACULATION: Sympathetic: L1 Parasympathetic: Pelvic splanchnic nerve

REFRENCES: Last’s Anatomy