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The mesentery of the small intestine arises from the root of the mesentery (or mesenteric root) and is the part connected with the structures in front of the vertebral column. The root is narrow, about 15 cm long, 20 cm in width, and is directed obliquely from the duodenojejunal flexure at the left side of the second lumbar vertebra to the ...
The procedure involves counterclockwise detorsion of the bowel, surgical division of Ladd's bands (shown in image), widening of the small intestine's mesentery, performing an appendectomy, and reorientation of the small bowel on the right and the cecum and colon on the left (the appendectomy is performed so as not to be confused by atypical ...
The mesocolic lymph nodes are numerous, and lie between the layers of the transverse mesocolon, in close relation to the transverse colon; they are best developed in the neighborhood of the right and left colic flexures. One or two small glands are occasionally seen along the trunk of the right colic artery and others are found in relation to ...
The small intestine forms loops (B2) and slides back into the abdomen (B3) during resolution of the hernia. Meanwhile, the cecum moves from the left to the right side, which represents the additional 180° counterclockwise rotation of the intestine (C, central view). [4] The exact cause of intestinal malrotation is unknown.
The paramesenteric gutters (paramesenteric recesses or infracolic spaces) are two peritoneal recesses – spaces in the abdominal cavity between the colon and the root of the mesentery. There are two paramesenteric gutters; the left paramesenteric gutter and the right paramesenteric gutter.
SMA syndrome is also known as Wilkie's syndrome, cast syndrome, mesenteric root syndrome, chronic duodenal ileus and intermittent arterio-mesenteric occlusion. [3] It is distinct from nutcracker syndrome, which is the entrapment of the left renal vein between the AA and the SMA, although it is possible to be diagnosed with both conditions. [4]
A less obvious medial paracolic gutter may be formed, especially on the right side, if the colon possesses a short mesentery for part of its length. The right (lateral) paracolic gutter runs from the superiolateral aspect of the hepatic flexure of the colon, down the lateral aspect of the ascending colon, and around the cecum.
The inferior mesenteric lymph nodes consist of: (a) small glands on the branches of the left colic and sigmoid arteries (b) a group in the sigmoid mesocolon, around the superior hemorrhoidal artery (c) a pararectal group in contact with the muscular coat of the rectum