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Exam questionKROK 1Medicine ยท 2010

In course of laparotomy a surgeon revealed gangrenous lesion of descending colon. It was caused by thrombosis of the following artery:

Answer options

  1. Ileocolic
  2. Dexter colic
  3. Median colic
  4. Sinister colic
  5. Superior mesenteric artery
Correct answer

Sinister colic

Explanation

The left colic artery is a branch of the inferior mesenteric artery that runs to the left behind the peritoneum and in front of the psoas major muscle, and after a short, but variable, course divides into an ascending and a descending branch. The left colic artery (sinister colic) ascends leftwards to supply the descending colon and hence its thrombosis can lead to a gangrenous lesion of the descending colon.

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