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
- Ileocolic
- Dexter colic
- Median colic
- Sinister colic
- 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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