Inferior mesenteric artery

Inferior mesenteric artery
Sigmoid colon and rectum, showing distribution of branches of inferior mesenteric artery and their anastomoses. (Inferior mesenteric artery labeled at center.)
Abdominal part of digestive tube and its attachment to the primitive or common mesentery. Human embryo of six weeks. (Inferior mesenteric artery labeled at bottom right.)
Details
Precursor	vitelline arteries
Source	abdominal aorta
Branches	left colic artery, sigmoid branches, superior rectal artery
Vein	inferior mesenteric vein
Identifiers
Latin	arteria mesenterica inferior
MeSH	D017537
TA	A12.2.12.069
FMA	14750
Anatomical terminology

In human anatomy, the inferior mesenteric artery, often abbreviated as IMA, is the third main branch of the abdominal aorta and arises at the level of L3, supplying the large intestine from the left colic (or splenic) flexure to the upper part of the rectum, which includes the descending colon, the sigmoid colon, and part of the rectum. Proximally, its territory of distribution overlaps (forms a watershed) with the middle colic artery, and therefore the superior mesenteric artery. The SMA and IMA anastomose via the marginal artery of the colon (artery of Drummond) and via Riolan's arcade (also called the "meandering artery", an arterial connection between the left colic artery and the medial colic artery). The territory of distribution of the IMA is more or less equivalent to the embryonic hindgut.

Branching

The IMA branches off the anterior surface of the abdominal aorta below the renal artery branch points, and approximately midway between these and the aortic bifurcation (into the common iliac arteries), L3 vertebral level.

The IMA has the following branches:

All these arterial branches further divide into arcades which then supply the colon at regular intervals.

Associated veins

The IMA is accompanied along its course by a similarly named vein, the inferior mesenteric vein, which drains into the splenic vein.

The IMV therefore drains to the portal vein and does not fully mirror the course of the IMA.

Surgery and pathology

The IMA and/or its branches must be resected for a left hemicolectomy.

A horseshoe kidney, a common (1 in 500) anomaly of the kidneys, will be positioned below the IMA.

Additional images

• 
  The abdominal aorta and its branches.
• 
  The inferior mesenteric artery and its branches.
• 
  Abdominal portion of the sympathetic trunk, with the celiac plexus and hypogastric plexus.
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  Duodenojejunal fossa.
• 
  Posterior abdominal wall, after removal of the peritoneum, showing kidneys, suprarenal capsules, and great vessels.
• 
  Front of abdomen, showing surface markings for arteries and inguinal canal.
• 
  Inferior mesenteric artery
• 
  Lumbar and sacral plexus. Deep dissection.Anterior view.
• 
  Lumbar and sacral plexus. Deep dissection.Anterior view.
• 
  Lumbar and sacral plexus. Deep dissection.Anterior view.

External links

• Lotti M. Anatomy in relation to left colectomy
• Anatomy figure: 39:02-05 at Human Anatomy Online, SUNY Downstate Medical Center - "Branches of the inferior mesenteric artery."
• Anatomy photo:40:11-0103 at the SUNY Downstate Medical Center - "Posterior Abdominal Wall: Branches of the Abdominal Aorta"
• Anatomy image:7924 at the SUNY Downstate Medical Center
• Anatomy image:7997 at the SUNY Downstate Medical Center
• Anatomy image:8407 at the SUNY Downstate Medical Center
• Anatomy image:8659 at the SUNY Downstate Medical Center
• Atlas image: abdo_wall70 at the University of Michigan Health System - "Posterior Abdominal Wall, Dissection, Anterior View"
• sup&infmesentericart at The Anatomy Lesson by Wesley Norman (Georgetown University)