Right colic artery explained

Right colic artery
Latin:arteria colica dextra
Branchfrom:Superior mesenteric artery
Vein:Right colic vein
Supplies:Ascending colon

The right colic artery is an artery of the abdomen, a branch of the superior mesenteric artery supplying the ascending colon. It divides into two terminal branches - an ascending branch and a descending branch - which form anastomoses with the middle colic artery, and ileocolic artery (respectively).

The right colic artery may be removed during a right hemicolectomy.

Structure

The right colic artery is a relatively small and variable artery. It affords arterial supply to the ascending colon.

Origin

The right colic artery is a branch of the superior mesenteric artery.[1] [2] It usually arises from a common trunk with the middle colic artery, but may also arise directly from the superior mesenteric artery, or from the ileocolic artery.[3]

Course

It passes right-ward posterior to the peritoneum, and anterior to the right gonadal vessels, the right ureter, the psoas major muscle, passing toward the middle of the ascending colon.[4]

Sometimes, it lies at a higher level, and crosses the descending part of the duodenum and the inferior extremity of the right kidney.[5]

At the colon, it divides into a descending branch and an ascending branch. These branches form arches, from the convexity of which vessels are distributed to the ascending colon.[6]

Branches and anastomoses

The descending branch anastomoses with the ileocolic artery.[7]

The ascending branch anastomoses with the middle colic artery.[8]

Variation

The right colic artery is quite variable.[9] It is absent in around 10% of individuals.[10]

Clinical significance

In a right hemicolectomy to remove the caecum and the ascending colon, the right colic artery is ligated and removed.[11] Ligation is performed close to the origin of the right colic artery from the superior mesenteric artery.

If part of the superior mesenteric artery is missing due to a congenital abnormality, the right colic artery may supply part of the ileum.[12]

References

  1. Book: Jacob, S.. https://www.sciencedirect.com/science/article/pii/B9780443103735500075. Human Anatomy. Churchill Livingstone. 2008. 978-0-443-10373-5. 71–123. en. 4 - Abdomen. 10.1016/B978-0-443-10373-5.50007-5.
  2. Book: Madani. M. M.. https://www.sciencedirect.com/science/article/pii/B9780128012383001963. Reference Module in Biomedical Sciences. Golts. E.. Elsevier. 2014. 978-0-12-801238-3. en. Cardiovascular Anatomy. 10.1016/B978-0-12-801238-3.00196-3.
  3. Book: Gray's anatomy : the anatomical basis of clinical practice . 2021 . Susan Standring . 978-0-7020-7707-4 . Forty-second . [New York] . 1201341621.
  4. Book: Gray, Henry . Gray's Anatomy . 1918 . 20th . 609.
  5. Book: Gray, Henry . Gray's Anatomy . 1918 . 20th . 609.
  6. Book: Gray, Henry . Gray's Anatomy . 1918 . 20th . 609.
  7. Book: Gray, Henry . Gray's Anatomy . 1918 . 20th . 609.
  8. Book: Gray, Henry . Gray's Anatomy . 1918 . 20th . 609.
  9. Book: Standring, Susan . Gray's Anatomy: The Anatomical Basis of Clinical Practice . 2020 . 978-0-7020-7707-4 . 42th . New York . 1193 . 1201341621.
  10. Book: Mazzucchelli. Luca. https://www.sciencedirect.com/science/article/pii/B0123868602001477. Encyclopedia of Gastroenterology. Maurer. Christoph. Academic Press. 2004. 978-0-12-386860-2. 408–412. en. Colon, Anatomy. 10.1016/B0-12-386860-2/00147-7.
  11. Book: Ramsanahie. Anthony. https://www.sciencedirect.com/science/article/pii/B0123868602001404. Encyclopedia of Gastroenterology. Bleday. Ronald. Academic Press. 2004. 978-0-12-386860-2. 366–371. en. Colectomy. 10.1016/B0-12-386860-2/00140-4.
  12. Book: Ziegler. Moritz M.. https://www.sciencedirect.com/science/article/pii/B0123868602007681. Encyclopedia of Gastroenterology. Garza. Jennifer J.. Academic Press. 2004. 978-0-12-386860-2. 443–446. en. Intestinal Atresia. 10.1016/B0-12-386860-2/00768-1.

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