Name: Anna Katharina Tirador

Elizabeth Anne Fantonalgo

Student #:2011- 53458

2011-51384

Exercise 16. Arterial Supply, Venous and Lymphatic Drainage,

and Nerve Supply of the Abdominal Wall
1.

2. Complete the table below by proving the arterial supply, and venous and
lymphatic drainage of each organ.
Organ

Arterial supply

Venous drainage

Diaphragm

Pericardiaphrenic
artery
Musculophrenic
artery
Inferior phrenic
artery

Superior and
inferior phrenic
vein

Esophagus

(upper third)
inferior thyroid
artery
(middle third)
descending
thoracic aorta
(lower third) left
gastric artery

(upper third)
inferior thyroid
veins
(middle third)
azygous vein
(lower third) left
gastric vein

Stomach

Right and left

gastric artery
Short gastric
artery
Right and left
gastroepiploic
artery

Duodenum

Superior and
inferior
pancreaticoduod
enal artery

Right and left

gastric veins
drain to portal
vein
short gastric
veins and eft
gastroepiploic
veins drain to
splenic vein
Right
gastroepiploic
vein drains to
superior
mesenteric vein
Superior
pancreaticoduod
enal vein to portal
vein
Inferior
pancreaticoduod
enal vein to

Lymphatic
drainage
(thoracic surface)
parasternal,
posterior
mediasternal and
phrenic lymph
nodes
(abdominal
surface) anterior
diaphragmatic,
phrenic and
lumbar nodes
(upper third)
deep cervical
nodes
(middle third)
superior and
posterior
mediastinal
nodes
(lower third) left
gastric nodes
Left and right
gastric nodes
Left and right
gastroepiploic
nodes
Short gastric
nodes (latter two
drains to celiac
nodes)

(upper half)
pancreaticoduod
enal nodes to
gastroduodenal
node to celiac
node
(lower)

superior
mesenteric vein

Jejunum

Jejunal artery

Jejunal vein

Ileum

Ileal artery

Ileal vein

Cecum

Anterior and
posterior cecal
arteries
(branches of
ileocolic artery
which is from the
superior
mesenteric
artery)
Appendicular
artery (branches
of the Posterior
cecal vein
posterior cecal
artery which is a
branch of the
superior
mesenteric
artery)
Ileocolic and right
colic artery

Anterior and
posterior cecal
veins (branch of
ileocolic vein
which is from the
superior
mesenteric vein)

Appendix

Ascending colon

Transverse colon

(proximal 2/3)
medial colic
artery, (distal
third) left colic
artery

Descending
colon

Left colic artery

Sigmoid artery

Sigmoid colon

Sigmoid
branches of the
inferior
mesenteric aftery

pancreaticoduod
enal nodes to
superior
mesenteric nodes
Superior
mesenteric lymph
nodes
Superior
esenteric lymph
nodes
Superior
mesenteric lymph
nodes

Superior
mesenteric lymph
nodes

Ileocolic and right

colic vein (branch
of superior
mesenteric vein)
Superior
mesenteric and
inferior
mesenteric vein

Left colic vein

and sigmoid vein
(inferior
mesenteric vein)
Inferior
mesenteric vein
which drains to
portal venous
system

Superior
mesenteric lymph
nodes
(proximal 2/3)
superior
mesenteric nodes
via colic nodes
(distal third)
inferior
mesenteric nodes
via colic nodes
Colic lymph
nodes to inferior
mesenteric lymph
nodes
Inferior
mesenteric lymph
nodes

Rectum

Superior rectal
artery
Middle rectal
artery
Inferior rectal
artery

Spleen

Splenic artery

Liver

Hepatic artery

Pancreas

Splenic artery
Superior and
inferior
pancreaticoduod
enal artery

Gallbladder

Cystic artery and

a branch of the
right hepatic
artery

Kidney

Suprarenal gland

Superior rectal
vein drains to
inferior
mesenteric vein
Middle rectal vein
to internal iliac
vein
Inferior rectal
vein to pudendal
vein
Splenic vein
Portal vein
Hepatic vein to
superior vena
cava
Splenic vein
Superior and
inferior
pancreaticoduod
enal vein (the
three drain to the
portal venous
system)
Cystic vein to
portal vein

Pararectal nodes
to inferior
mesenteric nodes
(lower part)
internal iliac
nodes

Pancreaticospleni
c lymph nodes
Celiac nodes
Posterior
mediastinal
lymph nodes
Celiac and
superior
mesenteric lymph
nodes

Cystic lymph
nodes to hepatic
lymph nodes to
celiac lymph
nodes
Abdominal aorta - Renal vein to
Lateral aortic
renal artery inferior vena cava lymph nodes
segmental artery
- lobar artery interlobular artery
- afferent
glomerular
arteriole
Inferior phrenic,
(right side)
Lateral aortic
suprarenal, renal inferior vena
lymph nodes
artery
cava
(left side) renal
vein

3. Complete the table below by proving what nerve gives sympathetic and
parasympathetic innervation and what action(s) is (are) produced when these
nerves are stimulated.
Organ

Sympathetic
Innervation

Action

Parasympathetic
Innervation

Action

Diaphragm

Esophagus

Stomach

Duodenum

Jejunum

Greater and
lesser
planchnic
nerve
Sympathetic
branches of
the thoracic
part of
sympathetic
trunk
Celiac plexus

Celiac and
superior
mesenteric
plexuses
Superior
mesenteric
plexus

Ileum

Superior
mesenteric
plexus

Cecum

Superior
mesenteric
plexus

Appendix

Superior
mesenteric
plexus

Ascending colon

Superior
mesenteric
plexus

Transverse colon

superior
mesenteric
plexus (upper
2/3); pelvic
splanchnic
nerves
through the
inferior
messsenteric
plexus (distal
third)
Lowest
splanchnic

Descending
Colon
Sigmoid colon

Lumbar
splanchnic

Phrenic nerve

Distal esophagel
peristalsis

Anterior and
posterior gastric
nerves

Motor to distal
esophagus,
Stimulatory and
Inhibitory to
(LOS)

Carries paintransmitting nerve

fibers

Right and left

vagus nerves

Vasoconstrictor to
vasculature,
Inhibirory to
musculature
Vasoconstrictor to
vasculature,
Inhibirory to
musculature
Vasoconstrictor to
vasculature,
Inhibirory to
musculature
Inhibitory to mural
muscle of colon,
Vasoconstrictor to
colic vasculature
Conduction of
visceral pain from
the appendix

Celiac and
superior
mesenteric
plexuses
Superior
mesenteric
plexus

Secretomotor to
the gastric
glands;
And motor to the
muscular wall of
the stomach
Secretomotor to
mucosa, motor to
musculature

Inhibitory to mural
muscle of colon,
Vasoconstrictor to
colic vasculature
Inhibitory to mural
muscle of colon,
Vasoconstrictor to
colic vasculature

Inhibitory to mural
muscle of colon,
Vasoconstrictor to
colic vasculature
Inhibitory to mural
muscle of colon,
Vasoconstrictor to
colic vasculature

Secretomotor to
mucosa, motor to
musculature

Superior
mesenteric
plexus

Secretomotor to
mucosa, motor to
musculature

Vagus nerves
from superior
mesenteric
plexus,
Vagus nerves
from superior
mesenteric
plexus
Vagus nerves
from superior
mesenteric
plexus
Vagus nerves
from superior
mesenteric
plexus (upper
2/3); pelvic
splanchnic nerves
through the
inferior
messsenteric
plexus (distal
third)
Pelvic splanchnic

Inhibitory to mural
muscle of colon,
Vasoconstrictor to
colic vasculature
vasoconstrictor

Pelvic splanchnic

secretomotor to
the colorectal
glands, and motor
to the rectal
musculature,
relaxation of the
internal anal

secretomotor to
the colon glands
secretomotor to
the colon glands

secretomotor to
the colon glands

Rectum

Lumbar
splanchnic

Inhibitory to muscle
of rectal wall

Pelvic splanchnic

Spleen

Greater
Splanchnic
Greater
Splanchnic

Increase in fast
circulation of spleen
The vagal fibres are
motor to the
musculature of the
gallbladder and bile
ducts, inhibitory to
the sphincter of the
bile
duct.

Vagus

Greater
Splanchnic
Greater
Splanchnic
Greater
splanchnic

Mediate sensation of
pain

Vagus

control the blood

flow
between the cortex
and medulla without
affecting the
glomerular
circulation

Vagus

Lesser
splanchnic

Secretion of
suprarenal
hormones

Vagus

Liver

Pancreas
Gall bladder
Kidney

Suprarenal gland

Hepatic

Vagus

sphincter
Regulate
emptying of the
rectum
Mediate
sensation of pain
Secretomotor and
motor

Mediate
sensation of pain
Mediate
sensation of pain
control the blood
flow
between the
cortex and
medulla without
affecting the
glomerular
circulation
Secretomotor to
the glands

4.
Table 3: Muscles of the Posterior abdominal wall
Muscle
Origin
Insertion
Action
Quadratus
Transverse
iliolumbar
Depresses rib
Lumborum
processes
12; flexes
ligament; iliac
of L3L5
crest
trunk laterally

Innervation
Subcostal; L1
L3

Lower border of
last rib;
transverse
processes
Psoas major

Transverse
processes,

of L1L3
Lesser
trochanter

Flexes thigh
and trunk

L2L3

iliopectineal
eminence

Aids in flexing
of trunk

L1

intervertebral
disks
and bodies of
T12L5
Psoas minor Bodies and
intervertebral

disks of
T12L1
Pectineal line