Descrição. The superior part of the duodenum, as stated above, is somewhat movable, but the rest is practically fixed, and is bound down to neighboring viscera. The ligament of Treitz, also known as the suspensory ligament of the duodenum, is a double fold of peritoneum suspending the duodenojejunal flexure from the. The suspensory muscle of duodenum or ligament of Treitz (named after Václav Treitz) appelées le muscle suspenseur du duodénum (ligament de Treitz).

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Connective tissue surrounding coeliac artery and superior mesenteric artery. Loading Stack – 0 images remaining. The second, muscular, part descends from said connective tissue to the duodenum, between the pancreas and the left renal vein. Journal of Gastrointestinal Surgery. A collection of writing tools that cover the many facets of English and French grammar, style and usage. Synonyms or Alternate Spellings: It has also been likened to “a polar ice cap The superior portion is also described ligamemto the Hilfsmuskel.

In which subject field? One surgical treatment is Strong’s operationwhich involves cutting the suspensory muscle, though this is dd often carried out.

A CT scan suggested the diagnosis of left paraduodenal hernia. Retrieved 1 July In addition to this, the ascending part of the duodenum and the duodenojejunal flexure are fixed by a structure to which ligament name of suspensory muscle of duodenum Suspensory ligament of duodenum; Musculus suspensorius duodeni has been given.


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Congenital superior mesenteric artery syndrome can be caused by a short ligament of Treitz. The suspensory muscle is derived from mesoderm and plays a role ligamenro the embryological rotation of the gut, by offering a point of fixation for the rotating gut.

During a Whipple’s procedurecommonly used to treat pancreatic cancer by removing the pancreasduodenum, and part of the jejunumthe ligament of Treitz is separated from the duodenum and preserved.

It is commonly termed the ligament of Treitz by clinicians and as the suspensory muscle of the duodenum by anatomists. It is of little importance as a muscle, but acts as a suspensory ligament.

Laparoscopic surgery for left paraduodenal hernia. Clinically Oriented Anatomy 6th ed.

SMA Syndrome is characterised by compression of the duodenum between the abdominal aorta and the superior mesenteric artery, and may—when congenital—result from a short suspensory muscle.

Third and fourth-parts of duodenumduodenojejunal flexure. The suspensory muscle of the duodenum attaches to the duodenojejunal flexureshown. The suspensory muscle marks the formal division between the first and second parts of the small intestinethe duodenum and the jejunum.

We report a case ligamentoo left paraduodenal hernia in a year-old female patient. For example, bloody vomit or melenablack tarry stools, usually indicate a gastrointestinal bleed from a location in the upper gastrointestinal tract.

Left paraduodenal hernia

Anatomy Pathology Radiographic features History and etymology References. Radiographics ; 25 4: After an unsuccessful laparoscopic attempt, a laparotomy was performed.

Imaging studies often play a central role in diagnosing left paraduodenal hernias, as they are not easily identified clinically. Suspensory muscle Major duodenal papilla Minor duodenal papilla Duodenojejunal flexure Brunner’s glands.


Coeliac plexusSuperior mesenteric plexus. Suspensory muscle of duodenum The duodenum. Moreover, separate multiple attachments are not that uncommon. The duodenum and jejunum depicted in vivo. This division is used to mark the difference between the upper and lower gastrointestinal tractswhich is relevant in clinical medicine as it may determine the source of bleeding in the gastrointestinal tract.

It is also known as the ligament of Treitz. Muscles Spaces peripharyngeal retropharyngeal parapharyngeal retrovisceral danger prevertebral Pterygomandibular raphe Pharyngeal raphe Buccopharyngeal fascia Pharyngobasilar fascia Piriform sinus.

Suspensory muscle of duodenum

Oxford textbook of medicine: This definition incorporates text from a public domain edition of Gray’s Anatomy 20th U. Review of internal hernias: Suspensory muscle of the duodenum or muscle of Treitz seen in a ventral view. Ileocecal valve Peyer’s patches Microfold cell.

The ligament of Treitz the suspensory ligament of ligamengo duodenum: Writing tools A collection of writing tools that cover the many facets of English and French grammar, style and usage. It plays an important role in the embryological rotation of the small intestine as the superior retention band. FAQ Frequently asked questions Display options.

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