Inferior mesenteric artery
|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.)|
|Latin||arteria mesenterica inferior|
|Gray's||subject #154 609|
|Branches||left colic artery, sigmoid branches, superior rectal artery|
|Vein||inferior mesenteric vein|
In human anatomy, the inferior mesenteric artery, often abbreviated as IMA, supplies 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 (a 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.
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:
|left colic artery||supplies descending colon|
|sigmoid branches||the most superior being described as 'the superior sigmoid artery'|
|superior rectal artery||effectively the terminal branch of the IMA (the continuation of the IMA after all other branches)|
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.
- SUNY Figs 39:02-05 - "Branches of the inferior mesenteric artery."
- SUNY Labs 40:11-0103 - "Posterior Abdominal Wall: Branches of the Abdominal Aorta"
- SUNY Anatomy Image 7924
- SUNY Anatomy Image 7997
- SUNY Anatomy Image 8407
- SUNY Anatomy Image 8659
- Atlas of anatomy at UMich abdo_wall70 - "Posterior Abdominal Wall, Dissection, Anterior View"
- sup&infmesentericart at The Anatomy Lesson by Wesley Norman (Georgetown University)