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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In contrast, hematocheziabright red blood or clots in the stool, usually indicates gastrointestinal bleeding from the lower part of the gastrointestinal tract.

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The suspensory muscle of duodenum is a thin muscle connecting the junction between the duodenumjejunumand duodenojejunal flexure to connective tissue surrounding the superior mesenteric artery and coeliac artery. A collection of writing tools that cover the many facets of English and French grammar, style and usage. It is often used interchangeably with duodenojejunal DF flexure.

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CT of internal hernias. Where Do We Stand Today? The duodenum and the jejunum are the first and second parts of the small intestinerespectively. Ascending colon Hepatic flexure Transverse colon Splenic flexure Descending colon Sigmoid colon Continuous taenia coli haustra epiploic appendix.

Moreover, separate multiple attachments are not that uncommon. Joaquim Ferreira de Paula E-mail: Visualising a normal location of the ligament of Treitz in radiological images is critical in ruling out malrotation of the gut in a child; it is abnormally located when malrotation is present.


It plays an important role in the embryological rotation of the small intestine as the superior retention band. It is the second part that actually suspends the duodenojejunal flexure. After an unsuccessful laparoscopic attempt, a laparotomy was performed. Review of internal hernias: Open surgery consisted in removing adhesions between the hernia and peritoneum, reducing jejunal loops and closing the paraduodenal fossa. Radiographics tdeitz 25 treiz This page was last edited on 27 Novemberat The patient had shown no symptoms until six days before hospitalization.

Left paraduodenal hernia

Third and fourth-parts of duodenumduodenojejunal flexure. Surgery is the treatment of choice. By using this site, you agree to the Terms of Use and Privacy Policy. One surgical treatment is Strong’s operationwhich involves cutting the suspensory muscle, though this is not often carried out.

Suspensory muscle of duodenum

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Connective tissue surrounding coeliac artery and superior mesenteric artery. From Wikipedia, the free encyclopedia.

Support Radiopaedia and see fewer ads. When it contracts, the suspensory muscle of the duodenum wides the angle of the duodenojejunal flexure, allowing movement of the intestinal contents. The Anatomical Basis of Clinical Practice, 41st edition. Retrieved 1 July Superior mesenteric artery syndrome SMA treittz an extremely rare life-threatening condition that can either be congenital and chronic, or induced and acute.

Ligament of Treitz | Radiology Reference Article |

This definition incorporates teitz from a public domain edition of Gray’s Anatomy 20th U. Synonyms or Alternate Spellings: Views Read Edit View history. In adults, the ligament often involutes or is entirely absent. Log in Sign up. 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. Ileocecal valve Peyer’s patches Microfold cell.


The postoperative period was uneventful, and the patient was discharged on the third postoperative day. Imaging studies often play a central role in diagnosing left paraduodenal hernias, as they are not easily identified clinically. You can also scroll through stacks treiyz your mouse wheel or the keyboard arrow keys. Journal of Gastrointestinal Surgery.

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Considerable anatomic variation exists, in terms of length and point of attachment. The suspensory muscle of the teritz marks their formal division. Suspensory muscle of duodenum The duodenum.

yreitz Coeliac plexusSuperior mesenteric plexus. Thank you for updating your details. The suspensory muscle marks the formal division between the first and second parts of the small intestinethe duodenum and the jejunum. About Blog Go ad-free. Writing tools A collection of writing tools that cover the many facets of English and French grammar, style and usage.

Superior mesenteric artery syndrome is a rare abnormality caused by a congenitally short suspensory muscle.