AnatoMemory

Vessel

Inferior mesenteric artery

Aortic supply to the distal colon and upper rectum

AbdomenCardiovascular system

High-yield

The left colic, sigmoid and superior rectal branches connect this territory to neighboring arterial networks. The splenic-flexure border with the SMA is a recognized watershed region.

Overview

The inferior mesenteric artery arises below the renal and superior mesenteric origins. Its branches reach the left colon and continue into the pelvis as the superior rectal artery, serving the main hindgut arterial territory.

Reference facts

Origin
Usually branches from the anterior abdominal aorta near L3.
Course
Descends leftward in the retroperitoneum before continuing toward the rectum.
Branches
Left colic artery, sigmoid arteries and terminal superior rectal artery.
Supplies
Distal transverse colon, descending and sigmoid colon, and upper rectal territory through its branches.

Clinical correlation

Reduced perfusion can injure colonic watershed regions, including the splenic flexure and rectosigmoid junction. Vulnerability varies with collateral anatomy and the underlying circulatory problem.

Frequently asked questions

Where does the inferior mesenteric artery originate?

Usually branches from the anterior abdominal aorta near L3.

What does the inferior mesenteric artery supply?

The inferior mesenteric artery supplies the distal transverse colon, descending and sigmoid colon, and upper rectal territory through its branches.

What are the branches of the inferior mesenteric artery?

Branches of the inferior mesenteric artery include the left colic artery, sigmoid arteries and terminal superior rectal artery.

What is the course of the inferior mesenteric artery?

Descends leftward in the retroperitoneum before continuing toward the rectum.