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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About Blog Go ad-free. Thank you for updating your details. Suspensory muscle of duodenum The duodenum. Articles Cases Courses Quiz. The suspensory muscle of the duodenum connects posteriorly to the duodenojejunal flexure, behind the pancreas, shown. When it treiitz, by virtue of connections to the third and fourth parts of the duodenum, the suspensory muscle of the duodenum widens the angle of the duodenojejunal flexure, allowing movement of the intestinal contents.

Clinically Oriented Anatomy 6th ed. The ligament of Treitzalso known as the suspensory ligament of the duodenumis a double fold of peritoneum suspending the duodenojejunal flexure from the retroperitoneum.

Suspensory muscle of duodenum

Anatomy Pathology Radiographic features History and etymology References. CT of internal hernias. Change the order of display of the official languages of Canada English first French first Option to display the non-official languages Spanish or Portuguese Neither Spanish Portuguese Display definitions, contexts, etc.

Journal of Hepato-Biliary-Pancreatic Surgery. This structure commences in the connective tissue around the celiac artery coeliacoduodenal part and left crus of the diaphragm phrenicocoeliac partand passes downward to be inserted into the superior border of the duodenojejunal curve and a part of the ascending duodenum, and from this it is continued into the mesentery.


The suspensory muscle is derived from mesoderm and plays a role in the embryological rotation of the gut, by offering a point of fixation for the rotating gut. Retrieved from ” https: Loading Stack – 0 images remaining. Congenital superior mesenteric artery syndrome can be caused by a short ligament of Treitz. FAQ Frequently asked questions Display options.

After an unsuccessful laparoscopic attempt, a laparotomy was performed. Connective tissue surrounding coeliac artery and superior mesenteric artery. When the remaining jejunum is anastamosed with the pylorus of the stomachit may be passed through the ligament.

Depiction of the origin of the suspensory muscle, from the fibres of the right diaphragmatic crus. It possesses, according to Treitz, plain muscular fibers mixed with the fibrous tissue of which it is principally made up. It is also known as the ligament of Treitz. Check for errors and try again. It is often used interchangeably with duodenojejunal DF flexure. According to some authors, who use the original description by Treitz, the muscle may be divided into two sections: It is of little importance as a oigamento, but acts as a suspensory ligament.

Surgery is the treatment of choice. 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 trditz located when malrotation is present.

The Anatomical Basis of Clinical Practice, 41st edition. Ileocecal valve Peyer’s patches Microfold cell. We report a case of 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.

Glossaries and vocabularies Access Translation Bureau glossaries and vocabularies. You can also scroll through stacks with your mouse wheel or the keyboard arrow keys. Review of internal hernias: Anatomical terms of muscle [ edit on Wikidata ].

It is commonly termed the ligament of Treitz by clinicians and as the suspensory muscle of the trwitz by anatomists. By using this site, you agree to the Terms of Use and Privacy Policy. Open surgery consisted in removing adhesions between the hernia and peritoneum, reducing jejunal loops and closing the paraduodenal fossa.


Third and fourth-parts of duodenumduodenojejunal flexure. Embryologically, the suspensory muscle of the duodenum is derived from mesoderm. Joaquim Ferreira de Paula Ligamennto It is also thought to help digestion by widening the angle of the duodenojejunal flexure. In contrast, dsbright red blood or clots in the stool, usually indicates gastrointestinal bleeding from the lower part of the gastrointestinal tract.

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The duodenum and jejunum depicted in vivo. Access a collection of Canadian resources on all aspects of English and French, including quizzes. It plays an important role in the embryological rotation of the small intestine as the superior retention band.

Left paraduodenal hernia

Views Read Edit View history. Imaging treiitz often play a central role in diagnosing left paraduodenal hernias, as they are not easily identified clinically. 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. The suspensory muscle of the duodenum marks their formal division.

In addition to this, the ascending part of the duodenum and the duodenojejunal flexure are fixed by a structure to which the name of suspensory muscle of duodenum Suspensory ligament of duodenum; Musculus suspensorius duodeni has been given.

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