Blood supply Arterial

The large intestine is supplied by branches of the

superior mesenteric artery (SMA), as follows:
Ileocolic artery through its cecal and appendicular
branches
Right colic artery, which has a descending
(anastomoses with the cecal artery) and an
ascending branch
Middle colic artery, which has a right
(anastomoses with the ascending branch of right
colic artery) and a left branch and


The large intestine is supplied by the
branches of the inferior mesenteric artery
(IMA) as follows:
Left colic artery, which has an ascending
(anastomoses with the left branch of the
middle colic artery) and a descending
branch
Multiple sigmoid arteries
Superior rectal artery

Anorectum also receives blood supply
from the internal iliac arteries as follows:
Middle rectal artery
Inferior rectal artery (a branch of internal
pudendal artery)

A continuing series of anastomoses
between the distal branch of the proximal
artery and the proximal branch of the distal
artery runs along the mesenteric (inner)
border of colon and is called the marginal
artery. The terminal branches of this
arcade entering the wall of the large
intestine are called the vasa recta.
Blood supply venous
The superior mesenteric vein (SMV)
accompanies the superior mesenteric
artery (SMA), but the inferior mesenteric
vein (IMV) does not accompany the
inferior mesenteric artery (IMA). The
inferior mesenteric vein runs vertically
upward to the left of the duodenojejunal
junction (flexure) and joins the splenic vein
or its junction with the superior mesenteric
vein (to form the portal vein).