Root of mesentery is crossed by ?
**Core Concept:**
The root of the mesentery is the attachment point of the gastrointestinal tract to the abdominal wall, primarily involving the small intestine and colon. The term "mesentery root" refers to the attachment site where blood vessels, nerves, and lymphatic vessels connect to the gastrointestinal organs.
**Why the Correct Answer is Right:**
The correct answer is **Option C**: The root of the mesentery is crossed by the superior mesenteric artery (SMA). The superior mesenteric artery arises from the aorta, supplying blood to the gastrointestinal tract. As the SMA travels towards the posterior aspect of the aorta, it crosses over the root of the mesentery.
**Why Each Wrong Option is Incorrect:**
Option A (superior mesenteric vein) is incorrect because the vein runs along the mesentery but does not cross over the root. Option B (superior mesenteric vein) is also incorrect as the vein runs alongside the artery but does not cross over the root of the mesentery. Option D (superior mesenteric vein) is incorrect for the same reasons mentioned above for Option B.
**Why the Superior Mesenteric Artery is Right:**
The superior mesenteric artery is the correct answer because it is the primary blood vessel supplying the gastrointestinal tract, particularly the small intestine and part of the colon. Its crossing over the root of the mesentery ensures that the blood supply to these organs is maintained despite any twist or rotation of the intestines.
**Clinical Pearl:**
Understanding the anatomy of the superior mesenteric artery and its relationship to the root of the mesentery is essential for diagnosing and treating conditions such as superior mesenteric artery syndrome, where twisting of the intestines occurs due to anatomical relationship between the third part of the duodenum and the SMA. This can lead to ischemia and potential bowel obstruction. Awareness of this relationship helps in making a correct diagnosis and choosing the appropriate treatment strategy.