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Anatomy

Abdomen

Question 126 of 180

Pain in the jejunum and ileum is typically referred to which of the following regions:

Answer:

Pain from the small jejunum and ileum (midgut structures) is referred to the periumbilical region.

Small Intestine: Jejunum and Ileum

Anatomy / Abdomen / Gastrointestinal Tract

Last Updated: 11th April 2019

The small intestine is the longest part of the gastrointestinal tract and extends from the pyloric orifice of the stomach to the ileocaecal fold, comprising the duodenum, jejunum and ileum. The jejunum and ileum make up the last two sections of the small intestine.

Small Intestine. (Image by Blausen.com staff (2014). “Medical gallery of Blausen Medical 2014”. WikiJournal of Medicine 1 (2). DOI:10.15347/wjm/2014.010. ISSN 2002-4436. [CC BY 3.0 (https://creativecommons.org/licenses/by/3.0)], from Wikimedia Commons)

Anatomical Position

The jejunum represents the proximal two-fifths. It is mostly in the left upper quadrant of the abdomen and is larger in diameter and has a thicker wall than the ileum.

The ileum makes up the distal three-fifths and is mostly in the right lower quadrant. The ileum invaginates into the large intestine at the ileocaecal junction forming the ileocaecal valve, which prevents reflux from the caecum to the ileum and regulates the passage of contents from the ileum to the caecum.

The jejunum and ileum are intraperitoneal, attached to the posterior abdominal wall by the mesentery.

Blood supply

The arterial supply to the jejunum and ileum is derived from the superior mesenteric artery.

Innervation

Pain from the jejunum and ileum is referred to the periumbilical region.

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  • Biochemistry
  • Blood Gases
  • Haematology
Biochemistry Normal Value
Sodium 135 – 145 mmol/l
Potassium 3.0 – 4.5 mmol/l
Urea 2.5 – 7.5 mmol/l
Glucose 3.5 – 5.0 mmol/l
Creatinine 35 – 135 μmol/l
Alanine Aminotransferase (ALT) 5 – 35 U/l
Gamma-glutamyl Transferase (GGT) < 65 U/l
Alkaline Phosphatase (ALP) 30 – 135 U/l
Aspartate Aminotransferase (AST) < 40 U/l
Total Protein 60 – 80 g/l
Albumin 35 – 50 g/l
Globulin 2.4 – 3.5 g/dl
Amylase < 70 U/l
Total Bilirubin 3 – 17 μmol/l
Calcium 2.1 – 2.5 mmol/l
Chloride 95 – 105 mmol/l
Phosphate 0.8 – 1.4 mmol/l
Haematology Normal Value
Haemoglobin 11.5 – 16.6 g/dl
White Blood Cells 4.0 – 11.0 x 109/l
Platelets 150 – 450 x 109/l
MCV 80 – 96 fl
MCHC 32 – 36 g/dl
Neutrophils 2.0 – 7.5 x 109/l
Lymphocytes 1.5 – 4.0 x 109/l
Monocytes 0.3 – 1.0 x 109/l
Eosinophils 0.1 – 0.5 x 109/l
Basophils < 0.2 x 109/l
Reticulocytes < 2%
Haematocrit 0.35 – 0.49
Red Cell Distribution Width 11 – 15%
Blood Gases Normal Value
pH 7.35 – 7.45
pO2 11 – 14 kPa
pCO2 4.5 – 6.0 kPa
Base Excess -2 – +2 mmol/l
Bicarbonate 24 – 30 mmol/l
Lactate < 2 mmol/l

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