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Duodenojejunal flexure
Border between the duodenum and the jejunum From Wikipedia, the free encyclopedia
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The duodenojejunal flexure or duodenojejunal junction, also known as the angle of Treitz,[1][2] is the border between the duodenum and the jejunum.
Structure
The ascending portion of the duodenum ascends on the left side of the aorta, as far as the level of the upper border of the second lumbar vertebra. At this point, it turns abruptly forward to merge with the jejunum, forming the duodenojejunal flexure. This forms the beginning of the jejunum.[3] The duodenojejunal flexure is surrounded by the suspensory muscle of the duodenum.[4]: 274 It is retroperitoneal, so is less mobile than the jejunum that comes after it, helping to stabilise the jejunum.[5]
The duodenojejunal flexure lies in front of the left psoas major muscle, the left renal artery, and the left renal vein. It is covered in front, and partly at the sides, by peritoneum continuous with the left portion of the mesentery.
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Clinical significance
The ligament of Treitz, a peritoneal fold, from the right crus of diaphragm, is an identification point for the duodenojejunal flexure during abdominal surgery.[6]: 85
Additional images
Duodenojejunal fossa.
See also
References
External links
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