075 Surgical, Radiographic, and Endoscopic Anatomy of the Retroperitoneum Flashcards

1
Q

Retroperitoneal contents include the __, __, __, __, __, __, __, __, __, __, and __.

A

Retroperitoneal contents include the KIDNEYS, URETERS, ADRENALS, PANCREAS, PORTIONS OF THE DUODENUM, ASCENDING COLON, DESCENDING COLON, MESENTERY, VASCULATURE, LYMPHATICS, and NERVOUS STRUCTURES.

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2
Q

The retroperitoneum is contained anteriorly by the __ and posteriorly by the __.

A

The retroperitoneum is contained anteriorly by the POSTERIOR REFLECTION OF THE PERITONEUM and posteriorly by the ABDOMINAL WALL.

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3
Q

The retroperitonueum is contained cranially and caudally by the __ and the __, respectively.

A

The retroperitonueum is contained cranially and caudally by the DIAPHRAGM and the EXTRAPERITONEAL PELVIC STRUCTURES, respectively.

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4
Q

The intercostal vessels and nerves travel between the internal intercostal and innermost intercostal muscles within the costal groove on the __ margin of the superior rib.

A

The intercostal vessels and nerves travel between the internal intercostal and innermost intercostal muscles within the costal groove on the CAUDAL margin of the superior rib.

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5
Q

The lumbodorsal fascia merges anterolaterally with the __ and is composed of three layers that cover the posterior abdominal wall musculature.

A

The lumbodorsal fascia merges anterolaterally with the TRANSVERSUS ABDOMINIS MUSCLE and is composed of three layers that cover the posterior abdominal wall musculature.

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6
Q

The boundaries of the posterior pararenal space are the __anteriorly and the __ posteriorly and laterally.

A

The boundaries of the posterior pararenal space are the POSTERIOR LAMINA OF GEROTA FASCIA anteriorly and the TRANSVERSALIS FASCIA posteriorly and laterally.

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7
Q

The anterior and posterior laminae of __ form the boundaries of the perirenal space which has a cone-like shape that is open caudally in the extraperitoneal pelvis.

A

The anterior and posterior laminae of GEROTA FASCIA form the boundaries of the perirenal space which has a conelike shape that is open caudally in the extraperitoneal pelvis.

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8
Q

Perinephric fluids collections can expand __ due to this opening in the perirenal space.

A

Perinephric fluids collections can expand CAUDALLY due to this opening in the perirenal space.

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9
Q

The __ represents the lateral border of the fusion of the colonic mesentery with the posterior peritoneum.

A

The WHITE LINE OF TOLDT represents the lateral border of the fusion of the colonic mesentery with the posterior peritoneum.

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10
Q

The blood supply to the adrenal arises from the __, the __, and the __.

A

The blood supply to the adrenal arises from the INFERIOR PHRENIC, the AORTA, and the RENAL ARTERY.

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11
Q

The renal hila are at the level of __, and the renal veins are __ to the renal arteries.

A

The renal hila are at the level of L1, and the renal veins are ANTERIOR to the renal arteries.

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12
Q

The paired gonadal arteries typically arising __ from the aorta below the renal arteries.

A

The paired gonadal arteries typically arising ANTEROLATERALLY from the aorta below the renal arteries.

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13
Q

The SMA to IMA collateral circulation occurs via the __, which allows the IMA to be sacrificed without colonic ischemia.

A

The SMA to IMA collateral circulation occurs via the MARGINAL ARTERY OF DRUMMOND, which allows the IMA to be sacrificed without colonic ischemia.

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14
Q

In general, the proximal ureter receives its blood supply __, and the distal ureter receives its blood supply from a __ direction.

A

In general, the proximal ureter receives its blood supply MEDIALLY, and the distal ureter receives its blood supply from a LATERAL direction.

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15
Q

The left gonadal vein enters the __ at a right angle and the right gonadal vein enters into the __ directly; this anatomic distinction results in higher rates of varicoceles on the left.

A

The left gonadal vein enters the LEFT RENAL VEIN at a right angle and the right gonadal vein enters into the IVC directly; this anatomic distinction results in higher rates of varicoceles on the left.

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16
Q

Testes are embryologically __ and have retroperitoneal blood supply and primary lymphatic drainage.

A

Testes are embryologically RETROPERITONEAL and have retroperitoneal blood supply and primary lymphatic drainage.

17
Q

The lymph of the left testis drains to the __ with some drainage to the __.

A

The lymph of the left testis drains to the LEFT PARAAORTIC NODES with some drainage to the INTERAORTOCAVAL NODES.

18
Q

The right testis drains primarily to the __ with some to the __ and a small amount to the __.

A

The right testis drains primarily to the INTERAORTOCAVAL NODES with some to the RIGHT PARACAVAL NODES and a small amount to the LEFT PARAAORTIC REGION.

19
Q

The lymphatic drainage of the testicles is consistent with global lymphatic flow from __

A

The lymphatic drainage of the testicles is consistent with global lymphatic flow from RIGHT TO LEFT.

20
Q

The parasympathetic autonomic nervous system has __ outflow and the postganglionic fibers are often contained within the walls of the innervated viscera.

A

The parasympathetic autonomic nervous system has CRANIOSACRAL outflow and the postganglionic fibers are often contained within the walls of the innervated viscera.

21
Q

The preganglionic sympathetic nervous system fibers exit from the spinal cord from __ and may synapse within the sympathetic trunk or within the autonomic plexuses.

A

The preganglionic sympathetic nervous system fibers exit from the spinal cord from T1 TO L2 and may synapse within the sympathetic trunk or within the autonomic plexuses.

22
Q

The somatic nervous system provides sensory and motor innervation to the pelvis and lower extremities through the __.

A

The somatic nervous system provides sensory and motor innervation to the pelvis and lower extremities through the LUMBOSACRAL PLEXUS.