1. Introduction and Overview of the Abdomen Flashcards
The abdominal cavity is subdivided by the plane of
Pelvic inlet
The abdominal cavity is subdivided by the plane of the
pelvic inlet into
Larger upper part : abdominal cavity proper
smaller lower part : pelvic cavity
Clinically, the term abdominal cavity stands for
Abdominal
cavity proper
The boundaries of the abdominal cavity are
Superiorly: Diaphragm, which separates it from the thoracic cavity.
Inferiorly: Continues with the pelvic cavity at the pelvic inlet.
Anteriorly: Anterior abdominal wall, formed by muscles.
Posteriorly: Posterior abdominal wall, formed by lumbar vertebrae and muscles.
Laterally: Lower ribs and parts of muscles of the anterior abdominal wall
What occupies the abdominal cavity
The organs and glands of the digestive and urinary systems
The organs and glands in abdominal cavity
- Stomach, small intestine, and most of the large intestine.
- Liver, gallbladder, and pancreas.
- Two kidneys and upper part of the ureters.
- Adrenal glands (also known as supra renal glands).
- Other structures include blood vessels, lymph vessels,
nerves, spleen, and lymph nodes.
Shape of Pelvic Cavity
Funnel shaped
The boundaries of the pelvic cavity are
Superiorly: Continuous with the abdominal cavity at the pelvic inlet.
Inferiorly: Pelvic diaphragm.
Posteriorly: Sacrum and coccyx.
Anteriorly: Pubic bones.
Laterally: Hip bones.
The part of the pelvis below the pelvic diaphragm is termed
Perineum
The pelvic cavity contains what structures
- Loops of the small intestine.
- Sigmoid colon, rectum, and anal canal.
- Urinary bladder, lower part of the ureters, and urethra.
- Reproductive organs:
(a) Prostate gland, seminal vesicles, vas deferens, and ejaculatory ducts in male.
(b) Uterus, uterine tubes, ovaries, and vagina in female.
The walls of the abdominal cavity and most of the viscera present within it are covered or enclosed by an extensive serous membrane called
Peritoneum
The peritoneum consists of
Parietal and visceral layers
Peritoneum encloses a cavity called
Peritoneal Cavity
All the abdominal viscera are intra-abdominal but
extraperitoneal except
The ovaries
What is perineum
A region at the lower end of trunk and seen as a diamond-shaped area when thighs are abducted.
The boundaries of perineum
Anteriorly: Pubic symphysis.
Posteriorly: Coccyx
Laterally: Ischiopubic rami (anteriorly) and sacrotuberous ligaments (posteriorly).
The roof of perineum is formed by the pelvic diaphragm
and its floor is formed by the skin.
The contents of perineum are
external genitalia (penis and scrotum with its contents in male and vulva in female) and anus.
The abdominal viscera includes
Stomach and intestines, their associated glands (liver and pancreas), blood and lymph vessels, spleen, kidney, and supra renal glands.
The pelvic viscera in males are
Urinary bladder, prostate, and
rectum
The pelvic viscera in females are
Urinary bladder, uterus, and rectum.
The abdominal cavity is conventionally divided by the
clinicians into
9 regions:
- Epigastric
- Umbilical region
- Hypogastric
- Right hypochondriac
- Right Lumbar
- Right Iliac fossa
- Left hypochondriac
- Left Lumbar
- Left Iliac fossa
4 quadrants: Upper R Lower R Lower L Upper L
The protrusion of an organ through the wall,
which contains/retains is called
Hernia
Common types of abdominal Hernia
Inguinal, umbilical, femoral, and incisional