ABDOMEN WALL ANATOMY Flashcards
What are the layers traversed
Laterally?
Skin
Subcutaneous tissue
Camper fascia (superficial fatty layer)
Scarpa fascia (deep membranous layer)
Superficial layer of investing fascia (covers the muscle)
External oblique – inferomedial
Intermediate layer of investing fascia (covers the muscle)
Internal oblique – superomedial
Deep layer of investing fascia (covers the muscle)
Transverse abdominus muscle
Transversalis fascia (aka endoabdominal fascia)
Intraperitoneal fat
Parietal peritoneum
What are the layers traversed
medially?
Skin
Subcutaneous tissue
Rectus sheath
-Superior to umbilicus: rectus abdominis is in between 2 layers of aponeurosis of internal oblique)
-Inferior to umbilicus: rectus abdominis is below rectus sheath
Rectus abdominis
Transversalis fascia
Extraperitoneal fat
Peritoneum
Rectus sheath
made of the aponeurosis of external oblique muscle, aponeurosis of internal oblique muscle and aponeurosis of transversus abdominis.
also encloses superior n inferior epigastric vessels
Rectus sheath
made of the aponeurosis of external oblique muscle, aponeurosis of internal oblique muscle and aponeurosis of transversus abdominis.
external oblique way
inferomedial
internal oblique way
superomedial/ inferolateral
transversus abdominis way
transversely
neurovasculature runs bw
internal oblique and transversus abdominus
arcuate line
halfway bw umbilicus and pubic symphysis
vascular supply of anterolateral wall
superiorly
superior epigastric artery
musculophrenic artery
(both of these are terminal arteries to the internal thoracic artery)
vascular supply of anterolateral wall
laterally
branches of 10th, 11th intercostal arteries n subcostal artery
vascular supply of anterolateral wall
laterally
branches of 10th, 11th intercostal arteries
subcostaal artery
vascular supply of anterolateral wall
inferiorly
inferior epigastric artery (branch of external iliac artery)-medially/centre of abdo is
deep circumflex iliac artery- laterally - like near hips is
venous drainage
Thoracoepigastric vein – flow between superficial epigastric vein (tributary of femoral vein) and lateral thoracic vein (tributary of the axillary vein)
internal thoracic artery
internal thoracic runs parasternally. if u see sternal and 2 circles next to it, its that.
Skin, muscles, parietal peritoneum and anterolateral abdominal wall supplied by
the __ spinal nerves.
T7-L1
nerves of abdo wall
T7-T11 (intercostal/thoracoabdominal nerves)-goes bw internal oblique and transversus abdominis muscles; enter the rectus sheath
T12 (subcostal nerve)
Iliohypogastric nerve (L1)
Ilioninguinal nerve (L1) – passes through the inguinal canal (further down than iliohypogastric)
Dermatomes
Nerves T7-T9 supply the skin from the xiphoid process to just above the
umbilicus.
! T10 supplies the umbilicus.
! Nerves T11-L1 supply skin from below the umbilicus to the pubic region.