Abdominal Wall And peritoneum Flashcards
Abdominal regions
Midclavicular lines
Subcostal L3
Inter tubercular L5
Abdominal nerves
Lateral cutaneous, anterior cutaneous
Iliohypogastric
External oblique
O: lower 8 ribs and runs inferior and anterior
I: lines alba and ilac crest
I: ventral rami T7-T12
BL trunk flexion, increase abdominal pressure, unilateral contraction causes CL rotation
Internal oblique
O: thoracolumbar fascia, iliac crest, inguinal lig
I: lines alba and lower 3-4 ribs
I: ventral rami T7-T12
BL trunk flexion, increase abdominal pressure, unilateral contraction causes ipsilateral rotation
Transversus abdominis
O: lower 6 ribs, thoracolumbar fascia, iliac crest, inguinal ligament
I: linea alba
I: ventral rami T7-T12
Prime mover to increase abdominal pressure
Rectus abdominis
O: pubic crest
I: coastal cartilage 5-7 and xiphoid process
I: ventral rami T7-T12
Prime trunk flexion and posterior pelvic tilt
External oblique aponeurosis superior borders
Asia to pubic tubercle
rectus sheath upper 2/3 vs lower 1/3
Anterior upper 2/3
1.5 aponeurotic layers
- external oblique and 1/2 internal
Posterior upper 2/3
1.5 layers
- 1/2 internal and transversus abdominis aponeurosis
Lower 1/3
Only anterior as internal, external oblique and transversus abdominis go in front
Transversalis fascia is the only posterior covering
Inguinal canal border and contents
Parallel and immediately superior to middle 1/3 inguinal ligament
Deep inguinal ring (opening in transversalis fascia) to superficial inguinal ring (opening in external oblique aponeurosis)
In men: spermatic cord
Females: round ligament of uterus
Peritoneum and the 2 layers
Serous membrane in abdomen and pelvic region that lubricates and facilitates movement
- parental: lining inner abdomen or partially covering viscera
- visceral: surrounding abdominal pelvic viscera
Parietal cavities
The space between parietal and visceral peritoneum
- lesser sac: small chamber posterior to stomach
- greater sac: large space containing most abdominopelvic viscera
- epiploic foramen of Winslow: connection between lesser and greater sac
Mesentary reflections
From small intestine to posterior abdominal wall
Mesocolon reflection
Transverse - transverse colon to posterior abdominal wall
Sigmoid - sigmoid colon to posterior abdominal wall
Omentum
Lesser- inferior surface of liver to lesser curvature of stomach
Greater - greater curvature of stomach (then reflects on itself) and attached to posterior abdominal wall
peritoneal ligaments
Coronary: Superior liver to inferior diaphragm
Gastrohepatic: aka lesser omentum
Gastrosplenic
Gastrocolic: Stomach to transverse colon
Part of the greater omentum
Splenorenak
Falciform: liver to posterior surface of anterior abdominal wall