Anat- Abdominal Fascial Layers

Question 1

**The Superficial fascia of the lower abdomen is composed of ______ fascia and _____ fascia.

Answer 1

-Camper’s
&
-Scarpa’s

Question 2

Scarpa’s fascia, Darto’s fascia, and _____ fascia are a _______ of one another.

Answer 2

• Colle’s

- **continuation

Question 3

• With a ruptured urethra urine will remain:

- With intra-abdominal and retroperitoneal bleeding blood will remain:

Answer 3

• confined within these fascial layers

- confined to this same space. (Scarpa’s fascia, Darto’s fascia, and Colle’s fascia are a continuation of one another)

Question 4

Buck’s fascia is separate and confined to the _____

Answer 4

Penis

Question 5

The arcuate line of rectus sheath, the arcuate line, or the semicircular line of Douglas, is a horizontal line that demarcates the lower limit of the posterior layer of the ______

Answer 5

rectus sheath

Question 6

Layers of Anterior Abdominal Wall:

• Skin
• _____
• _____
• ______ (list the 6 layers from superficial to deep and their components)

Answer 6

-Skin

• Superficial Fascia:
• -Outer/Superficial Fatty layer
• -Inner/Deep Membranous layer
• Muscles:
• -External Oblique m
• -Internal Oblique m
• -Transversus abdominis
• Fascia Transversalis/ Endoabdominal
• Extraperitoneal tissue (fascia)
• Peritoneum

Question 7

Superficial Fascia/Subcutaneous Tissue:

-Is composed of 2 layers (list)

Answer 7

**An Outer Superficial Fatty Layer = Camper’s Fascia

And an Inner Deep Membranous Layer = Scarpa’s Fascia

Question 8

Scarpa’s Fascia is sometimes called a deep fascia (but it is technically “_______”

Answer 8

“superficial”

Question 9

Describe Camper’s Fascia

Answer 9

=outer part of the Superficial Fascia

• Fatty layer
• Areolar tissue
• Continuous inferiorly with the superficial fascial layer of the thigh.

Question 10

Describe Scarpa’s Fascia:

• inner part of _____
• CT type?
• Continuous inferiorly with _______

Answer 10

=inner part of the Superficial Fascia
-Membranous, dense collagenous CT

• Continuous inferiorly becoming Darto’s fascia/tunica and then Colle’s Fascia
• Continuous inferiorly with the Fascia Lata of the thigh

Question 11

Scarpa’s Fascia confines fluid from:

Answer 11

**inside the body, urine from urethral tears, and blood from the Cullen Sign and Grey-Turner Sign (indicating intra-abdominal and/or retroperitoneal bleeding

Question 12

Grey turner sign=

Answer 12

= an uncommon subcutaneous manifestation of intra-abdominal pathology that manifests as ecchymosis or discoloration of the flanks. [1] Classically it correlates with severe acute necrotizing pancreatitis

Question 13

Cullen’s sign=

Answer 13

superficial edema and bruising in the subcutaneous fatty tissue around the umbilicus

Question 14

Note that the Scarpa’s fascia (blue) goes a short distance below the ______ ______ (dotted line) and fuses with underlying fascia just below. This is called ______ line (Line of Fusion). Extravasated urine from a urethral tear will remain _____ this line

Answer 14

• *inguinal ligament
• Holden’s line**
• ABOVE

Question 15

Fascia Associated with the Penis and Scrotum

Answer 15

• Scarpa/Dartos/Colle’s Fascia – continuous

- Buck’s Fascia (is separate)

Question 16

Darto’s Fascia= superficial fascia of the _____

Answer 16

• **Penis

- Scrotal fascia

Question 17

Colle’s Fascia –Over Urogenital Triangle:

-the superficial fascia of the urogenital triangle (colle’s) is continuous with ______

Answer 17

the membranous layer of superficial fascia up the anterior abdominal wall (Scarpa’s).

Question 18

Colle’s fascia- over the urogenital traingle:

-this fascia DOES NOT extend into _______

Answer 18

**the anal triangle

Question 19

Colle’s Fascia – Over Urogenital Triangle:

Therefore, infection, blood or fluid (urine-ie urethral rupture) tracks anteriorly to the anterior abdominal wall and NOT ______

Answer 19

posteriorly into the Anal Triangle space

Question 20

Colle’s Fascia – Over Urogenital Triangle:

-This fascia does not go _______

Answer 20

**inferior as the fascia stops at the Inguinal Ligament or just below- called Holden’s Line

Question 21

Colle’s Fascia: describe

• what type of fascia?
• Continuous with _____
• attaches to:

Answer 21

=Membranous fascia over posterior Urogenital Diaphragm

• **Darto’s and Scarpa’s fascia
• Attaches to the posterior Urogenital Diaphragm/Perineal Membrane

Question 22

Colle’s fascia confines ______

Answer 22

**the urine in a ruptured urethra

Question 23

**Clinical Significance:
-With a ruptured
Bulbar urethra there can also
be a rupture of ______ fascia
with extravasation to urine
beneath the ________ fascia

Answer 23

**Buck’s Fascia

-Colle’s/Darto’s/
Scarpa’s fascia