Anatomy::Abdomen Flashcards
Nerve supply to ant abdo wall
Rectus and ext oblique- Lower 6th thoracic nerves
Int oblique and transversus - lower 6th thoracic nerves, ilioinguinal, iliohypogastric
Midline lap
Skin, subcut, linea alba, transversalis fascia, preperitoneal.fat, peritoneum
Below.umbilicus
Skin, sc, campers, Scarpas, linea alba
Kochers
Skin, sc, ext oblique, int oblique, traversalis
Transpyloric plane
L1 level
- midpoint between suprasternal notch and pubic symphysis
- fundus of GB
- Hepatic flexure
Pylori
2nd duodenum
Oddi
4th part duodenum
Lig of tretz
Neck.of pancreas
Root of transverse mesocolon
Splenic flexure
Origin of SMA
Hilum of spleen
Suprarenal art
Portal vein- Splenic.vein + SMV
Cisterns chyli
Upper pole of r kidney
Hilum of left kidney
Originate of left ureter
Ligaments of Treitz
Suspensory lig
Point at which gut rotation occurs
Point of volvulus
Distinguishes UGI vs LGI bleed
Hesselbach’s Triangle
Lateral : inf epigastric art
Medial : lat Edge of rectus abdominal
Inferior : inguinal ligament
Inguinal canal
Male: spermatic cord, ilioinguinal nerves
Female: round ligament and ilioinguinal nerves
Relations of the inguinal canal
Anteriorly:
Skin
Campers
Scarpas
Ext oblique aponeurosis
Int oblique in lat third
Posteriorly
Medially: Conjoint tendon
Laterally: Transervalis fascialis
Above
Lower arching fibres of int oblique and transversus
Below
lacunar ligament
Location of deep inguinal ring
1 cm above midpoint of inguinal ligament
Contents of Spermatic cord
3 fascia
Ext spermayic fascia,
int. Spermatic fascia,
cremastric fascia
3 art
Testicular
art to vas,
cremastric
3 nerves
Genital br. of Genitofemoral,
ilioinguinal,
sympathetic plexus
3 other structures.
LN
Pampiniform plexus
Vas deferns
Femoral ring - Boundaries
Anterior: Inguinal ligamnet
Posterior: pectineal ligament
Laterally: Femoral vein
Medially:
Lacunar ligament
Contents of femoral canal
Fat
Lymphatics
lymph nodes
Relations with Lesser sac
Anteriorly: Lesser omentum and stomach
Superiorly: Caudate lobe of liver
Left: Spleen, gassplenic, lienorenal ligaments
Right: Greater sac through epiploic foramen
Inferiorly: projects downward to the transverse mesocolon
Epiploic Formaen: Boundaries
Anteriorly: free edge of lesser omentum containing hepatic artery to the left, CBD to the right, Portal vein behind
Posteriorly: IVC
Inferiorly: 1st part of duodenum
Superiorly: Caudate lobe
Pringles Manouver
compress hepatic artery in the free edge of the lesser omentum in liver trauma or injury to cystic art during cholecytectomy
