Anterior Abdominal Wall & Inguinal Region Flashcards
upper part of abdomen, formed by ribs 8,9,10 getting togetehr
Subcostal margin
Defect in linea alba; where all layers of the anteriolateral abdominal wall fuse
Umbilicus
running vertically along entire length of abdominal wall; transmits small vessels and nerves to the skin
Linea alba
curved tendon on either side of the rectus abdominis
Linea semilunaris
Where abdominal muscle and sheath fold over
Inguinal fold
Lines of orientation of abdominal wall
Median plane
Transumbilical
Quadrants of ab wall
RUQ - liver and gallbladder
LUQ - stomach and spleen
RLQ - cecum and appendix
LLQ - sigmoid colon
Superficial fascia of abdominal wall
Camper’s fascia
Scarpa’s fascia
Superficial fatty layer of fascia
Camper’s Fascia
Deep membranous layer of fascia that lays over top of ab muscles
Scarpa’s fascia
Four bilaterally paired muscles of abdominal wall
External abdominal oblique
Internal abdominal oblique
Transversus abdominis
Rectus abdominis
Most superficial of abdominal muscles
produces inguinal ligament
External abdominal oblique
Intermediate layer of abdominal muscles
Male-Cremaster muscle
Conjoint tendon with transversus abdominus
Internal abdominal oblique
Conjoint tendon with internal abdominal oblique
deepest layer of abdominal muscles
Transversus abdominis
Long strap-like muscle with tendinous intersections that are attached to and covered by rectus sheath
Rectus abdominis
Fiber orientation of external oblique
V
fiber orientation of internal oblique
A
Two muscles that make the conjoint tendon
internal oblique
transversus abdominus
internal oblique is continuous with _______ _______ in males
Cremaster muscle
conjoint tendon extends to ________ ________
pubic tubercle
All 3 flat muscles end anteriorly with an _________, the midline of which forms the tough ________ ________.
Aponeuroses form ______ ______ which goes from xyphoid process to pubic symphysis
Aponeurosis
Rectus sheath
Linea alba
Demarcates the transition between the posterior rectus sheath covering the superior 3/4 of the rectus abdominis and the transversalis fascia covering the inferior 1/4
Arcuate line
ABOVE arcuate line, tendon of ________ ________ splits to enclose rectus abdominis
internal oblique
BELOW the arcuate line, the only thing going behind the rectus abdominis is the _______ ________
Transversalis fascia
Innervates the umbilicus
T10
Two nerves from L1
Ilioinguinal
Iliohypogastric
Blood supply of abdominal wall (4)
Superior epigastric artery
Inferior epigastric artery
Posterior intercostal arteries
Subcostal artery
Terminal branch of Internal thoracic artery
superior epigastric artery
Branch of external iliac artery
Inferior epigastric artery
Innervation of skin and muscles of abdominal wall
Inferior 6 intercostal nervers (T6-T11) + lateral and anterior cutaneous branches and thoracoabdominal nerves
Subcostal nerve (T12)
Ilioinguinal nerve (L1)
Iliohypogastric nerve (L1)
Inferior most part of the external oblique aponeurosis
Inguinal ligament
Inferomedial passageway through inferior part of anterior abdominal wall
Potential site for hernias
Inguinal canal
Contents of inguinal canal
Spermatic cord (Males
Round ligament of uterus (Female)
Ilioinguinal nerve
Blood and lymphatics
Entrance into and out of the inguinal canal
inguinal rings
Internal opening of inguinal canal is the _____ _____ _____
External opening of the inguinal canal is the ____ _____ _____
Deep inguinal ring
Superficial inguinal ring
protrusion of parietal peritoneum and viscera through opening in abdominal cavity
Inguinal hernia
Direct inguinal hernia
hernial sac passes medial to inferior epigastric artery
pushes forward into inguinal triangle
typically acquired
Indirect inguinal hernia
hernial sac passes lateral to the inferior epigastric artery
pushes into the deep inguinal ring
traverses the inguinal canal
typically congenital
Hasselbach’s triangle is made by:
rectus abdominis
inferior epigastric vessels
inguinal ligament
Fetal testes descend in weeks __ - __
9 - 12
Gubernaculum
attaches to the gonads, in males it pulls the testes from the abdomen through the inguinal canal and into the scrotum
Processus vaginalis
outpouching of peritoneum; layers of abdominal pulled down with testes
Contents of spermatic cord
Testicular artery
Pampiniform Plexus of Veins - cools blood
Ductus deferens
Coverings of spermatic cord - relation to abdominal wall structures
Internal spermatic fascia - Transversalis fascia
Cremaster muscle and fascia - internal oblique
External spermatic fascia - external oblique
Layers of scrotum
Skin
Dartos fascia (and Dartos muscle)
causes scrotum to wrinkle when cold
Dartos muscle
Pouch of serous membrane covering testes; remnant from peritoneal lining
Tunica vaginalis
located on superior and posterolateral surface of the testes
epididymis
tail of epididymis becomes the
ductus (vas) deferens
due to the binding of the gubernaculum to the uterus in females, the female develops
Ovarian ligament
Round ligament of the uterus
ductus deferens is bilaterally ligated; can be cauterized or tied
Vasectomy
veins of pampiniform plexus become varicose
Varicocele
Skin of abdominal wall become which layer in spermatic cord?
Skin (scrotum)
Scarpa’s fascia becomes which layer in spermatic cord?
Dartos muscle/fascia (scrotum)
External oblique becomes which layer in spermatic cord?
External spermatic fascia
Internal oblique becomes which layer in spermatic cord?
Cremaster muscle and fascia
Transversalis fascia becomes which layer in spermatic cord?
Internal spermatic fascia
Peritoneum becomes which layer in spermatic cord?
Tunica vaginalis