Compartmental Anatomy Of The Abdomen And Pelvis

Question 1

Peritoneal cavity is divided into

Answer 1

Greater and lesser peritoneal cavity

Question 2

Communicates around the liver with the anterior subhepatic and posterior subhepatic space

Answer 2

Right subphrenic space

Question 3

Most dependent portion of the abdominal cavity in a supine patient and it preferentially collects ascites, hemoperitoneum, metastases and abscesses

Answer 3

Morison pouch (right hepatorenal fossa)

Question 4

Left and right subphrenic space is separated by the

Answer 4

Falciform ligament

Question 5

Left subphrenic space is separated from the left paracolic gutter by the

Answer 5

Phrenicocolic ligament

Question 6

Common location for disease process of the tail of pancreas

Answer 6

Left subphrenic (perisplenic space)

Question 7

Space affected by the disease of the duodenal bulb, lesser curve of stomach, gallbladder and left lobe of liver

Answer 7

Left subhepatic space (gastrohepatic space)

Question 8

Most dependent portion of the abdomen in the upright patient

Answer 8

Pelvis

Question 9

Consists of two closely applied layers of peritoneum extending from the umbilicus to the diaphragm in a parasagittal plane

Answer 9

Falciform ligament

Question 10

Caudal free end of falciform ligament contains the

Answer 10

Iigamentum teres

Question 11

Reflections of the falciform ligament separate over the posterior dome of the liver forming the _____ which define the bare area of the liver not covered by peritoneum

Answer 11

Coronary ligaments

Question 12

Prevents access of ascites and other intraperitoneal processes from covering the bare area of the liver

Answer 12

Coronary ligaments

Question 13

Lesser omentum is composed of

Answer 13

Gastrohepatic and hepatoduodenal ligaments

Question 14

Separates the gastrohepatic recess of the left subphrenic space from the lesser sac

Answer 14

Lesser omentum

Question 15

Lesser omebtum transmits

Answer 15

Coronary veins and lymph nodes

Question 16

Lesser omentum lymph nodes enlarge with

Answer 16

Gastric carcinoma and lymphoma

Question 17

Isolated peritoneal compartment between stomach and pancreas

Answer 17

Lesser sac

Question 18

Lesser sac communicates with the peritoneal compartment thru what small foramen

Answer 18

Foramen of winslow

Question 19

Pathologic processes in the lesser sac usually occur because of disease in the

Answer 19

Pancreas and stomach

Question 20

Double layer of peritoneum that hangs from the greater curvature of stomach and descends infront of the abdominal viscera, separating bowel from the anterior abdominal wall

Answer 20

Greater omentum

Question 21

Serves as a fertile ground for implantation of peritoneal metastases and assists in loculation of inflammatory processes of the peritoneal cavity such as abscess and tuberculosis

Answer 21

Greater omentum

Question 22

Retroperitoneal space is divided into

Answer 22

Anterior pararenal, perirenal and posterior pararenal compartments

Question 23

Retroperitoneal space is divided by the _____ into anterior pararenal, perirenal and posterior pararenal compartments

Answer 23

Anterior and posterior renal fascia

Question 24

Extends between the posterior parietal peritoneum and the anterior renal fascia

Answer 24

Anterior pararenal space

Question 25

The anterior pararenal spacr is bounded laterally by the

Answer 25

Lateroconal fascia

Question 26

Contents of the anterior pararenal space

Answer 26

Pancreas, duodenal loop, ascending and descending portions of the colon

Question 27

Anterior and posterior renal fasciae encompass the kidney, adrenal gland and perirenal fat within the

Answer 27

Perirenal space

Question 28

Which is thicker between the anterior and posterior renal fasciae?

Answer 28

Posterior

Question 29

The posterior layer of the posterior renal fascia is continuous with

Answer 29

Lateroconal fascia

Question 30

The right perirenal space is open ______ to the bare area of the liver allowing spread of disease between kidney and the liver

Answer 30

Superiorly

Question 31

Potential space, usually filled only with fat, extending from the posterior renal fascia to the transversalis fascia

Answer 31

Posterior pararenal space

Question 32

Continues into the flank as the properitoneal fat “stripe” seen on plain films of the abdomen

Answer 32

Posterior pararenal space

Question 33

Posterior pararenal space is limited medially by the

Answer 33

Lateral edges of psoas and quadratus lumborum muscles

Question 34

Pelvis is divided into 3 major anatomic compartments

Answer 34

Peritoneal caviry
Extraperitoneal space
Perineum

Question 35

Peritoneal extends to the level of _____ in females or to the level of _____ in males

Answer 35

Vagina, forming the pouch of douglas (cul-de-sac)

Seminal vesicles, forming rhe rectovesical pouch

Question 36

Reflects over the uterus, fallopian tubes and parametrial uterine vessels and serves as the anterior boundary of rectouterine pouch of douglas

Answer 36

Broad ligament

Question 37

Most dependent portion of the peritoneal cavity

Answer 37

Cul-de-sac

Question 38

Continuous with the retroperitoneal space of the abdomen, extends to the pelvic diaphragm, and includes the retropubic space of Retzius

Answer 38

Extraperitoneal space of the pelvis

Question 39

Lies below the pelvic diaphragm

Answer 39

Perineum

Question 40

Anatomic landmark of perineum

Answer 40

Ischiorectal fossa

Question 41

Ischiorectal fossa is seen below what muscle

Answer 41

Levator ani