GB 3. General Arrangement of Abdomen Flashcards
What is the vertebral level of the Transpyloric Plane?
L1
What are the important structures associated with the Transpyloric Plane?
- Fundus of Gallbladder + Murphy’s Point
- End of Spinal Cord
- Pancreatic Body
- Origin of Superior Mesenteric Artery
- Left and Right Colic Flexure
- Hila of the Kidneys
- Spleen
(+ Pylorus of the Stomach)
(+ Formation of the Portal Vein)
Name the multiple parts of the peritoneal cavity.
- Supracolic Compartment
- Infracolic Compartment
- Paracolic Gutters
- Paravertebral Gutters
- Hepatorenal (Morison’s) Pouch = Subhepatic Space
- Subphrenic (Subdiaphragmatic)
- Lesser Sac
- Foramen of Winslow
What is Omenta?
It is doubling of the visceral peritoneum between the stomach and other organs.
There is a greater and lesser omentum and this gives rise to the greater and lesser sac.
Where is the Greater Omentum located?
It attaches the greater curvature of the stomach to the transverse colon.
It is a flap - the underside of it is attached to the transverse colon.
Where is the Lesser Omentum located?
It attaches the liver to the smaller curvature of the stomach and the first 1/2 of the duodenum
Where is the Greater Sac?
starts up at the diaphragm and extends all the way down to the pelvic cavity
it makes up most of the peritoneal cavity
Where is the Lesser Sac?
- lies behind the stomach and liver
- it is a diverticulum/recess of the of the peritoneum
What are the differences between the intraperitoneal and extraperitoneal organs?
Intraperitoneal organs are wrapped almost entirely in the visceral peritoneum and suspended in the cavity.
Extraperitoneal organs lie outside the peritoneal cavity (wrapped only one side [anterior] by the peritoneum)
What are the organs of the foregut?
- Esophagus (distal end)
- Stomach
- Duodenum (Proximal 1/2 - where bile duct enters)
- Liver
- Gall Bladder
- Pancreas
- Spleen
What is the blood supply, venous drainage and lymph drainage of the foregut?
Coeliac Trunk
Splenic Veins
Coeliac (lymph)
What are the dermatomes (nerves) that supply the foregut?
T5 - T10
What are the organs of the midgut?
- Duodenum (distal half)
- Jejunum
- Ileum
- Cecum
- Appendix
- Ascending Colon
- Hepatic Flexure of Colon
- Transverse Colon (proximal 2/3rds)
What is the blood supply, venous drainage and lymph drainage of the midgut?
Superior Mesenteric Artery
Superior Mesenteric Veins
Superior Mesenteric (lymph)
What are the dermatomes (nerves) that supply the midgut?
T9 - T11
What are the organs of the hindgut?
- Transverse Colon (distal 1/3rd)
- Splenic Flexure
- Descending Colon
- Sigmoid Colon
- Rectum
What is the blood supply, venous drainage and lymph drainage of the hindgut?
Inferior Mesenteric Artery
Inferior Mesenteric Vein
Inferior Mesenteric (lymph)
What are the dermatomes (nerves) that supply the hindgut?
L1 - L2
How is the Portal Vein formed?
- Inferior Mesenteric Vein joins up with Splenic Vein (becomes the Splenic Vein)
- Splenic vein then joins up with Superior Mesenteric Vein to become Portal Vein
- Portal Veins empties into the Inferior Vena Cava
What is the nerve supply of the parietal peritoneum?
- somatic nerves
- sensitive to localized pain
- senses pain, temperature, touch and pressure