L19-Abdominal Contents Flashcards
What is the mesentery?
A double layer of peritoneum that forms from the invagination of the peritoneum by an organ
What is the function of the mesentery?
Suspends the organs and provides pathways for the neurovasculature communication between the viscera and body wall
Where do the mesenteries originate from?
The visceral layer of the lateral plate mesoderm
The dorsal mesentery does what in the embryo?
Suspends the primitive gut tube from the posterior abdominal wall
The ventral mesentery develops where in the embryo?
In the foregut only: -lesser omentum -falciform ligament
Where can you find the parietal peritoneum?-
covers internal walls of the abdominopelvic cavity
What is the innervation of the parietal peritoneum?
Somatic from the lower thoracic and lumbar anterior rami -refer pain, temperature and touch
Where can you find the visceral peritoneum?
It invests GI organs
What is the innervation of the visceral peritoneum?
The same innervation as the organ it is covering -autonomic (pain poorly localized)
Where can you find the retroperitoneal space? What does it contain?
posterior to the peritoneal cavity -contains fat, vessels, and few organs
Identify
a:
b:
c:
Peritoneal Folds: Peritoneum that is reflected away from the abdominal wall by functional or obliterated fetal vessels
a: Lateral umbilical fold
b: Medial Umbilical fold: obliterated umbilical aa.
c: Median umbilical fold
What are the borders of the foregut? What can you find in this location?
From the oropharyngeal membrane to the proximal duodenum -esophagus, stomach, proximal duodenum, liver, gallbladder and pancreas
A what level does the abdominal esophagus pass through the esophageal hiatus?
At T10
What sphincter is between the stomach and esophagus?
Cardiac sphincter
What are the two types of hiatal hernias? Where can you find them?
Find them between the stomach and the esophagus
- sliding hiatal hernia: abdominal esophagus, cardia of stomach slides through the esophageal hiatus
- paraesophageal: herniation of fundus of stomach, cardiac orifice stays in normal position
Name the regions of the stomach
- Black: Cardia
- Red: Fundus
- Green: Body
- Yellow: Pyloric antrum
- Blue: Pyloric canal
What can you find between the stomach and the duodenum?
The pyloric sphincter
How does the stomach develop in utero that gives it its shape?
Through both rotation and differential growth -rotates 90 degrees clockwise
- anterior side grows more slowly: lesser curvature
- posterior side grows more rapidly: greater curvature
What nerve rotates with the stomach?
Vagus
What are the mesenteries associated with the stomach called? Where can you find them?
- Lesser omentum: between stomach/proximal duodenum
- Greater omentum: hangs inferiorly from stomach from greater curvature to transverse colon
What does the greater omentum of the stomach prevent?
Adhesion of viscera anterior abdominal wall
What are the two components of the lesser omentum?
- Hepatogastric ligament: stomach to liver
- Hepatoduodenal ligament: duodenum to liver; portal and biliary systems
What can you find posterior to the right edge of the hepatoduodenal ligament?
the omental foramen
What is acid reflux?
regurgitation of gastric acids into lower esophagus
what are gastric ulcers?
open lesions of the mucosa of the stomach (leaves stomach susceptible to H. pylori)