Lecture 11: Peritoneum and Abdominal Organs Flashcards
Upper and lower boundaries of the abdominopelvic cavity
Cranially: Diaphragm
Caudally: Levator ani and coccygeus muscles
2 divisions of abdominal cavity
- Abdominal cavity proper
- Pelvic cavity
Contents of abdominal cavity
Blood vessels, viscera, nerves, and peritoneum
Where does the abdominal cavity extend and why?
Into the rib cage to protect abdominal organs (especially forget organs)
Purpose of the greater (or false) pelvis
Protect lower abdominal organs
What part of the abdominal wall contains criss-crossing muscles and what are their functions
Anterior and lateral abdominal walls. Provides protection to this region, which contains soft and vital viscera.
What are the names of the 2 horizontal planes of the abdomen and their locations
Subcostal plane- costal cartilage of 10th rib
Transtubecular plane- iliac tubercles of iliac crest
What are the names of the vertical planes of the abdomen and their location
Midclavicular planes- From mid clavicle to between the anterior superior iliac spine and pubic symphysis
What are the six different regions of the abdomen in order (right to left)
Right hypochondriac, epigastric, left hypochondriac, right lumbar, umbilical, left lumbar, right inguinal, hypogastric, and left inguinal
What’s found in the right hypochondriac region?
Liver
What is found in the epigastric region?
Stomach
What is found in the left hypochondriac region?
Spleen
What is found in the right lumbar region
Right kidney
What is found in the umbilical region
Transverse colon
What is found in the Left lumbar region
Left kidney
What is found in the right inguinal region
appendix
What is found in the hypogastric region
Small intestine
What is found in the left inguinal region
Sigmoid colon
What are the 2 planes that divide the abdomen into four quadrants used by physicians
Median plane and transumbilical
What are the names of the 4 quadrants of the abdomen when divided by the median and transumbilical planes?
Upper left/right and Lower left/right quadrants
What was the embryonic precursor of the peritoneal cavity?
The intraembryonic coelomic cavity
What organs are contained within the peritoneal cavity
none
Are abdominal and peritoneal cavity synonymous?
No
Peritoneum
Serous membrane (thin layer of CT) covered by simple squamous epithelium (also called mesothelium)
What are the 2 peritoneum that delineated the peritoneal cavity
Parietal and visceral peritoneum
Which peritoneum is under extraperitoneal fat and transversals fascia that lies the abdominal wall?
Parietal peritoneum
Which peritoneum forms a shiny external covering over the abdominal organs
Visceral peritoneum
Mesentery definition
Double layer of peritoneum that encloses an organ and connects it to the body wall.
How do organs that are held within mesenteries receive blood?
Blood vessels travel through the mesentery to reach the organ
Peritoneal ligament definition
Double layer of peritoneum connecting an organ to the body wall or to another organ
Retroperitoneal definition
Organ that only slightly protrudes the peritoneal cavity
What doe retroperitoneal organs lack?
Mesenteries
Unique characteristics of retroperitoneal organs?
immobile and tough to access surgically
Primarily retroperitoneal
Never had a mesentery and never will (not gut organs)
Example of primarily retroperitoneal organ
Kidney
Secondarily retroperitoneal
They developed a mesentery but it was reabsorbed
Examples of secondary retroperitoneal organs
pancreas, duodenum, ascending and descending colon
How did the pancreas and duodenum loose their mesentery
Growth of the liver forces these two organs against the posterior back wall
How did the ascending and descending colons loose their mesentary
gut rotation cement rated the two structures against the posterior back wall
Location of subphrenic recess
Between the liver and thoracic wall
What boundaries from the hepatorenal recess
Bounded by the right kidney, liver, colon, and duodenum
What is the lowest point of the peritoneal cavity when the patient is laying down
The hepatorenal recess
In what recess does the vermiform appendix lie?
the retrocecal recess
What are the 2 divisions of the peritoneal cavity
The greater and lesser sac (or peritoneal cavity proper and omental bursa)
Location of the lesser sac
between the stomach and posterior body wall
What does the lesser sac allow for?
Dissension of the stomach
How does the lesser sac communicate with the greater sac?
Through the epiploic foramen of Winslow
What is another name for the epiploic foramen of Winslow?
Omental foramen
What are the lateral boundaries of the mental bursa
Glastrosplenic ligament and lienorenal ligament
What are the structures that are anterior and posterior to the omental bursa
Anterior: Stomach
Posterior: Pancreas
What are the 3 parts of the omental bursa
- Superior recess- between the liver and diaphragm
- Main portion behind the stomach
- Inferior recess- Between the double layers of the gastrocolic ligament
What recess is obliterated in the omental bursa during adulthood
the inferior recess
What forms the median umbilical fold
Formed by urachus
What is the urachus an embryonic remanent of
allantois