Lecture 12: Peritoneal Cavity

Question 1

Where is pain from the parietal peritoneum referred?

Answer 1

Dermatome overlying

Question 2

What organs are in the foregut?

Answer 2

Oesophagus, stomach, proximal duodenum, biliary tract (gall bladder and ducts), liver, pancreas, spleen

Question 3

What is the blood supply to the foregut?

Answer 3

Celiac trunk

Question 4

Where is pain from the foregut referred to?

Answer 4

Lower end of sternum - transpyloric plane

Question 5

What organs are in the midgut?

Answer 5

Distal duodenum, jejunum, ilieum, large intestine until transverse colon

Question 6

What is the blood supply to the midgut?

Answer 6

Superior mesenteric vessels

Question 7

What organs are in the hindgut?

Answer 7

Descending colon, sigmoid colon, rectum and upper part of anal canal

Question 8

What is the blood supply to the hindgut?

Answer 8

Inferior mesenteric vessels and superior renal vessels

Question 9

What laterally places paired abdominal viscera develop without peritoneum?

Answer 9

Urogenital and endocrine system

Question 10

What is the movement of the stomach during development?

Answer 10

Clockwise rotation with super part of abdominal cavity so liver gets pushed to the right and spleen gets pushed further to the left

Question 11

What is the mesenteric connection between the stomach and the spleen?

Answer 11

Gastrosplenic ligament

Question 12

What is splenorenal ligament?

Answer 12

Mesentery connecting anterior kidney and spleen

Question 13

What makes viscera secondarily retroperitoneal?

Answer 13

Only have peritoneum on anterior aspect but have mesentery

Question 14

What is fusion fascia?

Answer 14

Fusion of the mesentery with the parietal peritoneum on the posterior abdominal wall - which may act as pathway for vessels

Question 15

What are parabolic gutters?

Answer 15

Fixed parts of peritoneum alongside viscera

Question 16

What intraperitoneal viscera are in the mesogastric mesentery?

Answer 16

Abdominal oesophagus, stomach, duodenal cap, liver, biliary tract, gall bladder, spleen, tail of pancreas

Question 17

What intraperitoneal viscera are in the mesentery?

Answer 17

Jejunum, ileum, caecum, appendix

Question 18

What intraperitoneal viscera are in the transverse mesocolon?

Answer 18

Transverse colon

Question 19

What intraperitoneal viscera are in the sigmoid mesocolon?

Answer 19

Sigmoid colon

Question 20

What is the thickening of the lesser omentum and what passes through this?

Answer 20

Hepatoduodenal ligmanet - hepatic triad

Question 21

What sits between the two layers of the greater omentum?

Answer 21

Recess - filled with fat, difficult to separate layers

Question 22

What is a big role that the greater omentum has?

Answer 22

Secreting leukocytes, localising infection, insultation

Question 23

Where does the transverse mesocolon start from?

Answer 23

Posterior ab wall

Question 24

What is the root of the mesentery?

Answer 24

Bit of peritoneum that comes off abdominal wall and encloses vessels going to viscera

Question 25

What vertebral level does the mesentery overly?

Answer 25

L3-5

Question 26

What vessel does the mesoappendix take with it?

Answer 26

Superior mesenteric branch

Question 27

What vessel does the sigmoid mesocolon take with it?

Answer 27

Inferior mesenteric vessels and superior rectal vessels

Question 28

What are the peritoneal ligaments?

Answer 28

Connect fixed viscera to wall or other viscera

Question 29

What are the two ligaments of the lesser omentum?

Answer 29

• Hepatogastric

- Hepatoduodenal

Question 30

What is the connection between greater curvature and diaphragm?

Answer 30

Gastrophrenic ligament

Question 31

What is the connection between greater curvature and spleen?

Answer 31

Gastrosplenic ligament

Question 32

What is the connection between greater omentum and large intestine?

Answer 32

Gastrocolic ligament

Question 33

What is the greater sac?

Answer 33

Space between parietal peritoneum and anterior part of visceral peritoneum

Question 34

What is the lesser sac?

Answer 34

Between liver and tranverse colon

Question 35

What is the omental bursa/pathway of winslow?

Answer 35

Single small pathway between greater and lesser sacs

Question 36

What ligaments make up the blind pouch?

Answer 36

Splenorenal ligament and gastrosplenic ligament