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Anatomy 206 > Liver: Subphrenic Spaces > Flashcards

Liver: Subphrenic Spaces Flashcards

1
Q

Subphrenic spaces

A
  1. Potential spaces between diaphragm and transverse colon
  2. May be pushed collection sites forming subphrenic abscess
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2
Q

Liver and its peritoneal folds divide Supracolic compartment into 3 subhrenic spaces on each side of falciform ligament

A

2 intraperitoneal
1 extraperitoneal
1. Right anterior intraperitoneal space
2. Right posterior intraperitoneal space (Morison’s or hepato-renal pouch)
3. Left anterior intraperitoneal space
4. Left posterior intraperitoneal space
5. Right extraperitoneal space
6. Left extraperitoneal space

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3
Q

Right anterior boundries

A
  1. Lies between liver right lobe and diaphragm on falciform ligament right side
  2. Closed posterior by coronary ligament upper layer and right triangular ligament anterior layer
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4
Q

Right anterior boundries

A
  1. Lies between liver right lobe and diaphragm on falciform ligament right side
  2. Closed posterior by coronary ligament upper lay and right triangular ligament anterior layer
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5
Q

Right anterior importance

A

Can be infected from:
1. Gall bladder
2. Liver
3. Stomach
Or
4. Duodenum
Diseases

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6
Q

Right posterior boundries

A
  1. Anterior: inferior surface of liver right lobe
  2. Posterior: right kidney anterior surface
  3. Coronary ligament lower layer
  4. Opens into general peritoneal cavity
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7
Q

Right posterior importance infection

A

Can be infected from:
1. Gall bladder
2. Duodenum
3. Subhepatic appendix
4. Colon
Or
5. Kidney

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8
Q

Right posterior importance site

A

Commonest site for subphrenic abscess because it is peritoneal cavity most dependent area during lying down

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9
Q

Left anterior boundries

A
  1. Lies between liver left lobe and diaphragm on falciform ligament left side, anterior abdominal wall, and stomach Anterosuperior surface
  2. Closed posterior by left triangular ligament anterior layer
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10
Q

Left anterior

A

Can be infected after:
1. Splenectomy
2. Gastrectomy
Or
3. Anterior gastric perforation

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11
Q

Left posterior boundries

A

It is lesser sac upper part

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12
Q

Left posterior importance

A

Can be infected from:
1. Stomach
2. Pancreas
3. Liver
Or
4. Splenic
Diseases

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13
Q

Right Extraperitoneal space boundaries

A

Lies between liver bare area and diaphragm bounded by coronary ligament upper and lower layers

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14
Q

Right Extraperitoneal space importance

A

Can be infected from:
1. Kidney
2. Liver
Or
3. Pleural
Diseases

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15
Q

Left Extraperitoneal space boundary

A

Lies around left Suprarenal gland and left kidney upper pole

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16
Q

Left Extraperitoneal space

A

Can be infected from:
1. Kidney
2. Pleura
3. Colon
Diseases

17
Q

Right and left Extraperitoneal spaces

A

Not connected to general peritoneal cavity

Anatomy 206 (98 decks)

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