peritoneal cavity

Question 1

quick access to the peritoneal cavity

Answer 1

vertical incision on the linea alba from the xiphoid proccess to the pubic symphysis.

then make a horizontal incision from the right to the left midaxillary line passing through the umbilicus and reflect laterally on the four muscle flaps.

Question 2

the greater sac of the peritoneal cavity

Answer 2

the large portion between the parietal and visceral peritoneum of the abdominal wall

it divides into supracolic and infracolic by the transverse colon.

• supracolic divided by the falciform lig. into four: rt and Lt. ant. and post.
• infracolic is divided by the root of the mesentry: Rt. infracolic and Lt. infracolic space

Question 3

falciform ligament

Answer 3

a fibrous structure that connects the anterior part of the liver to the ventral wall of the abdomen. … The falciform ligament attaches to the liver between the right and left lobes as well as attaching to the inferior diaphragmatic surface.

Question 4

the lesser sac of the peritoneum

Answer 4

the space deep to the greater sac and lesser omenta

Question 5

gastrocolic ligament

Answer 5

a portion of the greater omentum that stretches from the greater curvature of the stomach to the transverse colon.

Question 6

round ligament of liver (ligamentum teres)

Answer 6

a ligament that forms part of the free edge of the falciform ligament of the liver. It connects the liver to the umbilicus. It is the remnant of the left umbilical vein.

Question 7

round ligament of liver (ligamentum teres)

Answer 7

a ligament that forms part of the free edge of the falciform ligament of the liver. It connects the liver to the umbilicus. It is the remnant of the left umbilical vein.

Question 8

portal vein

Answer 8

the main vessel of the portal venous system (PVS), which drains the blood from the gastrointestinal tract, gallbladder, pancreas, and spleen to the liver.

Question 9

lesser omentum

Answer 9

the double layer of the peritoneum that extends from the liver to the lesser curvature of the stomach (hepatogastric ligament) and the first part of the duodenum (hepatoduodenal ligament).

Question 10

omental foramen

Answer 10

also called foramen of Winslow, is the path of communication between the greater and lesser sac

Question 11

subphrenic spaces

Answer 11

are spaces that lie between the diaphragm and the liver on each side of the falciform ligament

Question 12

right posterior subphrenic space (pouch of morrison)

Answer 12

lies between the right lobe of the liver, the right kidney, and the right colic flexure

Question 13

direction of flow in the peritoneal fluid

Answer 13

1) normal flow upward to the subphrenic spaces
2) flow of exudate in peritonitis
3) two sites where inflammatory exudate tends to collects when the patient is nursed in the supine position
4) accumulation of inflammatory exudate in the pelvis when in an inclined position

Question 14

boundaries of the lesser sac

Answer 14

anteriorly: hepatoduodenal ligament, which contains hepatic vein, hepatic artery proper, and the common bile duct
posteriorly: IVC, right crus of the diaphragm, covered with parietal peritoneum anteriorly
superiorly: left lobe of the liver
inferiorly: first or superior part of duodenum

Question 15

peritoneal recesses

Answer 15

small pouches or pockets of peritoneal cavity enclosed by specific peritoneal folds

Question 16

duodenal recesses

Answer 16

superior duodenal reccess
inferior duodenal recess
paraduodenal reccess
retroduodenal recess

Question 17

cecal recesses

Answer 17

superior illeocecal
inferior illiocecal
retrocecal

Question 18

intersigmoid recess

Answer 18

a triangular peritoneal depression posterior and inferior to the sigmoid colon created by the attachment of the sigmoid mesocolon ascending across the left psoas, then turning sharply to descend into the pelvi

Question 19

ascites

Answer 19

accumilation of fluid in the peritoneal cavity

Question 20

paracentesis

Answer 20

perforation of the cavity in the body