Peritoneal cavity

Question 1

What are the two layers of the peritoneum?

Answer 1

parietal peritoneum and visceral peritoneum

Question 2

What are intraperitoneal structures covered by?

Answer 2

visceral peritoneum

Question 3

What is retroperitoneal?

Answer 3

outside the peritoneal cavity and are only partially covered with peritoneum

Question 4

What is the omental bursa?

Answer 4

the lesser sac; a little space within the abdominal cavity

Question 5

What ligaments is the greater omentum formed from?

Answer 5

gastrophrenic, gastrosplenic and gastrocolic

Question 6

What connects the stomach to the diaphragm?

Answer 6

gastrophrenic ligament

Question 7

What connects the stomach to the spleen ?

Answer 7

gastrosplenic L

Question 8

What connects the stomach to the transverse colon?

Answer 8

gastrocolic L

Question 9

What connects the stomach to the liver?

Answer 9

gastrohepatic L

Question 10

What connects the liver to the duodenum?

Answer 10

hepatoduodenal L

Question 11

What connects the transverse colon to the diaphragm?

Answer 11

phrenicocolic L

Question 12

What blood vessels travel in the hepatoduodenal L?

Answer 12

proper hepatic a.
cystic a.
right gastric a

Question 13

Which blood vessels travel in the hepatogastric L?

Answer 13

right and left gastric a.

Question 14

What blood vessels travel in the gastrosplenic L?

Answer 14

short gastric a and L gastroomental a

Question 15

Which blood vessels travel in the gastrocolic?

Answer 15

right gastroomental and left gastroomental

Question 16

Which blood vessels travel in the splenorenal L?

Answer 16

splenic a.

Question 17

Which blood vessels are in the transverse mesocolon?

Answer 17

middle colic and marginal a.

Question 18

Which blood vessels run in the mesentary?

Answer 18

ileal a., jejunal a, and SMA

Question 19

What blood vessel runs in the root of the mesentary?

Answer 19

ileocolic a.

Question 20

Which blood vessels run in the sigmoid mesocolon?

Answer 20

sigmoid a.

Question 21

How does the lesser sac communicate with the greater sac?

Answer 21

through the epiploic foramen (omental foramen)

Question 22

What is the portal triad? Which ligament do they run in?

Answer 22

made up of proper hepatic a. (most anterior), common bile duct and hepatic portal vein (most posterior)

hepatoduodenal L

Question 23

What are the borders of the epiploic foramen?

Answer 23

anterior: hepatoduodenal L and portal triad
posterior: inferior vena cava and right crus of diaphragm
superior: caudate lobe of liver
inferior: 1st part of duodenum

Question 24

What are the relationships to the lesser sac?

Answer 24

anterior: lesser omentum, stomach, gastrocolic L
posterior: pancreas, left suprarenal gland, left kidney, aorta, IVC, splenic a. v.
superior: liver, diaphragm
inferior: transverse mesocolon, 1st part of duodenum
left: hilum of spleen, gastrosplenic L
right: epiploic foramen opens into greater sac

Question 25

if you have a ruptured stomach how can the contents enter the lesser sac?

Answer 25

a posterior rupture (possibly from ulcer) contents will go into lesser sac

Question 26

if you have a ruptured pancreas, how can the contents enter the lesser sac?

Answer 26

if you have an anterior rupture of pancreas, contents will enter lesser sac

Question 27

How can you get intestinal content out of the lesser sac?

Answer 27

insert a needle, aspirate and pull them out; can't cut anterior or posterior walls

Question 28

What does the transverse colon divide the cavity into?

Answer 28

supracolic compartment and infracolic compartment supracolic: stomach, liver, spleen infracolic: small intestine, ascending and descending colon

Question 29

what is peritonitis?

Answer 29

infection of peritoneal cavity

Question 30

What is ascites?

Answer 30

excess fluid in peritoneal cavity

Question 31

Where do you drain for paracentesis?

Answer 31

most inferior point: rectouterine pouch i think ?

Question 32

What are the relationships/boundaries of the pancreas?

Answer 32

anterior: lesser sac and stomach right: 2nd part of duodenum left: spleen inferior: 3rd part of duodenum posterior: aorta and IVC, splenic vein, bile duct, right crus of diaphgram, left kidney and vessels, left suprarenal gland, SMA and SMV